For many people, receiving an invitation for cervical screening can bring up lots of feelings. You might feel nervous, embarrassed, unsure about what happens, or wonder whether you really need to go.

The good news is that these feelings are completely normal.

Cervical screening is one of the best ways to protect yourself against cervical cancer, and understanding what to expect can help make the experience feel much less daunting.

What is cervical screening?

Cervical screening (sometimes called a smear test) is a quick health check that looks for certain types of human papillomavirus (HPV). HPV is a very common virus that most people will have at some point in their lives.

Most HPV infections go away on their own, but some types can cause changes to the cells of the cervix over time. Cervical screening helps identify HPV and any cell changes early, before they have a chance to develop into cancer.

That’s why cervical screening is so important, it helps prevent cervical cancer rather than simply detecting it.

Who is invited?

In England, people with a cervix are routinely invited for cervical screening from the age of 25.

You’ll usually receive an invitation from your GP practice when it’s time for your screening.

If you think you’re eligible but haven’t received an invitation, don’t worry. You can contact your GP surgery to check that your contact details are up to date and discuss arranging an appointment.

What happens during the appointment?

Many people worry about what will happen during cervical screening, but the appointment is usually straightforward and only takes a few minutes.

A trained healthcare professional will:

• Explain the procedure and answer any questions
• Ask you to undress from the waist down behind a privacy screen
• Use a small instrument called a speculum to gently open the vagina
• Take a small sample of cells from the cervix using a soft brush

The sample is then sent to a laboratory for testing.

The whole procedure itself usually takes less than five minutes.

Does it hurt?

Everyone’s experience is different.

Some people find cervical screening slightly uncomfortable, while others experience little discomfort at all. It shouldn’t be painful, but you may feel pressure or a strange sensation while the sample is being taken.

If you’re feeling anxious, let the healthcare professional know. They carry out cervical screening appointments every day and are there to help you feel as comfortable as possible.

You can also:

• Ask questions before the procedure starts
• Request a smaller speculum if needed
• Ask for breaks during the appointment
• Bring someone with you for support if your surgery allows it

It’s okay to feel nervous

Lots of people put off cervical screening because they feel embarrassed or worried about the appointment.

The reality is that healthcare professionals performing cervical screening are focused on your health and wellbeing. They carry out these procedures regularly and understand that many people feel anxious.

Whatever your body shape, size, gender identity, sexual orientation, disability, or previous experiences, you deserve respectful and supportive healthcare.

If you feel particularly anxious, tell the person carrying out the screening. They can talk you through the process and help make the appointment as comfortable as possible.

Why shouldn’t I delay my appointment?

Life gets busy, and it can be tempting to put screening off for another day.

However, cervical screening is one of the most effective ways to prevent cervical cancer. Attending when invited gives the best chance of identifying any concerns early.

Even if you feel healthy and have no symptoms, it’s still important to attend. Cervical screening is designed to identify changes before they become a problem.

Where can I find more information?

If you’ve been invited for cervical screening, try not to let nerves stop you from attending.

A few minutes at an appointment could make a real difference to your future health.

For more information about Cervical Screening Awareness Week and cervical health, visit The Eve Appeal:
https://eveappeal.org.uk/campaigns/cervical-screening-awareness-week/

You can also speak to your GP practice if you have questions or concerns about booking your appointment.

People with disabilities are able to request reasonable adjustments for a longer appointment slot. You can ask your GP about this.