Cervical cancer screening

Testing to detect early signs of cervical cancer

Cervical Cancer Screening

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Detecting and removing abnormal cervical cells can prevent cervical cancer

Cervical cancer screening is an effective method for detecting abnormal cells in the cervix.

The results of the test (sometimes known as a pap smear test) are used to help to provide healthcare practitioners with an accurate measure of the health of your cervix – the entrance to your womb (uterus). Regular check-ups are recommended for all women aged 25 years and older and are offered at all our centres.

Why is cervical cancer screening important?

The test looks for changes in the cells of your cervix.

This isn’t a test for cancer, but can detect abnormal cells that could lead to serious problems like cervical cancer. Symptoms may not be experienced beforehand, until the condition is at an advanced stage.

Abnormal cells are not usually cancerous, especially if you have regular screenings. However, if abnormal cells are noticed at a screening they can be closely observed and/or treated to prevent cancer from developing. Regular screening has been proved to reduce the risk of advanced cancer by 90% on average for women aged 35-64.

What to expect at your appointment

The procedure is generally very quick and painless, and may just be momentarily uncomfortable.

The practitioner will ask you to lie on a couch. They will gently insert an instrument called a speculum into your vagina in order to view your cervix. A small brush is used to take a sample. This picks up cells from inside the opening of the cervix. The test only takes a couple of minutes.

If you have any health concerns, further to your cervical screening, which you would like to talk about, you may also want to use your appointment to ask these questions

Frequently asked questions about cervical screening

We recommend that women over the age of 25 get screened every 3 years until the age of 49, and then every 5 years until the age of 64.

You will be asked to undress from the waist down. If you are wearing a full skirt or a dress with a full skirt you can lift the skirt up rather than take it off. We will provide something for you to cover yourself with while we perform the test, if you like.

Some women find it momentarily uncomfortable, but it is a very quick procedure. The apprehension, along with embarrassment, puts some women off having a smear test. Try not to worry. Many women will tell you that they found it fine and that it’s worth a little discomfort for peace of mind. It is best to relax as much as possible by breathing slowly and deeply to ease any tension.

Some chemicals found in spermicide, lubricant, or barrier methods of contraception such as condoms, cervical caps and diaphragms could affect the test. Please refrain from having sex using these methods of birth control for 24-hours before the test. Sex with any other contraceptive method before the test will be fine.

Cervical screening is available at selected clinics in Bangladesh. To book an appointment, get in touch with one of our friendly call centre staff today.

You can’t be screened while you are on your period, so the best time to make your appointment is roughly 2 weeks after the first day of your period (between days 10 and 16 of your monthly cycle).

This is an examination which looks closely at the cervix to identify where the abnormal cells are so they can be treated if necessary. A specialist will carry out this screening process using a colposcope, which is a bit like a microscope to give a magnified view. If necessary a tiny sample of tissue will be taken and tested in more detail.

Receiving your results

We will contact you (by your preferred method), usually within 2 weeks of the procedure. The results you receive will be described as either:

  • Normal / negative
  • Unclear / insufficient / inadequate – meaning that the cells could not be viewed and we will need to take another sample in 3 months’ time
  • Abnormal / irregular – meaning that changes have been observed, either mild, moderate or severe

If your results are irregular or abnormal

Please don’t be frightened. Any change in the cells of the cervix usually happens very slowly, and may be cleared by the body’s immune system. Slight abnormalities are very common in women under 25. Abnormal cells are not cancerous, but could be an early warning sign which we need to keep an eye on.

We’ll send a full explanation of what the test results show and advise you on what to do next.

If your results show cell changes we may recommend that you have another smear test after a period of time, or suggest that you make an appointment for further investigation. Further investigation, such as a colposcopy, depends on the type of abnormality seen.