
Cervical screening saves lives. In fact, research tells us that 75% of cervical cancers can be prevented by regular cervical screening. However for many trans men, non-binary and intersex people with a cervix, the thought of going for a smear test can trigger all sorts of emotions.
Here at Waterside Clinic, we completely understand. And that’s one of the reasons we recently decided to expand our services to include a wide range of GP services, so that trans, non-binary and intersex people could access vital services like cervical screening in an environment where they can feel safe and supported.
What happens during a smear test?
During a routine smear test, a sterilised medical instrument, called a speculum, is inserted into the vagina. The speculum is gently opened to hold the vaginal walls open so that the cervix is visible. A small, specially designed brush is then inserted to collect cells from the cervix. The whole procedure takes no more than a few minutes and although it may be a little uncomfortable, it shouldn’t cause any pain.
If no high-risk HPV is found in the sample, you will not require another smear test for 5 years. This is because the risk of developing cervical cancer within 5 years is very low – it usually takes around 10 to 15 years for cancer to develop after an HPV infection.
If high-risk HPV is found in the sample, the sample will then be used for cytology-based tests. Around 1 in 100 people with a cervix will have precancerous changes highlighted in a cervical smear, which will require further treatment. Should any abnormal cells be detected, your doctor will inform you of the results and the recommended next steps.
How we do things differently at Waterside Clinic
We understand that for a trans man with a cervix or a non-binary person that was assigned female at birth, attending a smear test can bring up a variety of emotions. The best thing to do is be honest with your doctor about how you’re feeling.
Here at Waterside Clinic, we offer extended appointments to ensure your experience is calm and unrushed, giving you ample time to relax and ask any questions you might have. We find that giving patients time to sit, take a few deep breaths, and prepare for their smear test without feeling hurried can make all the difference to their experience, and is especially beneficial to those who feel anxious about the test.
We are always happy to make adjustments and accommodations where possible. For example, if you are a trans man who has taken long-term testosterone, you may find the smear test a little uncomfortable. If that is the case, we can use a smaller speculum, extra lubrication, or you can try lying in a different position such as on your side, to help make you more comfortable.
We are also happy for you to bring along a trusted friend or loved one to sit with you throughout the entire appointment if you would like extra support.
Book your smear test today
Don’t let anxiety get in the way of you having what is potentially a life-saving test. Every day in the UK, nine people with a cervix are diagnosed with cervical cancer and three lose their lives to the disease. Smear tests provide an effective way of cutting your risk.
The Waterside Clinic team are committed to tailoring every appointment to the individual patient’s needs and we’re passionate about removing any barriers that might be holding you back.
So book a smear test at Waterside Clinic by calling 0131 202 5314 or email us on hello@waterside.clinic and we’ll make sure you feel safe and supported throughout your appointment.