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keeping an eye on your health in January is cervical cancer awareness month according to the World Health Organization cervical cancer is the fourth most frequent cancer in women but 92 percent recover when the cancer is detected early so it is a good reminder for women to get an annual checkup current guidelines recommend women ages 21 to 64 should get checked for cervical cancer every three to five years with a Pap test and or an HPV test and joining me now is Dr Allison Staley from Rocky Mountain gynecological oncology so thanks so much for taking the time out today to talk with us first up what are the signs and symptoms of cervical cancer yeah thanks for having me Michelle so in fact some of these cancers when theyre really early you actually may not have any symptoms at all and thats where having pap smear test HPV test screening is going to be really important to detect those asymptomatic cancers that are very early for those that are Advanced vaginal bleeding and abnormal di