Knowledge Builders

can you have a smear test without a speculum

by Gwen Monahan Published 3 years ago Updated 2 years ago
image

The findings from this study suggest that HPV testing

Human Papillomavirus Infection

A group of viruses that infect the skin or moist areas of the body.

on clinician-collected samples taken without a speculum could be an acceptable alternative to conventional cervical screening. It might be particularly useful for older women who have had difficulty with the speculum examination, potentially due to post-menopausal changes.

HPV testing on clinician-collected vaginal samples without a speculum could be an acceptable method of cervical screening for older women among whom speculum examination is a barrier to screening.Feb 13, 2018

Full Answer

Why does my doctor use a speculum for a Pap smear?

Your doctor will use a vaginal speculum when you get a Pap smear, a test that checks for abnormal cells in your cervix. Abnormal cells may lead to cervical cancer if left untreated.

Is it possible to do a vaginal exam without a speculum?

This can mean that inserting the speculum (the instrument used to open the vagina for examination) is particularly painful for some ‘older’ women. Dr Anita Lim at King’s College London has been awarded funding by Cancer Research UK to explore a different procedure for collecting samples without a speculum.

Can they swab for HPV without a speculum?

Maybe they can swab for hpv which is a wart virus without a speculum but smears require you to see the cervix and collect cervical cells which a speculum allows you to do. Having the wart virus in the past can change cells in the cervix and you may not have the wart virus anymore when you are swabed.

What do women think about cervical screening without a speculum?

As expected, many of the women reported negative experiences of the speculum during cervical screening and found its insertion was sometimes painful, particularly after the menopause. Women were generally positive about the idea of screening without a speculum and thought it would be less invasive than the current procedure.

image

How can you check your cervix without a speculum?

If you want to actually see your cervix, place a mirror on the floor underneath your pelvis. You may have to use your nondominant hand to separate your labia for easier visualization.

Can a Pap smear be done without a speculum?

One of the main causes of discomfort is the speculum (the instrument used to hold the walls of the vagina open). It is now possible to do cervical screening by testing for the virus that causes cervical cancer; human papillomavirus (HPV). An advantage of HPV testing is that samples can be taken without a speculum.

What can I use instead of a speculum?

Two out of three clinicians found the Callascope to be the same or better than the speculum for cervix visualization in their patients (n = 25 patients). One clinician found it to be the same or better than the speculum for 65% of 28 patients and worse than the speculum for 35% of 28 patients.

Is there an alternative to having a smear test?

A DIY home urine or swab test could potentially help more women discover whether they are at risk of cervical cancer, researchers say. The new method could be used as an alternative to the smear test and would not require a visit to the doctor.

Does inserting speculum hurt?

While it may be uncomfortable, a speculum should never be painful. If you start to feel pain, tell your doctor. They may be able to switch to a smaller speculum.

Why does a speculum hurt?

Sometimes a pap test is excruciatingly painful not because the speculum is the wrong size, but because your vaginal issue is thin and dry or the muscles that surround the vagina are tense and painful.

How far do they open a speculum?

Despite how exposed you may feel with your legs in the stirrups, you might be surprised to learn that no matter which speculum you get, it is not holding your vagina open several inches wide. In fact, the opening is only about 2 centimeters wide during a Pap, says Dr.

How do you make a speculum less painful?

Smear test top tips: How to make cervical screening more...Time your appointment with your period.Wear comfortable clothes.Ask for a woman to do the test.Ask for a smaller speculum.Put the speculum in yourself.Ask to change position.Don't use lubricant.Use painkillers if necessary.More items...•

How can I make a smear test less painful?

Take a painkiller beforehand. Some women report mild discomfort for a few hours after having a smear test. Taking an ibuprofen around half an hour before your test may help to reduce any pain or discomfort in the pelvic region during or after the test.

Why couldn't they find my cervix during smear?

It might be hard to find Usually the cervix sits straight at the top of your womb, potentially leaning forward toward your belly. However, some women have a tilted womb making the cervix lean more towards the back which can make it harder to see during a cervical screening (sometimes called a smear test).

Do I need to shave before a smear test?

Do You Have To Shave Before A Smear Test? No. You do not need to remove any body hair before a smear test. It may seem embarrassing due to societal stigma around body hair, but doctors and nurses are used to seeing different types of vaginas and their only aim is to ensure that yours is healthy.

How do I get over my fear of smear tests?

wear a skirt or dress as you can keep these on during the test. make plans for after your appointment, for example treating yourself to something nice and relaxing. speak to the health professional beforehand to discuss your concerns if you think the test may be uncomfortable as they can offer support.

How big is the speculum used in a smear test?

Speculae up to 4 cm wide and 12–16 cm long are appropriate when redundant vaginal walls prolapse between the bills and obscure the view of the cervix; this occurs most commonly in obese and multiparous women.

Why couldn't they find my cervix during smear?

It might be hard to find Usually the cervix sits straight at the top of your womb, potentially leaning forward toward your belly. However, some women have a tilted womb making the cervix lean more towards the back which can make it harder to see during a cervical screening (sometimes called a smear test).

How can I make a smear test less painful?

Smear test top tips: How to make cervical screening more...Time your appointment with your period.Wear comfortable clothes.Ask for a woman to do the test.Ask for a smaller speculum.Put the speculum in yourself.Ask to change position.Don't use lubricant.Use painkillers if necessary.More items...•

Why do Pap smears hurt?

When Pap smears are uncomfortable, it's often because there's a sensation of pressure in the pelvic region. Urinating beforehand can relieve some of this pressure. In some cases, your doctor might request a urine sample, so be sure to ask if it's OK to use the restroom beforehand.

How to get rid of a speculum in your tummy?

1 Keeping your tummy soft, breathe so that your hands rise and fall but your chest doesn’t. 2 As you breathe in, gently push your vulva outwards. 3 Ask the doctor to tell you when the speculum is about to go in. 4 As it starts to go in, push a little more as if you are having a poo.

Who will examine me?

This guide refers to a doctor, but you may be seen by a doctor or nurse. You can ask for a woman if one is available, but a man may be just as helpful. For a smear test at the GP surgery you can book a longer appointment to give the doctor more time. You can even ask to have it done by specialists at the colposcopy clinic.

Can you stop a speculum procedure?

You can look at any instruments the doctor will use. If you know you need a smaller speculum, say so. Ask the doctor to tell you step by step what they are going to do and to go slowly. You can stop the procedure at any time.

Why do doctors use speculums?

Doctors use vaginal speculums to spread and hold open your vaginal walls during an exam. This allows them to see your vagina and cervix more easily. Without the speculum, your doctor won’t be able to do a comprehensive pelvic exam.

What is a speculum in the vagina?

Overview. A vaginal speculum is a tool that doctors use during pelvic exams. Made of metal or plastic, it’s hinged and shaped like a duck’s bill. Your doctor inserts the speculum into your vagina and gently opens it during your exam. Speculums come in different sizes. Your doctor will choose the size to use based on your age and ...

What test is used to check for abnormal cells in the cervix?

Your doctor will use a vaginal speculum when you get a Pap smear, a test that checks for abnormal cells in your cervix. Abnormal cells may lead to cervical cancer if left untreated.

How long does it take to get a Pap smear?

It takes about one to three weeks to get results from a Pap smear. Results can be normal, abnormal, or unclear. If it’s normal, that means your doctor didn’t find any abnormal cells. If your Pap smear is abnormal, that means some cells don’t look how they should. This doesn’t necessarily mean that you have cancer.

What is pelvic exam?

A pelvic exam helps your doctor assess the health of your reproductive system. It can also help diagnose any conditions or problems. Pelvic exams are often done along with other medical exams, including breast, abdominal, and back exams. Your doctor will do a pelvic exam in an exam room. It usually only takes a few minutes.

Can you do a Pap smear if you have cell changes?

But it does mean that your doctor will probably want to do more testing. If the cell changes are minor, they may just do another Pap smear, immediately or in a few months . If the changes are more severe, your doctor might recommend a biopsy.

Is it normal for a speculum to be painful?

While it may be uncomfortable, a speculum should never be painful. If you start to feel pain, tell your doctor. They may be able to switch to a smaller speculum.

Can you get a cervical smear at age 50?

Women aged >65 account for almost half of all cervical cancer deaths, most are in women not adequately screened when aged 50-64. Smears can become uncomfortable after the menopause and this can put some women off coming for cervical screening.

Can you test for cervical cancer?

It is now possible to do cervical screening by testing for the virus that causes cervical cancer; human papillomavirus (HPV). An advantage of HPV testing is that samples can be taken without a speculum. Women can even collect a sample themselves (self-testing).

How often should I have a smear test?

You will usually be offered a smear test every 3 years (or 5 years if you are aged over 50).

What is a cervical smear test?

Smear test (cervical screening test) A cervical smear test checks for abnormal cell changes in the cervix. Finding these changes can prevent cervical cancer from developing.

What is cervical screening?

It is also called a cervical screening test and is used as part of the cervical screening programme. Finding and treating these changes can prevent cancer of the cervix developing. We have information about why it is important to have cervical screening.

What is the phone number for cervical screening?

If you would like to talk to one of our nurses about the cervical screening test, call the Macmillan Support Line on 0808 808 00 00 (7 days a week, 8am-8pm). Print page.

How long does it take to get a cervix test?

Some clinics have a couch with leg supports. sweep a small soft plastic brush over the cervix to take the sample of cells. The test takes less than five minutes.

How to make sure information is clear?

We use plain English, avoid jargon, explain any medical words, use illustrations to explain text, and make sure important points are highlighted clearly.

Is cervical smear test embarrassing?

The cervical smear test is a very personal procedure. Many people find it a bit embarrassing. For some, the thought of having the test is too frightening and stressful and they decide they cannot cope with it.

How can I prep for my smear test?

Especially for those who are body shy – or simply in a rush – wearing a skirt or dress will make the cervical screening all the easier. Because you’ll be asked to remove your underwear behind a screen, wearing a skirt means you won’t have to walk across the consultation room revealing all from the waist down.

Why do women delay smear tests?

As to why many women put the examination off? New research from Jo’s Cervical Cancer Trust (who are running an awareness campaign, #SmearForSmear, all week – find out more, here) has found young women who delay or don’t go for smear tests feel scared (71%), with (75%) feeling vulnerable at the thought of going. Embarrassment is a major reason for not going, (81%), with two thirds (67%) saying they would not feel in control at the prospect of a test.

How to see cervix in vagina?

The nurse will then insert a speculum (a kind of plastic tube) into your vagina to help see the cervix more clearly.

Is smear testing good for cervix?

Happy Cervical Screening Awareness Week, folks. Now, we get that it's a pain in the cervix, but, reality is , smear tests are one of the most effectual ways to reduce mortality rates from the disease.

Can you ask for a smear taker to stop?

And remember, you can always ask the smear taker to stop if it’s too uncomfortable. Perhaps easier said than done when you’ve got ice cold gel and a hard, plastic tube being inserted inside of you but, the more you relax, the less you’ll feel it. Kind of like when you first try using a menstrual cup.

Is a smear test a cancer test?

The final word. “It’s important to remember that a smear test is not a cancer test; it is a pre-cancer test,” says Adib. “What we are trying to pick up are mild abnormalities on the cervix, which are very treatable before they ever get to cancer.

Do transgender men need cervical screening?

Transgender men who have had a total hysterectomy do not need to have cervical screening; but if you are a transgender man with a cervix, you absolutely should.

image

1.Cervical screening without a speculum: a future option …

Url:https://blogs.ucl.ac.uk/bsh/2018/02/19/cervical-screening-without-a-speculum-a-future-option-for-older-women/

10 hours ago  · Can a smear test be done without a speculum? Last Update: May 30, 2022. This is a question our experts keep getting from time to time. Now, we have got the complete detailed explanation and answer for everyone, who is interested! ... Do I really need a smear test? If you have never been sexually active, the risk of developing cervical cancer is ...

2.Pap smear without speculum? - March 2017 Babies

Url:https://community.whattoexpect.com/forums/march-2017-babies/topic/pap-smear-without-speculum-.html

27 hours ago  · Maybe they can swab for hpv which is a wart virus without a speculum but smears require you to see the cervix and collect cervical cells which a speculum allows you to do. Having the wart virus in the past can change cells in the cervix and you may not have the wart virus anymore when you are swabed.

3.Smears without Tears: A woman's guide to making a …

Url:https://vulvalpainsociety.org/get-support/guides-leaflets-and-resources/smears-without-tears/

10 hours ago  · Apr 26, 2017 at 11:33 AM. I have had issues with abnormal paps before and even had a Leep done a couple years back. My new OB, the one that delivered the baby, did a pap at my PP check without the use of a speculum, which is all good by me I'm just wondering if it's accurate. I'm so worried my high grade cells have returned, as my pap a month ...

4.Vaginal Speculum: What You Need to Know - Healthline

Url:https://www.healthline.com/health/vaginal-speculum

18 hours ago This guide refers to a doctor, but you may be seen by a doctor or nurse. You can ask for a woman if one is available, but a man may be just as helpful. For a smear test at the GP surgery you can book a longer appointment to give the doctor more time. You can even ask to have it done by specialists at the colposcopy clinic. Hang on a minute…

5.New cervical cancer device promises to screen risk …

Url:https://www.thesun.co.uk/living/3697283/cervical-cancer-risk-check-without-speculum/

3 hours ago  · Takeaway. Overview. A vaginal speculum is a tool that doctors use during pelvic exams. Made of metal or plastic, it’s hinged and shaped like a …

6.Exploring the potential of non-speculum HPV testing in …

Url:https://www.hra.nhs.uk/planning-and-improving-research/application-summaries/research-summaries/exploring-the-potential-of-non-speculum-hpv-testing-in-older-women/

33 hours ago  · The new device, pictured, offers a way of screening for cervical cancer without using a painful speculum Credit: Duke University. It's about the same size as a tampon and has lights and a camera ...

7.Smear test - Macmillan Cancer Support

Url:https://www.macmillan.org.uk/cancer-information-and-support/diagnostic-tests/smear-test

13 hours ago Unfortunately, over half of women who take a self-test worry about not taking a good sample. Another option is to do HPV testing on a sample taken by a clinician without a speculum (non-speculum). Women would have the reassurance of having a clinician take the sample but with much less discomfort. This has not been tried before.

8.7 Steps For An Easier Smear Test - Women's Health

Url:https://www.womenshealthmag.com/uk/health/female-health/a708280/smear-test/

7 hours ago A cervical smear test checks for abnormal cell changes in the cervix. Finding these changes can prevent cervical cancer (cancer of the cervix) from developing. A smear test is usually the first part of cervical screening. This is a way of collecting a small sample of cells from the cervix. It is also called the cervical screening test.

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 1 2 3 4 5 6 7 8 9