Cervical Smear Test

What does it involve:

You will be asked to lie down and a smooth tube (a speculum) will be inserted into your vaginal canal (this is the opening of your vagina to the cervix). They will then insert a small brush through the speculum and twist it to collect cells from the lining of your cervix.

How long is the procedure?

It should take no longer than 10-15 minutes

Is it Painful?

Some women experience mild discomfort or pressure from the brush – if you do, it is important to let the examiner know as they are able to ease discomfort slightly. Some women find It useful to distract themselves through listening to music, taking a paracetamol before the procedure, or asking the practitioner to talk through the procedure. Sometimes it’s easier to know what’s going on whilst it’s happening to relief apprehension and the fear of unknown.

When do I need to book?

When you reach the age of 25 you will be called for your first smear test (what a birthday present!) From 25, you will be invited every 3 years until you reach 49. Once you reach the age of 49, you will then be invited every 5 years until you reach 65. However, you can request smear tests after 65 if you have ever had an abnormal smear test or you haven’t had one since the age of 50.

Do I have cancer if it comes back abnormal?

No, this is a big misconception of the smear test and can put a lot of individuals off the procedure. Here are 3 things that the smear test can determine (not exhaustive):

·       HPV (human papillary virus).

This pesky virus has a lot to answer for as there are so many of them linked to certain health conditions. However, in this instance HPV 16 and 18 are the ones we are concerned about with the smear test. This virus presents with abnormal cells in the cervix and predisposes you to cervical cancer – but does not mean you will develop it. Usually, women will have this at one point in their life and will never be found as it tends to disappear.

·       CIN (cervical intraepithelial neoplasia).

This is a cluster of pre-cancerous cells within the epithelium of the cervix. It will be treated depending on the stage; treatment will vary from ablation, cryocautery, or excision. You’ll be invited back 6 months later for another smear test.

·       Cervical Cancer

Treatment again will depend on the stage and will involve a multi-disciplinary team! Surgery, chemotherapy or radiotherapy will be available to you.

Signs and symptoms of cervical cancer:

Bleeding after intercourse

Bleeding between periods

Post-menopausal bleeding

Lower abdominal pain

Vaginal discharge

In advanced stages – blood within urine, swelling in one leg, incontinence, and constipation.