How shyness can make you sick

6-minute read

Blushing won’t be bad for your health, but avoiding certain situations which could make you feel embarrassed or uncomfortable certainly carries that risk.

The UK needs its Cervical Cancer Prevention Week because there are still so many people who can’t bring themselves to go for a cervical screening test, or don’t appreciate that these simple and quick screenings really could save your life. 

Nearly a third of women in England didn’t go for their latest test appointment, according to the latest NHS Cervical Screening Survey. Cervical cancer is preventable, yet it’s the sixth most common cause of cancer deaths among women in the UK.

Don’t let that be you. Instead, let’s explore what’s involved, to help overcome any fear, anxiety, embarrassment or misunderstanding.

What is a cervical screening test?

The test checks if there are any changes to cells in your cervix, which may lead to cancer. Finding changes at an early stage is effective at preventing cervical cancer from developing.

Although there are now some home test kits available to buy, the NHS does not recommend them. 

In the UK, smear tests are available free if you’re aged 25 to 64, and the frequency of testing varies depending on your age:

• Ages 25-49: Every 3 years
• Ages 50-64: Every 5 years
• Over 65: Only if you’ve had abnormal results in the past

In your appointment, a clinician takes a swab from your cervix (the lower part of the uterus) using a stick with a brush or cotton bud on the end. They use a plastic or steel tube-like tool called a speculum to hold your vagina open so that they can see your cervix and reach it with the test stick. 

There are many sizes of speculum to ensure that you are comfortable, and there should be no pain at all when your cervix is gently swabbed.

Sometimes it’s during these test situations that vaginal dryness is diagnosed. You may not have noticed any symptoms in your daily life, but the tissue of your vagina has lost elasticity, causing discomfort when the speculum is inserted. Hyalofemme can help. You can have it prescribed for a few weeks then return for your test.

The swab is sent to a laboratory, where the cells are examined for signs of human papillomavirus (HPV). There are many types of HPV, and some cause cervical cancer.

The NHS video explains what happens during your appointment. 

Why is cervical screening important?

Early detection saves lives

The most compelling reason to attend smear tests regularly is that early detection of particular strains of HPV or changes to cells can significantly reduce the risk of cervical cancer. Most cases of cervical cancer develop slowly over many years. When changes are detected early through a smear test, they can be monitored and treated before they turn into cancer. In fact, regular screenings have been proven to save thousands of lives each year. 

Reducing the need for invasive treatment

Cervical cancer is preventable, if it is detected in its early stages. Smear tests are one of the most cost-effective methods of making treatment less invasive and improving outcomes. By catching potential issues early, we can avoid the need for more aggressive treatments such as chemotherapy or extensive surgery. This also reduces the burden on cancer treatment services.

It’s quick and simple

Many people delay or avoid smear tests due to fear, anxiety, or misconceptions about the procedure. The reality is that a smear test is a quick, simple, and usually painless procedure. A smear test is far less daunting than cancer treatment. It typically takes just a few minutes, and while you may experience some discomfort, it is usually mild and temporary.

A step toward empowerment

Taking charge of your health is empowering. By scheduling a smear test, you’re taking a proactive step in reducing your risk of cervical cancer. Encouraging others to do the same, whether it’s friends, family members, or colleagues, also helps to reduce the stigma around the procedure and promotes better overall health in your community. The more we normalise smear tests, the more lives we can save.

Overcoming common concerns

Remember that healthcare professionals are there to care for you, and make the experience as comfortable as possible, so it’s ok to talk to them about your concerns. Here are some tips for overcoming common fears:

Fear of pain: The test may feel uncomfortable, but it is generally not painful. If you do feel pain or discomfort, be sure to tell the nurse or doctor, because there are adjustments that they could make to help you feel at ease, such as changing the size of the speculum. Vaginal dryness can make intimate examinations uncomfortable or painful, so if you suspect that may be the case, you can use Hyalofemme in the weeks leading up to the appointment.

Embarrassment: Healthcare professionals are used to people feeling embarrassed, and are trained to perform the test professionally and discreetly. The procedure is routine for them, and your comfort is a priority. For more help, see our article How to make intimate examinations more comfortable by psychosexual therapist Angela Gregory.

Fear of the results: It’s normal to feel worried about the results, but remember that most smear tests show normal results. Even if abnormal cells are found, it doesn’t necessarily mean you have cancer – it means further monitoring or treatment may be needed to prevent it..

How to book a cervical screening test

You can either book directly with your GP practice or contact your local sexual health clinic. You’ll typically receive an invitation have a test every few years, depending on your age. If you’ve missed an invitation, or if it’s been a while since your last test, it’s never too late to schedule one.

Spread the word

Cervical Cancer Prevention Week is a great opportunity to remind yourself and those around you of the importance of smear tests. Share this post, have conversations with your friends, and encourage the people you care about to book their appointments. It could be the step that saves a life.

Cervical cancer is one of the most preventable cancers, and regular smear tests are a critical part of that prevention. By prioritising your health and getting cervical screening tests, you are taking an active role in reducing the risk of cancer, catching potential issues early, and ensuring better long-term health outcomes. If you haven’t had a test recently, now is the time to schedule one. Take charge of your health, and let’s work together to spread awareness, reduce stigma, and save lives.

SOURCES

See the NHS Cervical Cancer Prevention Week website for more information and frequently asked questions about the tests.

NHS Cervical Screening Survey

NHS – Cervical Screening (Smear Test) NHS Cervical Screening Information
Jo’s Cervical Cancer Trust Jo’s Cervical Cancer Trust
Royal College of Obstetricians and Gynaecologists (RCOG) Royal College of Obstetricians and Gynaecologists