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Health & Wellbeing / Claire Blackmore

The Body Experts: Let’s Talk About Smear Tests

Looking after your body and mind is super-important, and while many of us find it easy to slap on a face pack, have a bath and get our recommended dose of fresh air, a shocking new survey has revealed that one in three women are avoiding smear tests because they’re embarrassed about their vaginas!

Jo’s Cervical Cancer Trust said 34% of the 2,017 women surveyed were too embarrassed to attend cervical screening because of the appearance of their vulva, while 31% admitted they wouldn’t go if they hadn’t waxed or shaved and 38% avoided the doctor because they were worried about their vagina’s smell.

This is crazy news considering cervical screenings prevent up to 75% of cervical cancers from developing. So in support of Cervical Screening Awareness Week, our resident Pink Parcel GP, Dr. Tatiana Lapa, explains everything you need to know about cervical screenings.

Does a smear test hurt?

“A smear test is done by a doctor or nurse at your GP surgery. The procedure can take around 5-10 minutes to do. It may be a little uncomfortable but, for most women, it’s not painful. If you find the test painful tell your doctor or nurse as they may be able to reposition you, use a smaller instrument or offer some advice to help you relax. Try to focus on keeping your bottom and thighs relaxed as tensing up can make the test more difficult and uncomfortable and try to focus on your breathing.”

Is it normal to bleed after?

It is normal to have some light bleeding for 1-2 days after a smear. If you experience heavy bleeding or prolonged bleeding, it is best to see a doctor.”

Can you have a smear test when you’re on your period?

“It is best to have your smear when you are not having your period. The best time to have a smear test is half-way through your cycle. If your cycle is unpredictable, book your appointment and let the nurse know if you’re bleeding on the day. They can advise you whether it is possible to continue with the smear test.”

How often should you have a smear test?

“Smear tests are offered every 3 years to women aged 25 to 49 and then every 5 years to women aged 50 to 64. Sometimes smear tests can pick up early changes to the cells of the cervix, in which case the woman may be offered further investigations such as colposcopy or early repeat testing.

“We generally do not advise to do the smear test every year. This is because the cell changes that can lead to cancer take a long time to develop. Cervical cancer does not develop overnight. It usually takes multiple changes to the cells before a cancer can develop. Doing the test every 3-5 years will identify any changes that can then be treated.”

How exactly is it done?

A smear test aims to sample the cells of the cervix – this is the top part of the vagina and forms the junction between the vagina and the womb. It is done by a doctor or nurse at your GP surgery. Your nurse will position you on the bed and then gently insert speculum (a plastic tube) into the vagina in order to be able to see the cervix. A small brush is then swept across the cervix to collect cells from the surface. These cells are then sent to the laboratory to be examined. 

“The test is not painful, although can be slightly uncomfortable. It really helps if you are able to stay as relaxed as possible. If needed, the doctor or nurse can you a smaller size of speculum.” 

Why is it so important to have them?

The smear test looks for cervical cancer. We know that the cells of the cervix undergo a series of early changes before becoming cancer cells. The national screening program aims to regularly check for these early changes so that pre-cancerous cells can be identified and treated. Cervical cancer is one of the few types of cancer that can be detected and stopped before it even begins. And the proof in the pudding – since starting smear tests, the numbers of cervical cancers and cancer deaths have dropped significantly. So don’t take the risk, get your smear test.” 

What happens if I forget or miss mine?

“You will receive an invitation letter for a smear test when you are next due for one. If you didn’t get the letter, can’t remember when you last had it or forgot to book your appointment – don’t panic. Book to see your practice nurse. The nurse can check when you last had your smear done, whether or not you’re due for one and can do the smear test for you. You normally get results posted to you within 2 weeks of the test.”

Still got questions? You can find more information here

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