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Cervical screening: what to expect | NHS

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Cervical Screening: What to Expect | NHS

Introduction to Cervical Screening

Cervical screening, also known as a smear test, is an essential health screening program offered by the NHS in the United Kingdom. It aims to detect abnormal cells on the cervix that could potentially lead to cervical cancer. The test is not for cancer but is a preventive measure to stop cancer from developing. Women and people with a cervix aged 25 to 64 are invited for cervical screening.

Booking Your Appointment

You will receive an invitation letter from the NHS when it is time for your screening. You can book an appointment with your GP or at a local sexual health clinic. Ensure to schedule it for a time when you are not having your period, as this can affect the accuracy of the test.

During the Procedure

The cervical screening process itself is quick, usually taking around 5 minutes. You will be asked to undress from the waist down and lie back on an examination bed. A nurse or doctor will gently insert a speculum into your vagina to hold it open, allowing them to collect cells from your cervix using a small, soft brush. This may feel slightly uncomfortable but shouldn’t be painful.

After the Procedure

Once the sample is collected, it will be sent to a laboratory for analysis. You might experience mild spotting or light bleeding afterward, which is normal. Results typically arrive within 2 to 6 weeks, indicating whether the cells are normal, inadequate, or abnormal. If abnormalities are found, you will be referred for further testing or treatment.

Frequency of Screening

The frequency of cervical screening depends on your age:
  • 25 to 49 years: Every 3 years
  • 50 to 64 years: Every 5 years
  • Over 65: Only if recent tests were abnormal

Importance of Regular Screening

Regular cervical screening is vital for early detection and prevention of cervical cancer. Even if you have had the HPV vaccine, attending regular screenings remains crucial. Remember, cervical screening saves lives, so make sure you attend your appointments when invited. For more information, visit the NHS Cervical Screening webpage.

Frequently Asked Questions

What is cervical screening?

Cervical screening (a smear test) is a test to check the health of your cervix. It's not a test for cancer, but for preventing cancer by detecting any abnormal cells early.

Who is eligible for cervical screening?

In the UK, women and people with a cervix aged 25 to 64 are invited for cervical screening.

How often should I go for cervical screening?

You should have a cervical screening every 3 years if you're aged 25 to 49, and every 5 years if you're aged 50 to 64.

How do I book a cervical screening?

You can book a cervical screening with your GP or at a local sexual health clinic.

What happens during the test?

During the test, a small sample of cells is taken from your cervix using a soft brush. The test usually takes about 5 minutes.

Is the cervical screening test painful?

While the test might be a bit uncomfortable, it shouldn't be painful. You may feel some pressure when the speculum is inserted.

What should I do to prepare for the test?

You should avoid having the test during your period and try to relax as much as possible. There's no need to do anything special.

What happens if I miss my screening appointment?

If you miss your appointment, you should contact your GP to reschedule as soon as possible.

When will I get my results?

Results are usually sent out within 2 weeks of the test.

What if my result is abnormal?

An abnormal result means some changes in the cells of the cervix were found. It does not necessarily mean you have cancer. You may need more tests or treatment to prevent cancer from developing.

Can I have cervical screening if I’m pregnant?

Yes, but it's usually recommended to wait until at least 12 weeks after giving birth before having a screening test.

Do I need cervical screening if I had the HPV vaccine?

Yes, because the HPV vaccine does not protect against all types of HPV that might cause cervical cancer.

Can I stop having cervical screenings if I am 65 or older?

If you’ve had normal results in your last 3 tests, you do not need further screenings. However, if not, you may need to continue; consult with your GP.

Can I have a cervical screening if I am on my period?

It's best to have the test done when you're not on your period as the results might not be as accurate.

What if I’ve never been sexually active?

You still need cervical screening because it checks for abnormal cells in the cervix, not just HPV changes.

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