Master Grazia’s life skills

Dr Frankie Jackson-spence, NHS doctor and PT coach

The smear test is part of the cervical cancer screening programme. You’ll be called to have one every three years and can either do it at your GP practice or at a sexual health clinic. Book it for a time when you’re not on your period or two days either side. The appointment usually takes just a few minutes and the smear itself can take less than 30 seconds. Cervical cancer is the most common cancer in women under 35 but it’s almost completely preventable, so attending your screening is important.

Everyone is different. Some women may find it uncomfortable or painful – they may have a low pain threshold or their anatomy might be slightly different – but for most it will be a breeze. Women who have a good experience don’t tend to rave about it. The minority who’ve had bad experiences might scare you, but most women come out thinking, ‘That wasn’t as bad as I thought.’

Don’t be embarrassed. The medical professionals have done hundreds of vaginal examinations. They’ve seen different shapes and sizes. Every vagina is different: we don’t care what it looks like, what underwear you’re wearing or whether you’ve got pubic hair.

Communicating any anxiety with the medical professional is vital. There are things they can do to make it more comfortable for you. They might use a smaller speculum or, if you’re anxious, let you take someone along – a friend, mum or partner. Try focusing on breathing through your nose for six seconds and out through your mouth for six seconds. I recommend breathing out as the speculum is going in, as that helps relax the muscles.

If there’s any way we can make you feel more comfortable, then we will do so. Talking about it with the doctor is always the most important thing to do. @drfrankiejs