Cervical cancer symptoms

This page was reviewed under our medical and editorial policy by

Maurie Markman, MD, President, Medicine & Science

This page was updated on December 7, 2022.

Before the use of modern screening tools, cervical cancer was one of the most common causes of cancer death for women in the United States, according to the American Cancer Society. Development of the Pap test and, following that, the human papillomavirus (HPV) test have significantly decreased cervical cancer rates.

This article will cover:

Early signs of cervical cancer

Although some patients don’t experience any symptoms until cervical cancer has advanced, it may be possible to notice signs at an early stage. These include:

Vaginal bleeding

Sometimes cervical cancer mimics menstrual bleeding. Bleeding that seems different in any way should be reported to a doctor.

  • A longer or heavier menstrual cycle than usual
  • Spotting or bleeding between periods
  • Bleeding after menopause, especially if many months or years have passed since the last period

Pelvic pain

Women may experience pain in their pelvic region, often for no apparent reason.

  • Some feel pain in their back, particularly in the lower back
  • It may feel like a sharp pain or pressure, located anywhere around the lower abdomen, below the belly button.

Vaginal discharge changes

It's normal and healthy to have a vaginal discharge that’s clear, milky or slightly yellowish in color. But changes in color, consistency and/or odor should be investigated. Women should watch for these discharge changes, which may possibly be related to cervical cancer:

  • Discharge that looks red-tinged from small amounts of blood
  • An increase in the amount of discharge.

Pain during sex

Some people experience pain during intercourse, or some bleeding afterward.

All of these cervical cancer symptoms should be discussed with a doctor.

According to the American College of Obstetricians and Gynecologists (ACOG), cervical cancer takes several years to develop. Early cell changes are known as dysplasia or cervical intraepithelial neoplasia. Early-stage cervical cancer may develop without any symptoms. Typically, symptoms don’t become obvious until the cancer has grown into nearby tissue. Cervical cancer symptoms are not likely to come on suddenly, but usually persist once they do appear.

Advanced cervical cancer symptoms

Cervical cancer may spread (metastasize) within the pelvis, to the lymph nodes, or form tumors elsewhere in the body. Signs of advanced cervical cancer include:

  • Leg pain that feels like a persistent sharp or dull ache
  • Swelling in the legs
  • Weight loss
  • Fatigue
  • Back pain
  • Leakage of urine or feces from the vagina
  • Bone fractures
  • Difficulty urinating and having a bowel movement
  • Blood in the urine

A visual guide to signs and symptoms of advanced cervical cancer


Cervical cancer screening

Cervical cancer doesn’t typically cause noticeable symptoms in the early stages of cervical cancer. Routine cervical cancer screening is important to check for abnormal cells in the cervix and/or the presence of HPV, so it may be monitored and treated as early as possible.

Learn more about screening for cervical cancer

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Show references
  • The American College of Obstetricians and Gynecologists (2021, April). Cervical Cancer: Frequently Asked Questions.
  • The American Cancer Society (2020, January). Signs and symptoms of cervical cancer.
  • Fontham Elizabeth TH, Wolf Andrew MD, Church Timothy R, et al. (2020). Cervical cancer screening for individuals at average risk: 2020 guideline update from the American Cancer Society, ACS Journals, CA: A Cancer Journal for Clinicians.
  • American Cancer Society (2020, July). The HPV Test.