Cervical Screening (PAP Smear)
You Have Chosen to Have a Smear Test
Information about cervical screening and HPV testing
What is Cervical Screening?
A cervical screening (smear test) examines cells from the cervix to identify changes that may require treatment. Most HPV-related cell changes return to normal naturally, but some can progress to cervical cancer over time if left untreated.
National Screening Programme
Women aged 25–64 are invited for regular cervical screening:
- Every 3 years from age 25 to 49
- Every 5 years from age 50 to 64
How Testing Works
Samples are first tested for Human Papillomavirus (HPV). If HPV is detected, the sample is then checked for abnormal cells.
Some people choose to have the cells looked at as well even if they are HPV positive. We can also do this if you prefer.
Your Options and Costs
Clinician-Collected Cervical Screening
Appointment fee: £170
- HPV Test: £72.50 (Abnormal cell testing -cytology if HPV is positive)
- HPV + Cytology Together: £154
Your doctor will discuss available testing options and answer any questions during your appointment.
Self-Collection HPV Testing
Appointment fee: £140-170
Cost of test: £51.50
Convenient home testing option
Suitable following a change of sexual partner
Identification of individual high-risk HPV DNA subtypes
Ideal for those who prefer self-collection
Useful for women who avoid regular smear tests
FAQs
What is a smear test?
How often should I have cervical screening?
The NHS invites women aged 25 to 49 every 3 years and women aged 50 to 64 every 5 years.
Some people have to have the test more frequently.
What is HPV?
Human Papillomavirus (HPV) is a very common virus that can cause changes in cervical cells. Most HPV infections clear naturally without treatment.
What happens during the appointment?
A clinician takes a small sample of cells from the cervix using a soft brush. The procedure only takes a few minutes and is carried out during a 30-minute consultation.
Is a smear test painful?
Most women experience only mild discomfort. If you feel anxious or uncomfortable, please let your clinician know so they can help make the procedure as comfortable as possible.
What happens if my HPV test is positive?
A positive HPV result does not mean you have cancer. Your sample will be checked for abnormal cells, and further assessment may be recommended if needed.
What if my sample cannot be analysed?
Occasionally, samples are reported as inadequate and need to be repeated after approximately three months. This is a recognised limitation of cervical screening and is not caused by anything you have done.
Can I collect my own HPV sample?
Yes. We offer a self-collection HPV test, allowing you to provide a vaginal sample at home which is then analysed in the laboratory for high-risk HPV DNA.
Who is self-collection suitable for?
Self-collection may be ideal for women who prefer privacy, have difficulty attending screening appointments, or wish to check their HPV status following a new sexual partner.
Should I still have screening if I've had the HPV vaccine?
Yes. Although the HPV vaccine offers excellent protection, it does not protect against all HPV types. Regular cervical screening remains important.