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All women and people with a cervix every five years now smear test

324 replies

justasking111 · 20/07/2024 12:35

Five years in Wales is this the norm in England, Scotland, Ireland?

Our surgery put it up on their FB page this week.

It was three years here last time I checked.

Yabu it's fine no reason to be concerned

Yanbu it's too big a gap.

OP posts:
Thread gallery
6
Kneidlach · 20/07/2024 13:49

Inclusive language harms no one, and it’s important for everyone to get checked regardless of gender identity and if adding that bit extra on encourages someone to get tested when they mightn’t have otherwise I can’t see it as anything but a good thing

Except it does harm people though. Using clunky language like ‘women, and other people with a cervix’ is going to be confusing for some women who don’t speak fluent English and for some women with learning disabilities for example. And may mean they don’t get the tests they need.

So - inclusive for who? Whose inclusivity is prioritised?

godmum56 · 20/07/2024 13:49

MrsPelligrinoPetrichor · 20/07/2024 13:39

I'm not sure all cervical cancers are caused by HPV, it says 'nearly all' on the NHS page so that means that unless they're properly testing the cells not just for HPV then some women are being missed.

Edited

I don't think that any scientist will confidently say "all" Here's the story posted in 2022. Apparently the non HPV cancers won't be found by the current smear process and a test hasn't been developed that will find them. www.obermair.info/latest-news/blog/how-common-is-non-hpv-cervical-cancer/#:~:text=Rare%20subtypes%20such%20as%20clear,the%20HPV%2Dnegative%20cervical%20cancers.

cardibach · 20/07/2024 13:51

Mrsjayy · 20/07/2024 12:41

Yes this is what I was told it is because testing is .better. it used to be 3.

They aren’t even testing for pre-cancerous cells anymore. That’s the scandal here, not the frequency. They don’t look for cells unless you are positive for HPV. That’s all they test for on most smears. HPV isn’t the only cause of cervical cancer. They should be looking. It’s an unpleasant and invasive test, and not checking the full range of possibilities when they have the sample stinks. I’m 59 and won’t be going again. If I had HPV I’d know it by now, I’m not sexually a tive so won’t be catching it. It’ll be a total waste of everyone’s time. I could still have cervical cancer though, but nobody would check.

Username056 · 20/07/2024 13:53

solice84 · 20/07/2024 13:39

HPV can lie dormant for decades
Being very ill (with covid etc) pregnancy and anything else that lowers the immune system can set it off . I've seen posts on here where people married 20-30 years have tested positive for the 1st time . Menopause seems to also be a time it can flare up again .
So much misinformation around regarding this .

This is very true. I’d never had an abnormal smear and have been with the same partner for 20 years. Got the shock of my life at the last one at the age of 56 it showed high risk HPV and borderline cell changes. I have had chemotherapy and other treatment for breast cancer in recent years. I was congratulating myself on it being my penultimate one as they stop at 64 but now I have to have another one in a year and who knows after that.

cardibach · 20/07/2024 13:55

MrsPelligrinoPetrichor · 20/07/2024 13:07

It can be dormant though, so it is worth having it.

How long for? Cos I’d bet not as long as it would have to manage for me.
And still, it’s unreasonable to fail to test for pre cancerous cells.

justasking111 · 20/07/2024 13:55

Username056 · 20/07/2024 13:53

This is very true. I’d never had an abnormal smear and have been with the same partner for 20 years. Got the shock of my life at the last one at the age of 56 it showed high risk HPV and borderline cell changes. I have had chemotherapy and other treatment for breast cancer in recent years. I was congratulating myself on it being my penultimate one as they stop at 64 but now I have to have another one in a year and who knows after that.

Gosh that's scary.

I just did a quick Google as to private costs it's around £250

OP posts:
cardibach · 20/07/2024 13:57

6pence · 20/07/2024 13:27

A smear got my cancer. I can’t recommend getting one enough. Five years is too long a gap.

Unless it was a cancer caused by HPV it wouldn’t get it now. They aren’t even looking.

cardibach · 20/07/2024 13:58

NalafromtheLionKing · 20/07/2024 13:28

Pretty sure I had the HPV vaccine at school (and I’m in my 40s) but it doesn’t affect the need for smear tests as adults, surely.

TBH, the change to 5 years doesn’t bother me as my circumstances haven’t changed (if you’re only sexually active with one man for many years, not sure why you would suddenly get HPV which is all they seem to test for).

My daughter was in either the first or second cohort of the general roll out and she’s 28, so I doubt you did.

Appleblum · 20/07/2024 13:58

When I went for a 'pap smear' last year I was told the old pap smear test was done every 2-3 years. The new test is actually called HPV screening and is much more accurate and only needs to be repeated every 5 years. The process of cell collection is the same, therefore some places still call it a pap smear when it is actually a different test.

Bromptotoo · 20/07/2024 13:58

TitusMoan · 20/07/2024 12:51

Transgender men? Who are these people? Why would they need a smear if they are men?

A woman who lives as a man with a male name and.courtesy of hormones a male voice and facial hair may still retain a cervix.

There was somebody with a full ginger beard and male name etc who wrote for the Guardian. Still had a cervix and bore children. Got involved in litigation over whether birth cert should describe them as mother or father.

Inclusive language helps ensure such people are captured for smears etc. It does no harm to the rest of us.

Qanat53 · 20/07/2024 14:00

I’m happy the put the word “women” in that sentence.
And first, before the “people”

it’s a win.

BonifaceBonanza · 20/07/2024 14:00

Evolutionarygoals · 20/07/2024 12:42

At my last smear the nurse told me they don't routinely check for pre cancerous cells anymore. Just the presence of HPV (and I assume then the sample would go on for further testing). Unless anything changes in my sex life I'm not sure there's much point in me going again

Unless you are a virgin you will need to continue attending, the hpv virus can stay dormant for many years (giving a negative test) then randomly reactivate causing cancerous cells

godmum56 · 20/07/2024 14:01

cardibach · 20/07/2024 13:51

They aren’t even testing for pre-cancerous cells anymore. That’s the scandal here, not the frequency. They don’t look for cells unless you are positive for HPV. That’s all they test for on most smears. HPV isn’t the only cause of cervical cancer. They should be looking. It’s an unpleasant and invasive test, and not checking the full range of possibilities when they have the sample stinks. I’m 59 and won’t be going again. If I had HPV I’d know it by now, I’m not sexually a tive so won’t be catching it. It’ll be a total waste of everyone’s time. I could still have cervical cancer though, but nobody would check.

as I said, the link I posted explains it. The "sexually active" thing is true but HPV, like many virusses can be dormant for years. For your info, I did my own risk assessment on this information when my husband died and took the same decision. Taking action when so called "pre cancerous" cells were found was resulting in massive and extreme over intervention. Science moves forward all the time

justasking111 · 20/07/2024 14:01

Men fare no better. DH had the turps surgery, then again a few years later under the knife again his prostate just kept growing. He was told to get a PSA test via the GP two years post surgery. OMG he had to fight for it. His brother who also had the operation. Last year was diagnosed with cancer.

So whether it's a cervix or prostate, you need to argue for testing.

OP posts:
DrBlackbird · 20/07/2024 14:02

justasking111 · 20/07/2024 13:48

The ignorance on here about transmen after all this time is depressing

I think that’s unfair. It’s a thread about smears and testing, fair enough as that’s an important topic.

However, whilst it may be clear to you or others as to what is meant by a trans man, a significant proportion of the British public is confused by the terminology.

So it’s probably a good thing to clarify this when talking about an important medical matter.

SnowFrogJelly · 20/07/2024 14:02

YANBU

cardibach · 20/07/2024 14:03

LostTheMarble · 20/07/2024 13:45

Referring to women as ‘people with a cervix’ is anti women. Only girls/women have a cervix, it’s a matter of biology/sex not gender beliefs.

This announcement specifically doesn’t do that though. I thought this was the wording that was wanted? But it’s still not good enough. I’m GC and think people shouldn’t need to label themselves as either but this seems inclusive wording to me.
Anyway MN have asked people to stop making this point, though they haven’t. I finally got needled into replying though, so well done.

NalafromtheLionKing · 20/07/2024 14:03

cardibach · 20/07/2024 13:58

My daughter was in either the first or second cohort of the general roll out and she’s 28, so I doubt you did.

Sounds like I must have confused it with another vaccine teen girls were given at the time.

LizzeyBenett · 20/07/2024 14:03

Only women have a cervix ... ?

SnowFrogJelly · 20/07/2024 14:03

This is a thread about smear tests NOT about trans issues 🙄🙄

godmum56 · 20/07/2024 14:03

cardibach · 20/07/2024 13:57

Unless it was a cancer caused by HPV it wouldn’t get it now. They aren’t even looking.

the cancers not caused by HPV are extrememly rare and were not caught by the old test either..see my earlier post

LiquoriceAllsorts2 · 20/07/2024 14:04

NalafromtheLionKing · 20/07/2024 14:03

Sounds like I must have confused it with another vaccine teen girls were given at the time.

I am mid 30s and I was too old. A 28 year old being one of the first to have it sounds about right

MrsPelligrinoPetrichor · 20/07/2024 14:04

cardibach · 20/07/2024 13:55

How long for? Cos I’d bet not as long as it would have to manage for me.
And still, it’s unreasonable to fail to test for pre cancerous cells.

10-20 years apparently. I agree cells need to be tested.

Tintackedsea · 20/07/2024 14:04

I'm a woman but I haven't got a cervix so I don't need smear tests. I think on this occasion the language is useful.

cardibach · 20/07/2024 14:05

Kneidlach · 20/07/2024 13:49

Inclusive language harms no one, and it’s important for everyone to get checked regardless of gender identity and if adding that bit extra on encourages someone to get tested when they mightn’t have otherwise I can’t see it as anything but a good thing

Except it does harm people though. Using clunky language like ‘women, and other people with a cervix’ is going to be confusing for some women who don’t speak fluent English and for some women with learning disabilities for example. And may mean they don’t get the tests they need.

So - inclusive for who? Whose inclusivity is prioritised?

How is it confusing for non-fluent speakers. It says ‘all women’. The other bit is for a very small group who will absolutely understand it.