Cervical Smear Testing
Cervical screening is designed to pick up mild pre-cancerous changes
before they turn into anything more serious. There are several grades of
abnormal smear before cancer develops, each of which can be treated
successfully by a gynaecologist. It's worth remembering that less than 10%
of cervical smear tests show any abnormality at all.
The practice nurse or doctor will take a sample from the cervix (the neck
of the womb) by gently rotating a brush over it. This sample is mixed into
a preservative fluid and sent to Good Hope Hospital Cytology Lab for
analysis.
You will be invited for a smear test according to national guidelines i.e.
every 3 years from age 25.
You may be recalled sooner than these routine times if you have had an
abnormal smear in the past.
Your doctor will usually take a cervical smear if you experience bleeding
after intercourse or between periods. These symptoms are important and you
should seek advice as soon as possible.
We routinely write to all women when we receive their smear result from
the hospital.
Very few cervical smears pick up actual cancer. If you have an abnormality
you will be advised by your doctor what treatment (if any) is needed and
he or she will arrange it for you. Below is a basic guide to smear
results:
| Result |
Usual Action |
| Negative |
Routine recall |
| Inadequate (insufficient cells on sample) |
Repeat in 3-6 months |
| Mild abnormality |
Repeat in 6 months |
| More serious abnormality |
Refer for colposcopy |
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What is colposcopy?
Colposcopy is a technique used by the gynaecologist to look closely at the
cervix, take tiny biopsy samples and, if necessary, treat abnormalities.
It is done in an outpatient clinic and you do not need an anaesthetic.
Click
here to see the NHS cervical cancer screening website for more details.
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