Cervical screening tests used to be known as ‘smear tests’. The NHS is moving towards a new way of testing that doesn’t always include taking smears.
What is a cervical screening test?
A cervical screening is a way of checking if there are any abnormal (unusual) cells on the cervix (the entrance to the womb from the vagina).
It is your choice whether to have this check or not.
Why should I have a cervical screening test?
Being checked regularly means that any abnormal changes in the cells of the cervix can be found at an early stage and treated (if needed) to stop cancer growing.
Why do I need to do the test before getting pregnant?
Pregnancy can make it harder to know if your test result is normal or not. If you’re planning to get pregnant ask your GP if you are up to date with your cervical screening.
Where can I get tested?
All women aged 25 to 49 who are registered with a GP get a letter inviting them for cervical screening every three years.
If you’re planning a pregnancy there’s no need to wait for a letter. Contact your GP surgery to find out when your screening is due and tell your GP you are trying for a baby.
What happens after the test?
If slightly abnormal cells are found your sample will be tested for an infection called human papillomavirus (HPV). Some types of this virus can cause cervical cancer. If you have an HPV infection or if you have ‘very’ abnormal cells you be offered a test called a colposcopy (a simple procedure to look at the cervix) at your local hospital.
In some rare cases women may have possible cancer cells in their sample and will be referred to a specialist.
Are there any risks to having a cervical screening?
If a colposcopy finds abnormal cells in your cervix you may be offered treatment to remove them.
There are various types of treatments and these can have side effects including:
- mild pain, similar to period pain
- light vaginal bleeding.
- an infection
- a slightly increased risk of having a baby 1 to 2 months early in future pregnancies.
Sometimes, treatment to remove abnormal cells from your cervix can be done at the same time as a colposcopy if it's obvious that some of the cells in your cervix are abnormal. Speak to your doctor before your appointment if you have any concerns about the side effects of treatment.
I think I’m already pregnant. Am I too late to get tested?
If you’re pregnant you are usually advised to wait until three months after the baby is born if:
If abnormal cells are found you may need a colposcopy, which is also safe to have in pregnancy. Depending on the results you may be offered another colposcopy when you are around six months pregnant.
If you need any treatment this will be delayed until around three months after the baby is born. Try not to worry if this is the case. Any abnormal cells are unlikely to change much over the course of your pregnancy.
More support and information
1. NHS Choices (accessed 01/05/2018) 2018] Cervical Screening, Page last reviewed: 07 August 2015
Next review due: 01 September 2018. https://www.nhs.uk/conditions/cervical-screening/
2. NHS Choices (accessed 01/05/2018) Can I have a cervical screening test during pregnancy? Page last reviewed: 20 April 2015. Next review due: 30 April 2018. https://www.nhs.uk/chq/Pages/1646.aspx?CategoryID=54&SubCategoryID=130
3. NHS (accessed 01/05/2018) Cervical Screening Programme, NHS cervical screening Helping you decide Last reviewed: May 2018 Next review due: Pending https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/710741/Cervical_screening_helping_you_decide.pdf
4. NHS Choices (accessed 01/05/2018) Colposcopy Page last reviewed:10 January 2017 Next review due:10 January 2020 https://www.nhs.uk/conditions/colposcopy/
ℹLast reviewed on June 5th, 2018. Next review date June 5th, 2021.