Cervical screening for transgender men | NHS

Cervical screening is a preventive test that checks the health of the cervix to detect any abnormal changes in the cells that could potentially develop into cervical cancer.

Transgender men who have not undergone full surgical transition including removal of the cervix (hysterectomy) still have cervical tissue that could develop abnormal cells or cervical cancer. Early detection through screening is crucial for effective treatment.

In the UK, it is recommended that anyone with a cervix between the ages of 25 and 64 receive cervical screening every 3 years if they are enrolled in the NHS Cervical Screening Programme.

Yes, if you have undergone a complete hysterectomy and no longer have a cervix, you may opt-out of cervical screening. It's important to discuss this with your GP to update your medical records accurately.

Cervical screening might be uncomfortable, but it should not be painful. If you are concerned about discomfort, discuss this with the healthcare professional performing the test—they may be able to make accommodations to ensure your comfort.

Yes, you can request a female healthcare professional to perform your cervical screening. The NHS aims to provide a comfortable and supportive environment for all patients.

It's normal to feel anxious. Speaking to your GP or nurse before the appointment can help address your concerns. They can provide information and support to make the process as comfortable as possible for you.

During the test, a small brush is used to gently collect cells from the cervix. The sample is then sent to a laboratory for analysis to check for abnormal cells or HPV.

If your results show abnormal cells, this does not mean you have cervical cancer. It indicates changes that need further investigation or monitoring. Your GP will discuss the next steps with you, which may include further tests.

Yes, testosterone can cause changes in the cervical cells and the vaginal environment, which might affect the screening process. It's important to inform the healthcare professional performing the test about your hormone therapy.

No, you typically do not need to stop taking testosterone before cervical screening. However, informing your healthcare provider about your hormone therapy can help them conduct the test more effectively.

Many NHS clinics and GP practices provide LGBTQ+ friendly services. If you prefer, you can look for clinics that specifically advertise themselves as being accommodating for LGBTQ+ patients.

It's recommended to schedule your appointment when you're not on your period. Wear comfortable clothing and try to relax. You can also talk to your healthcare provider beforehand to discuss any concerns or preferences.

If you have experienced trauma that makes cervical screening difficult, inform the healthcare professional. They can take extra steps to ensure your comfort and safety, including offering support or alternatives.

For more information and support, you can visit the NHS website, speak with your GP, or contact organizations like Jo's Cervical Cancer Trust, which provide resources and support for individuals undergoing cervical screening.