Tobacco and Cervical Cancer

Cigarettes cause cervical cancer.Footnote 1

Key facts about tobacco use and cervical cancer

View health-related messages for all tobacco product packaging.

What is cervical cancer?

Cervical cancer is a mass, or tumor, which forms in the cervix. The cervix is the lower portion of the uterus, connecting the uterus to the vagina.

Almost all cervical cancers are caused by a viral infection from the Human Papillomavirus (HPV). HPV is most commonly spread through sexual contact. An HPV infection can persist for many years. In some cases, the virus may cause normal cells in the cervix to become cancerous, leading to cervical cancer.Footnote 7

Symptoms of cervical cancer usually appear once the cancer has spread to nearby tissues. Symptoms include heavy menstrual bleeding, bleeding between periods or after menopause, pain during intercourse, and unexplained pelvic or back pain.Footnote 8

Treatment for cervical cancer may include surgery to remove some or all of the cervix, uterus, upper vagina, and ovaries. Radiation or chemotherapy treatment is determined by the severity and location of the cancer.Footnote 9

How does tobacco use increase the risk of cervical cancer?

Some of the chemicals contained in tobacco smoke have the potential to cause genetic changes in the cells of the cervix. This can lead to the development of cervical cancer.Footnote 1Footnote 10 Smoking exposes the cervix to harmful cancer-causing chemicals, increasing the risk of cancer.

Smoking increases the risk of developing an HPV infection. If someone has an HPV infection, smoking weakens the immune system, making it harder for the body to fight the infection.Footnote 1Footnote 10

How does quitting reduce the risk of cervical cancer?

When someone stops smoking, their risk of cervical cancer starts to decrease and continues to decrease the longer they stay smoke-free.Footnote 11 If someone who smoked has quit for 20 or more years, their risk of cervical cancer is the same as someone who has never smoked.Footnote 2

Quitting is one of the best ways to avoid the development of cervical cancer and other tobacco-related diseases.Footnote 11

If someone who smokes has cervical cancer, quitting can still benefit them. Quitting can improve recovery for cancer patients.Footnote 12

Continuing to smoke after a cancer diagnosis can lower chances of survival and increase the risk for other cancers caused by tobacco smoke, such as lung cancer.Footnote 12

Health benefits of quitting tobacco use at any age

Quitting tobacco use reduces the risk of premature death, improves health, and enhances quality of life.Footnote 11 Quitting at any age is beneficial to one's health.Footnote 11 Even people who have smoked or used tobacco heavily for many years benefit from it.Footnote 1Footnote 11 Quitting is the most important thing someone who smokes can do to improve their health.

Read more about the benefits of quitting smoking.

Call for free help to quit

Call the toll-free pan-Canadian quit line at 1-866-366-3667. Quit line counselling, alone or in combination with cessation medications, increases success in quitting.Footnote 11

Footnotes

Footnote 1

U.S. Department of Health and Human Services. The Health Consequences of Smoking. A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2004.

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Footnote 2

Roura E, Castellsagué X, Pawlita M, Travier N, Waterboer T, Margall, N et al. Smoking as a major risk factor for cervical cancer and pre-cancer: Results from the EPIC cohort. Int. J. Cancer. 2014;135: 453-466. https://doi.org/10.1002/ijc.28666

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Footnote 3

U.S. Department of Health and Human Services. Women and Smoking. A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2001.

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Footnote 4

Poirier AE, Ruan Y, Grevers X, Walter SD, Villeneuve PJ, Friedenreich CM, Brenner DR; ComPARe Study Team. Estimates of the current and future burden of cancer attributable to active and passive tobacco smoking in Canada. Prev Med. 2019 May;122:9-19. doi: 10.1016/j.ypmed.2019.03.015.

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Footnote 5

Brenner DR, Poirier A, Woods RR, Ellison LF, Billette JM, Demers AA, Zhang SX, Yao C, Finley C, Fitzgerald N, Saint-Jacques N. Projected estimates of cancer in Canada in 2022. CMAJ. 2022 May 2;194(17):E601-7.

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Footnote 6

Canadian Cancer Statistics Advisory Committee. Canadian Cancer Statistics 2021. Toronto, ON: Canadian Cancer Society: 2021. Available at: cancer.ca/Canadian-Cancer-Statistics-2021-EN

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Footnote 7

American Society of Clinical Oncology. Cervical Cancer: Introduction. Published November 2020. Accessed May 2, 2022. https://www.cancer.net/cancer-types/cervical-cancer/introduction.

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Footnote 8

American Society of Clinical Oncology. Cervical Cancer: Symptoms and Signs. Published November 2020. Accessed May 2, 2022. https://www.cancer.net/cancer-types/cervical-cancer/symptoms-and-signs.

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Footnote 9

American Society of Clinical Oncology. Cervical Cancer: Types of Treatment. Published November 2020. Accessed May 2, 2022. https://www.cancer.net/cancer-types/cervical-cancer/types-treatment.

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Footnote 10

Fonseca-Moutinho JA. Smoking and cervical cancer. Obstetrics and Gynecology. 2011; 2011:847684. doi: 10.5402/2011/847684.

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Footnote 11

U.S. Department of Health and Human Services. Smoking Cessation: A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2020.

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Footnote 12

U.S. Department of Health and Human Services. The Health Consequences of Smoking—50 Years of Progress: A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2014.

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