Cervical Screening (Smear Test)

Cervical Screening is generally undertaken by Margaret, our Practice Nurse but a number of our GP’s are also available if required.

A cervical screening test (previously known as a smear test) is a method of detecting abnormal cells on the cervix. The cervix is the entrance to the womb from the vagina. Detecting and removing abnormal cervical cells can prevent cervical cancer.

Cervical screening (a smear test) is a test to check the health of the cervix and help prevent cervical cancer. It’s offered to women and people with a cervix aged 25 to 64.

Testing for abnormal cells  – Cervical screening isn’t a test for cancer, it’s a test to check the health of the cells of the cervix. Most women’s test results show that everything is normal, but for around 1 in 20 women the test shows some abnormal changes in the cells of the cervix. Most of these changes won’t lead to cervical cancer and the cells may go back to normal on their own. But in some cases, the abnormal cells need to be removed so they can’t becom  e cancerous. About 3,000 cases of cervical cancer are diagnosed each year in the UK. It’s possible for sexually active women of all ages to develop cervical cancer, although the condition is most common in women aged 30 to 45. The condition is very rare in women under 25.

The cervical screening programme – The aim of the NHS Cervical Screening Programme is to reduce the number of women who develop cervical cancer and reduce the number who die from it. Since the screening programme was introduced in the 1980s, the number of cervical cancer cases has decreased by about 7% each year.

  • All women who are registered with a GP are invited for cervical screening: 
  • aged 25 to 49 – every 3 years                                                                         
  • aged 50 to 64 – every 5 years                                                                           
  • over 65 – only women who have recently had abnormal tests

Important – Between January and October 2018, an administrative error meant that a small number of women did not receive their cervical screening letters. If you’re one of the affected women you will receive a letter advising you what to do next. Read more information for women who did not receive their screening letter.

Trans men who still have a cervix and are still registered as female with a GP will also be invited for cervical screening. Trans men who are registered as male will need to let a GP or Practice Nurse know so they can organise the test. For more information, read Should trans men have cervical screening tests?.

Women over 65 who have never been for cervical screening can have the test. Ask a GP or Practice Nurse for more information. Being screened regularly means any abnormal changes in the cells of the cervix can be identified at an early stage and, if necessary, treated to stop cancer developing. Cervical screening isn’t 100% accurate and doesn’t prevent all cases of cervical cancer, but it’s the best way to pick up any abnormal cells that could later turn into cancer. Screening is a personal choice and you have the right to choose not to attend.

Read about: •why cervical screening is offered when cervical screening is offered

Booking your test

You’ll receive a letter through the post asking you to make an appointment for a cervical screening test. The letter should contain the details of the place you need to contact for the appointment. Screening is usually carried out by the practice nurse at your GP clinic. You can ask to have a female doctor or nurse. If possible, try to book an appointment during the middle of your menstrual cycle (usually 14 days from the start of your last period), as this can ensure a better sample of cells is taken. It’s best to make your appointment for when you don’t have your period. If you use a spermicide, a barrier method of contraception, or a lubricant jelly you shouldn’t use these for 24 hours before the test, as the chemicals they contain may affect the test.

Your screening appointment

The cervical screening test usually takes around 5 minutes to carry out. You’ll be asked to undress from the waist down and lie on a couch. If you’re wearing a loose skirt you can usually remain fully dressed and just remove your underwear. The doctor or nurse will gently put an instrument called a speculum into your vagina. This holds the walls of the vagina open so the cervix can be seen. A small soft brush will be used to gently collect some cells from the surface of your cervix. Some women find the procedure a bit uncomfortable or embarrassing, but for most women it isn’t painful. If you find the test painful, tell the doctor or nurse as they may be able to reduce your discomfort. Try to relax as much as possible as being tense makes the test more difficult to carry out. Taking slow, deep breaths might help. You can also bring someone along to the appointment with you if you want support. The cell sample is then sent off to a laboratory for analysis and you should receive the result within 2 weeks.

HPV testing

Read about the results of cervical screening tests.

More information about cervical screening

cervical screeningcervical screening: an easy read guide (PDF, 1.6Mb) •cervical screening: an audio guide

GOV.UK also has cervical screening leaflets in other languages.

No Fear Practices

We know that going for your cervical screening can seem unpleasant, scary or embarrassing. Lots of women don’t go when they should, for those reasons.

Our No Fear Practices offer a range of things that make having your cervical screening easier. These might include:

  • Fully trained clinical staff
  • Request a female to carry out the test
  • Get your results in 14 days
  • Bring a friend for support
  • Mother and daughter appointments
  • Back to back “buddy” appointments
  • Book your appointment online
  • Text message appointment reminders
  • Phone call appointment reminders
  • Interpreter service
  • Walk in appointments
  • Evening and weekend appointments

For more info on No Fear Practices please click the link below.

No Fear Practices | Cervical screening | Screening Saves Lives

Please click on the three lines on the left hand side of ‘Appleby Medical Practice’ for further practice related information.