Vaginal cancer

Also called Cancer of the vagina

Vaginal cancer is a rare cancer that starts in the vagina. It most often affects women over 60. Many cases are linked to the human papillomavirus (HPV). Other risk factors include smoking and having had abnormal cells or cancer in the cervix. Some cancers in the vagina have spread from somewhere else, such as the cervix or womb.

Last updated Nov 9, 2026

What it is

Treatment depends on the size and stage of the cancer, and can include radiotherapy, surgery and chemotherapy.

The HPV vaccine and stopping smoking lower the risk. Any unusual vaginal bleeding should be checked.

Common signs

  • Bleeding after sex, between periods or after the menopause
  • Unusual or smelly vaginal discharge
  • A lump in the vagina
  • Pain during sex
  • Pain when peeing or needing to pee more often
  • Pain in the pelvis

How it is usually diagnosed

  • Internal examination
  • Colposcopy
  • Biopsy
  • MRI, CT or PET scans to check spread

Records worth keeping

Keeping these together makes each appointment easier, especially when you see a new doctor:

  • Colposcopy reports
  • Biopsy and histology reports
  • Scan reports
  • Oncology letters
  • Treatment summaries

Questions to ask your doctor

  • What stage is the cancer?
  • What treatment do you recommend and why?
  • How will treatment affect my sex life?

When to get help right away

Call 112 or go to the nearest emergency department if you have:

  • Heavy vaginal bleeding with dizziness or fainting: call 112

This page is general information. It is not a diagnosis and does not replace a doctor who knows your history. Medfold keeps your records organised; it does not interpret them.

Sources