Cervical Screening Test

The cervical screening test replaced the 'pap smear' test in 2017. It is a test to detect early changes in the cells of the cervix that could develop into cervical cancer.

The test can be administered by a GP or nurse, this test is now every 5 years instead of every 2.

As of July 1, 2022, Women can self administer the test. You can discuss whether you are a suitable candidate for this with your GP.

Abnormal smears 

If your GP rings with an abnormal smear result, it's common to feel stressed or alarmed. Thankfully these early cell changes can be treated with great success.

Treatment can be performed in our rooms using a colposcope, a telescope that can look at the cervix in detail. Dr Pat is holding a colposcope in the picture.

Colposcopy allows small abnormal areas on the cervix to be identified and a tiny biopsy taken. Most women report that the procedure is about as uncomfortable as the original screening procedure performed by the GP.

The biopsy is used to confirm the abnormality suggested by the screening test.

Sometimes a second procedure is recommended to remove the pre-cancerous cells. This procedure, called a LLETZ, removes the abnormal cells but leaves all the healthy cells of the cervix in place. This is important as the cervix has a big job to do if a woman chooses to have babies!

The LLETZ procedure can be done under local anaesthetic in our consultation rooms. It can also be done under a quick general anaesthetic in the hospital.

Smear tests prevent cancer of the cervix. Abnormal smear results can be alarming but colposcopy and treatment is usually straightforward. If your GP recommends a gynaecologist review.

Urgency responds very well to pelvic floor physiotherapy and bladder retraining. For these, a team approach involves working closely with Belinda Matthews, physiotherapist. Belinda also helps you monitor lifestyles issues impacting on bladder control such as water and caffeine intake and exercise.

Occasionally medication is required. Modern medications for bladder urgency are improving in both their effectiveness and side effects.