Drs John Coffin and David Acorn
Family Medical Practice
0844 477 3088

Women's Health

Cancer of the Cervix

The cervix is the lower part of the womb, often called the neck of the womb. Cancer of the cervix may be caused by a virus.  It is very rare in women that have not been sexually active. Those who smoke are at greater risk of the disease. About 1500 women still die from this every year, most of these have never had a smear test.

Most of the 1500 women dying of cancer of the cervix every year have never had a smear test

Luckily, this cancer usually develops slowly, and goes through a treatable "pre-cancerous" stage first. This early stage can last several years, and if treated before cancer has developed the cure rate is virtually 100%.

How can cancer of the cervix be prevented?

• The smear test is the basis of our country's campaign against cervical cancer. 
• All women between the ages of 25 and 64 are offered a test through the NHS. Under some circumstances those aged 65 and over need a smear, please check with us.
• We advise that everyone should have this test every three years. 
• This test can detect the abnormal cells on the cervix in the pre-cancerous stage so that treatment can be started early.

The test doesn't hurt, though sometimes if you tense up it may feel a bit uncomfortable. If you prefer, the test can be done by one of our nurses, though if you have had an abnormal smear before, it is better if a doctor performs your smear. We often have a lady doctor on Tuesday and Thursday mornings.

Remember not to come for a smear test during a period, or within 24 hours of making love if you use a barrier method of contraception because the spermicide chemicals can interfere with the test.

Even if you have had a hysterectomy you may sometimes need a smear test, so check with us before assuming you don't need one.

Please be aware that no screening test detects all cases. If you develop any abnormal symptoms despite a normal test, such as bleeding after intercourse, then come and see us.

What if my smear result is abnormal?

Because the test is designed to pick up minor changes in the cervix before any problems develop, it is almost certain that there is nothing to worry about, especially if you have regular smears.

What do the results mean?

Borderline changes or mild dyskaryosis, are small changes that can return to normal by themselves. In this situation we usually repeat the test in 6 months. If the test is still abnormal you may then need a further check up (colposcopy), at hospital to see if any treatment is needed.

Moderate or severe dyskaryosis is unlikely to return to normal by itself, though it is still unlikely that you have cancer. You will need to have a colposcopy.

What is colposcopy?

Colposcopy is a simple examination that helps the doctor decide if any treatment is needed. It is similar to having a smear test taken except a telescope is used to look at the cervix more closely. If you need treatment you probably won't need to stay in hospital, and remember that it's nearly always 100% successful.

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