Private smear test in London: same-day cervical screening

What is a smear test?

A cervical smear test (also called a Pap test or cervical screening) is a quick procedure where a small sample of cells is taken from the cervix and checked for HPV infection and abnormal cell changes that could develop into cervical cancer if left untreated. The test takes about 3 minutes. It is not a test for cancer itself; it is a screening tool that catches changes early so they can be monitored or treated before they become a problem.

The UK cervical screening programme has prevented thousands of cervical cancer cases since its introduction. Regular screening remains the single most effective way to protect yourself, even if you have had the HPV vaccine.

Who should have a smear test?

• Every 3 years, age 25-49. This is the NHS recommendation. If you are within this window and overdue, book one.
• Every 5 years, age 50-64. The interval increases because HPV infections are less likely to be newly acquired at this age, but screening is still important.
• Under 25. The NHS does not routinely screen women under 25 because minor cell changes at this age are common and usually resolve without treatment. However, if you are under 25 and have symptoms (bleeding after sex, bleeding between periods, unusual discharge), a smear test and gynaecological assessment is appropriate. We can arrange this privately.
• After 64. If you have had consistent normal results throughout your screening history, routine screening stops at 64. If you have never been screened or have had previous abnormalities, screening after 64 is still recommended.
• After the HPV vaccine. Yes, you still need smear tests. The HPV vaccine covers the highest-risk HPV types but not all strains that can cause cell changes. Screening catches what the vaccine does not cover.

What happens during the test

You lie on the examination couch, similar to a gynaecological ultrasound position. A speculum is inserted into the vagina to hold it open. A small soft brush is used to sweep cells from the surface of the cervix. The brush is rotated once and then placed in a liquid preservative. The sample goes to the laboratory for HPV testing and, if HPV is detected, cytology (cell examination).

The whole thing takes about 3 minutes. Most women find it uncomfortable but not painful. If you are nervous, let the doctor know; taking your time and using a smaller speculum can help.

If you prefer to be seen by a female doctor, let us know when you book and we will arrange it.

Understanding your results

Your sample is tested for HPV first. What happens next depends on the result.

• HPV negative: No further action needed. This is the result most women receive. Your risk of cervical cancer is very low. Rescreen in 3-5 years depending on your age.
• HPV positive, normal cytology: HPV has been detected but the cells look normal. You will be invited for a repeat test in 12 months to see if the HPV infection has cleared (most do within 1-2 years).
• HPV positive, abnormal cytology: HPV has been detected and there are cell changes. Depending on the grade of the changes, you may need a colposcopy (a closer examination of the cervix using a magnifying camera). We can arrange a private colposcopy at the clinic.
• Inadequate sample: Occasionally the sample does not contain enough cells for analysis. This happens in around 1-2% of tests. It does not mean anything is wrong; you simply need to repeat the test.

Results are typically available within 5-7 working days.

What if my smear is abnormal?

An abnormal result does not mean you have cancer. In the vast majority of cases, it means minor cell changes have been detected that need monitoring or, occasionally, treatment.

Low-grade changes (CIN1): Often resolve on their own. A repeat smear in 12 months is the usual approach.

High-grade changes (CIN2/CIN3): These are more likely to progress if left untreated. A colposcopy (a closer examination of the cervix under magnification) is the next step, followed by a LLETZ procedure if treatment is needed. Mr Naoum carries out colposcopies and, where LLETZ is required, performs the procedure at a private hospital under his admitting rights. Both can be arranged directly through the clinic without needing a separate NHS referral.

If you have had an abnormal result elsewhere and want a second opinion, or if you want your follow-up managed privately rather than waiting for NHS appointments, bring your previous results to the consultation and we can take it from there.

NHS vs private smear test

Frequently asked questions