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Cervical cancer screening for symptoms: What happens if you miss your test?

Posted on 25/01/2018 by

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CERVICAL cancer affects around 3,000 women in the UK each year, but early detection of cell changes has had a huge impact on survival rate. Cervical screening is the best way to identify the early signs and symptoms of the disease, but what happens if you miss your test?

Cervical cancer often has no symptoms in its early stages. While there’s no single preventative measure, attending cervical screenings can reduce your risk. 

But a 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 per cent of the 2,017 women surveyed were too embarrassed to attend cervical screening because of the appearance of their vulva, while 31 per cent admitted they wouldn’t go if they hadn’t waxed or shaved and 38 per cent avoided the doctor because they were worried about their vagina’s smell.

 As cervical screenings prevent up to 75 per cent of cervical cancers from developing, and in support of Cervical Screening Awareness Week, Pink Parcel GP, Dr Tatiana Lapa, gas explained everything you need to know about cervical screenings. 

Cervical cancer: What happens if you miss your cervical smear?

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

What happens if I forget or miss my test? 

Dr Lapa said: “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.”

How often should you have a smear test?

Dr Lapa said: “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.”

Cervical cancer: Screening is one of the best ways to reduce the risk of the disease developing

Symptoms of cervical cancer

Cervical cancer often has no symptoms in its early stages so it is important to go for regular screening. Here are the warning signs that you should be aware of.

Cervical cancer: Cervical screenings prevent up to 75 per cent of cervical cancers from developing

How exactly is it done?

Dr Lapa said: “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.” 

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

Dr Lapa said: “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.”

Cervical cancer: Do you know how often you should have a smear test?

Does a smear test hurt?

Dr Lapa said: “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?

Dr Lapa said: “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.”

Why is it so important to have them?

Dr Lapa said: “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 programme 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.” 

These are the seven signs of advanced cervical cancer.

Source: Express