What is a cervical screening test?

What is a cervical screening test?

A cervical screening test is a screening program that examines your cervix looking for pre-cancerous cells or the presence of human papillomavirus. Australia has one of the best documented National Cervical Screening Programs. It advises women to undergo Cervical Screening Tests every 5 years from the age of 25 to 74.

If you have an abnormal cervical screening test you may be referred onto a gynaecologist for a colposcopy. This is a more detailed examination of the cervix that may include a biopsy. 

When should I have a cervical screening test?

When should I have a cervical screening test?

You should have a cervical screening test as part of routine screening from the age of 25 to 74, once sexually active. The test should be performed every five years if you have a low risk or normal result. You will be instructed to have an earlier cervical screening test if you have an abnormal result. 

Some symptoms that may warrant having an earlier cervical screening test include

  • Abnormal bleeding in between periods
  • Bleeding after sexual intercourse
  • Pelvic or vaginal pain
  • Abnormal / malodorous discharge
What should a patient expect?

What should a patient expect?

Every patient is different and will have a unique bespoke journey for their treatment of an abnormal cervical screening test. 

Patients should expect an initial 45 minute consultation that can be performed face to face. During the consultation:

  • A detailed history will be taken
  • Review of the cervical screening test results
  • A pelvic examination with a speculum will be performed as well as a colposcopy with any necessary cervical biopsies (this procedure takes approximately 10-15minutes)

Following the outcome of the colposcopy and whether or not cervical biopsies were indicated will dictate your next steps and treatment pathway.

FAQs

What causes an abnormal cervical screening test?

Human papillomavirus, often referred to as ‘the common cold’ of the cervix can cause the cells of the cervix, vagina and vulva to potentially evolve, it is this virus that commonly causes an abnormal cervical screening test.  

Does a colposcopy hurt?

A colposcopy is typically tolerated very well by most patients. Some women may elect to take paracetamol and ibuprofen prior to the procedure to aid their comfort.

If I have had the HPV vaccine, does that mean I can’t have an abnormal cervical screening test?

No, whilst the vaccine reduces the chance, it does not remove the ability to have an abnormal cervical screening test.

Who should perform a colposcopy ?

A C-QUIP certified gynaecologist should be performing a colposcopy.