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Cervical cancer screening
The Cervical Cancer Screening test (smear test) is designed to check your cervix (neck of the womb) for the Human Papilloma Virus (HPV). HPV causes 99% of all cervical cancers. Information on this page covers why it's important to book and attend your screening appointment, along with some FAQs and where to go for further support.
Cervical Screening
Cervical screening is one of the best ways to protect yourself from cervical cancer. Cervical screening, which used to be called 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.
- Globally cervical cancer is the 4th most common cancer in women. In the UK, cervical cancer is 14th most common cancer in women, helped by the screening programme.
- Cervical screening saves at least 2,000 lives each year in the UK.
- The Cervical Screening Programme prevents 70% of cervical cancer deaths, and if everyone attended regularly 83% could be prevented.
The screening test
- Cervical screening is not a test for cancer, it helps prevent cervical cancer by checking for a virus called human papillomavirus (or HPV for short) and cervical cell changes.
- During cervical screening, a small sample of cells is taken from your cervix for testing.
- The test itself usually takes a few minutes, but you can expect to be in the appointment for around 15 – 20 minutes.
Who is eligible for cervical screening?
- If you have a cervix.
- If you are aged 25-64.
- When you have received your invitation from the Cervical Screening Programme.
When cervical screening is not recommended
- If you do not have a cervix
- If you have had a total hysterectomy
- If you have had radiotherapy to the cervix
- If you are under 25 years old or over 65 years
Find out more about when you’ll be invited for cervical screening - When you'll be invited for cervical screening - NHS
FAQs
If you’ve not had a cervical screening test before, or it’s been a long time since you’ve had one, you might have some questions about it. We’ve put together from FAQs below which you might find useful.
What is cervical screening and why is it important? (or also known as a smear test)
Cervical screening is not a test for cancer, it helps prevent cervical cancer by checking for a virus called human papillomavirus (or HPV for short) and cervical cell changes. During cervical screening a small sample of cells is taken from your cervix for testing. The cervical screening test itself should take less than 5 minutes.
Attending for your cervical screening appointment is important as this checks the health of your cervix and helps find any abnormal changes before they can turn into cancer.
How old do you have to be?
All women and people with a cervix between the ages of 25-64 should attend for their cervical screening, those registered as female with their GP will be automatically invited for routine screening and should receive their first invite a few months before turning 25.
Who performs the test?
You can have your cervical screening test at your GP surgery, and it is carried out by a healthcare professional usually either a member of the nursing team or doctor. In some areas, you may be able to go to a local sexual health clinic or walk-in centre instead.
Is it painful? / How uncomfortable is it?
Everyone's experience of cervical screening is different, discuss your concerns with a member of the nursing team or your doctor and they will work with you to put you at ease. Some may experience discomfort when the speculum is inserted, they can advise you on different positions to make it more comfortable, they can also recommend breathing techniques to help you relax. Remember you are in control and can stop the test at any time.
Do I need to do anything in preparation?
If possible schedule your appointment on a day when you are not having a period and avoid the test two days before or after your period, please don't use new vaginal medications, lubricants or creams in the two days before you have your test because they can affect the results. If you are embarrassed about cervical screening then you are not alone, talk to the clinician doing the test and they can help put you at ease.
What happens if I have had my test abroad or privately?
If you have previously lived abroad and not been part of the NHS cervical screening programme you may be due a test according to our records despite having had one in another country.
If you have had your test abroad or privately we do ask that you let your GP surgery know as this will enable them to record this on your health records.
I hear a lot about HPV, but I don't know what it is?
HPV is short for Human papillomavirus virus, it is a common virus that most people will have at some point during their lives without knowing. HPV is spread through close skin to skin contact during any type of sexual activity and can stay in the body for many years. HPV lives on our skin so it is easy to get and difficult to completely protect against. HPV can stay at very low or undetectable levels and not cause any problems however sometimes it can cause abnormal cells in your cervix to develop, these can over time turn into cancer if left untreated. 99.8% of cervical cancer cases in the UK are caused by HPV, which means that nearly every case of cervical cancer is preventable.
Do you need to have cervical screening if you've had the HPV vaccine?
The HPV vaccine protects against the most common types of HPV that causes cervical cancer however even if you have been vaccinated it is important that you have regular cervical screening once you reach the age of 25. This is because the HPV vaccine does not protect against all types of HPV which can cause cervical cancer.
Do I need to get screened if I am not sexually active?
NHS advice is that all women and people with a cervix between the ages of 25-64 should attend their cervical screening when invited regardless of whether they are sexually active. If you have never had any kind of sexual contact you may decide not to go for cervical screening but you can still have a test if you want one. If you are not sure whether to have cervical screening talk to your GP or member of the nursing team.
What happens after a cervical screening appointment? (results)
Results are usually received by letter within two weeks. Your cervical screening results letter will explain if HPV was found in your sample, what your results mean and what happens next. Most people will not have HPV present.
Useful resources
- Cancer Research UK Primary Care Good Practice Guide: Cervical Screening - final_uk_cervical_screening_guide_july_21.pdf
- Eve’s appeal - https://eveappeal.org.uk/gynaecological-cancers/cervical-cancer/facts-and-tips-for-cervical-screening/
- Helping you decide guidance for cervical screening (translated to 11 common languages) - https://www.gov.uk/government/publications/cervical-screening-description-in-brief
- Find out more about Cervical Screening - Cervical screening - NHS
- Find out more about Cervical Cancer - Cervical cancer - NHS