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How to Prepare for Your Smear Test

For many women, the mere mention of a smear test can evoke apprehension and uncertainty, but the last thing you should do is to let that keep you from going!

This routine screening is an important aspect of your healthcare, playing a pivotal role in detecting early signs of issues like cervical cancer. Of all the appointments you make, this one is not to be skipped.

Understanding how to prepare for your smear test and what to expect during your appointment can alleviate some anxiety and empower you to take control of your health proactively. From demystifying the procedure to offering practical tips for preparation, we want to equip you with the knowledge and confidence you need to navigate every smear test with ease.

(Deep breaths, now. You’ll be completely fine.)

Why are smear tests important?

Smear tests, also known as cervical screenings, are crucial for women’s health for several reasons.

Early detection of abnormalities: Smear tests are primarily designed to detect changes in the cells of the cervix, which can be early signs of cervical cancer or other pre-cancerous conditions. Specifically, they are looking for the HPV virus. Detecting these abnormalities early allows for prompt intervention and treatment, greatly reducing cancer risk.

High success rate: When performed regularly according to recommended guidelines, smear tests have a high success rate in detecting abnormal cervical changes. This makes them an invaluable tool in the fight against cervical cancer.

Improved survival rates: For individuals diagnosed with cervical cancer, early detection through smear tests significantly improves the chances of successful treatment and survival. Regular screenings can help catch cervical cancer at its earliest, most treatable stages.

Public health impact: Smear tests have had a profound impact on public health. They contribute to a substantial decrease in cervical cancer incidence and mortality rates in many countries where screening programs are implemented effectively. If you live in a country where smear tests are offered, you’re In a very privileged situation. Your risk of dying from cervical cancer will be much lower, and you should really capitalise on the opportunity.

Smear tests are important because they offer a simple, yet highly effective, means of detecting abnormal changes in cervical cells early. Ultimately, they save lives and reduce the risk of further potential health complications.

How should I prepare for a smear test?

Preparing for a smear test involves several important steps to ensure a smooth and successful appointment, but how can patients prepare? What are some things that are good to know before you walk into your GP’s office?

Manage Your Appointment

This might sound obvious, but it truly is the first step in the process. Book your appointment well in advance, especially if you have specific time constraints or preferences. Then be sure to keep it! In the UK, you’ll be invited for a smear test every 3 years between the ages of 25 and 49, assuming that no HPV is found. Between 50-64, this drops to every 5 years.

Call your GP’s surgery and make your appointment. This is likely to be carried out by a trained nurse but could be any trained healthcare professional. Some doctor’s surgeries will also take the initiative and book you a slot themselves, expecting you to modify it if you cannot attend.

Find the Right Timing

Consider scheduling your smear test for a time when you won’t be menstruating. While it’s still possible to undergo a smear test during your period, it may be more comfortable and yield more accurate results if done at another point in your menstrual cycle. If your period Is Irregular, or lasts longer than It usually does, you can cancel the appointment and rebook for a time more suitable for you.

Avoid Intercourse and Products

Refrain from having sex, using vaginal medications, douching, or using tampons for at least 24 hours before your smear test. These can sometimes interfere with the accuracy of the test results.

Communicate Any Concerns

If you have any concerns or anxieties about the smear test, don’t hesitate to communicate them with your healthcare professional beforehand. They can offer reassurance, address your concerns, and provide any additional information you may need.

Maintain Hygiene

While there’s no need for extensive preparation, it’s a good idea to maintain regular hygiene practices before your appointment. This includes washing your hands and genital area with mild soap and water. Although it may feel like an intimate experience, you do not need to remove hair prior to your appointment. The clinicians are professionals, and they will not judge you on your pruning standards.

Wear Comfortable Clothing

Choose loose-fitting, comfortable clothing for your smear test. This will help you feel more relaxed during the procedure and ensure ease of access.

By following these preparation steps, you can be certain that you’re ready for your smear test and maximise the likelihood of a positive experience and accurate results.

What will happen during my appointment?

A smear test should be quick and relatively simple. The process won’t take too much longer than any other doctor’s visit, so by the time you’ve arrived, you’ve already done the toughest part.

During a smear test, the following typically occurs:

Greeting and Check-In

Upon arrival at your GP surgery or clinic, a receptionist will check you in for your appointment. They may ask you to confirm your personal information and details.

Consultation with Healthcare Professional

Once called into the examination room, you’ll have a brief consultation with the healthcare professional conducting the smear test.

This is an opportunity to ask any questions you may have and discuss any concerns or symptoms you’re experiencing. It’s sometimes helpful to write down your questions in advance and read them out, especially if you have multiple concerns. This is the perfect time to ask these questions, so your examiner will be able to bear them in mind as your appointment moves forward.

Sometimes, the question-asking section of the appointment may not be obvious or short-lived, but make sure to speak up if you do have any concerns, or you’ll have to make an additional appointment.

Support During Your Smear Test

You are allowed to have a chaperone, or supporting individual with you throughout your smear test.

This is most common when a male healthcare professional Is conducting the smear test, however, you are allowed to have a supporting Individual with you If you have a disability, concern, or just a preference.

If you’re not comfortable with a male healthcare professional conducting the test, you can also ask to rebook.


You’ll be asked to undress from the waist down and lie on the examination table. The healthcare professional will provide a sheet or drape to cover your lower body for privacy. We do not recommend wearing jumpsuits…

Procedure Explanation

The healthcare professional will explain the smear test procedure to you, including what to expect and any sensations you may feel during the test. They’ll also ensure you’re comfortable and offer support throughout the process.

Speculum Insertion

The healthcare professional will gently insert a lubricated speculum into your vagina to hold the vaginal walls apart, allowing them to access the cervix. If you’re allergic to lube, speak up. While this may feel slightly uncomfortable or unusual, it should not be painful.

If you do experience any degree of pain, be sure you say so right away so that adjustments can be made to make you more comfortable. It’s really important to try to relax, this Is as routine for the nurse as making a cup of tea. Make sure to breathe slowly and consistently and try not to tense up!

Sample Collection

Using a small brush or spatula, the examiner will gently collect a sample of cells from the surface of your cervix. This process takes only a few seconds and may cause a slight sensation of pressure or discomfort, but it should not be painful. Again, be sure to let them know if it is.

Speculum Removal

Once the sample has been collected, the speculum will be carefully removed from your vagina. More deep breaths – you’re nearly all done.

Post-Procedure Instructions

The healthcare professional may provide you with some post-procedure instructions, such as avoiding intercourse or using tampons for a certain period following the test. They may also discuss when you can expect to receive your smear test results. They don’t typically take very long to come back.


You will receive a letter after your smear test, regardless of the result. Depending on your individual circumstances and the results of your smear test, the healthcare professional may recommend follow-up appointments or additional tests. All of this will be explained to you once your test results are received.

A smear test is a relatively quick and straightforward procedure that plays a big role in maintaining your health. It’s important to communicate openly with your healthcare professional and ask any questions you may have to ensure you feel comfortable and informed throughout the process.

It’s perfectly normal to have questions

Undergoing a smear test offers a simple yet powerful means of early detection and prevention of a variety of health concerns. By prioritising regular screenings and understanding how to prepare for and what to expect during your smear test appointment, you take important steps towards safeguarding your health.

That said, questions and worries are understandable, and healthcare professionals are used to them. They are there to guide you through the process and equip you with information that will help keep you healthy and thriving.

Despite any initial apprehensions or discomfort, the procedure itself is quick, relatively painless, and can ultimately save lives by detecting abnormalities early when they are most treatable. Remember that open communication with your healthcare team is key, allowing you to address any anxieties and ensuring a positive and supportive experience.

Stay informed, stay proactive, and prioritise your health – it’s one of the most important gifts you can give yourself.

Evidence Based
This article has been reviewed by our Kari Health Experts and Editorial Board to ensure accuracy and reliability of the information presented. However, please note that the content provided is for informational purposes only and should not replace advice from your medical professional.

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