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Feminism: Sex and gender discussions

Women failing to attend smear tests

656 replies

guardianfree · 22/01/2018 13:34

Women generally but young women in particular - 1 in 3 not attending.

www.independent.co.uk/news/uk/home-news/jos-cervical-cancer-trust-charity-smear-tests-terminal-illness-health-wellbeing-hospitals-a8171011.html

I know they're unpleasant (and often feel humiliating) but what can we do to reassure women that they can be life savers?

OP posts:
argh · 22/01/2018 16:52

Here's a good article showing very valid reasons and statistics as to why a smear test may not be beneficial.

I hate the terminology used; women failing to attend smear tests - why can't women choose not to attend? In my pregnancy notes, it was written several times that I "refused" certain screening tests - I changed it each time to say I "declined".

Terrylene · 22/01/2018 16:55

Also, places you can get smears along with other sexual health care are closing, and you have to go to your GP nurse.

They are busy covering for the lack of GPs, so unless you are lucky, it is difficult to get an appointment when they can do it, when it is convenient for you, and when it is the 'right time of the month' (which you end up having to go over on the phone with the receptionist, even when you know what is the right time of the month and when you are perimenopause so the right time of the month is too unpredictable to work out over the next 2-3 weeks, so then you have to go through this with them, then you make an appointment that you may have to cancel if it is the wrong time, which you could have done to start with but they have to know everything).

Terrylene · 22/01/2018 16:57

I hate the terminology used; women failing to attend smear tests - why can't women choose not to attend? In my pregnancy notes, it was written several times that I "refused" certain screening tests - I changed it each time to say I "declined"

I have 'mammogram refused' on my notes because I would prefer to go the full 3 years, rather than their 34 months and I could not make another appointment because 'we do not book that far ahead'.

NotReadyToMove · 22/01/2018 16:58

I also fully agree that I really dislike the way it’s being presented to wo,en, all based on guilt and how dare youvtaking the risk of making your dcs motherless and it will all be your fault.
The assumption is that if you do get screening, you will get treated and will live afterwards and how look at how wonderful life is.

Except that in RL life, you get treatment and it’s hard work, esp whilst looking after said children. It can take a really long time to recover form the treatment an of course p, some women don’t survive (or they are put into the survival group because they lived 5+ years only to die 6 years later having had a pretty miserable quality of life all that time).

RavenLG · 22/01/2018 17:00

I've never had a smear and I can say it's purely embarrassment / anxiety based. I've got awful anxiety (diagnosed and medicated) and I just can't go. I've tried to book twice and ended up hanging up the phone due to anxiety kicking in. I've had one booked once but had a panic attack the morning of and ended up not going. I'm overweight, (and yes I know I need to do something about before any fuckers start) but I can't see myself getting on a table and have some poor woman / man pushing my fat out of the way and having to deal with it...

Missymoo100 · 22/01/2018 17:17

Raven, I think some companies do self testing kits that you can check hpv status. If you don't have hpv it's extremely unlikely that u would get cervical cancer- perhaps something to consider to put your mind at rest.

pastabest · 22/01/2018 17:20

I've had one smear ever. I should have had about 3 or 4 by now I think.

I'm no prude, I don't care if I'm hairy. I've had one miscarriage, given birth once and am expecting my second. Im no stranger to strangers peering down there. I'm rh neg and have had frequent bleeds in all my pregnancies requiring numerous speculum examinations. In total probably about 7+ in the last 3 years.

None have ever been as painful as my one single smear test. None have ever been as difficult to arrange as trying to get a flipping smear test at my GP (which incidentally is an hour away from where I work).

Threatening letters from the GP don't work for me. They just piss me off. If they sent me a letter saying 'twice a month on x date and y date we are having a women's health evening, book your place' then I would be more likely to go along, as I would have child care in an evening, it would be outside work hours and I would be reasonably confident that they would have someone who knew what they were doing wielding the speculum at me.

notafish · 22/01/2018 17:20

I always had smear tests done at the fpc as I was in the habit of going there for contraceptives as a teenager. It was not something that bothered me probably because they were so used to doing them. They had plenty of drop in clinics so no appt. necessary. Now I have to ho to the practice nurse it is such an inconvenience to find make an appointment at the correct time, not helped by my short irregular cycles. The last two I had the practice nurses were very professional and sensitive to my comfort... but you just never know in advance.

Thanks for sharing the Indy piece. I hadn't realised the stats and whilst it won't stop me going, if I ever got called back, I'd know what I was facing and could make an informed choice over treatment.

OhGodWhatTheHellNow · 22/01/2018 17:30

I've had Issues since, during a hospital clinic examination, I was left Jacked open and uncovered while a succession of people came in and out of the room to talk to the doctor, as if I wasn't there; the investigation was into vaginal pain, this really was a double whammy.

Anyhoo currently looking up how to remove a nexplanon myself as the gp practice will only do it between 1300 - 1430 on a Monday, not exactly reaching out to their target market there. You'd almost think they didn't want to do it...

RogueBiscuit · 22/01/2018 17:43

I choose not to have them and that choice is rarely respected, both by professionals and other women .The incredibly high risk of harmful unnecessary overtreatment is not worth it. The screening program is not fit for purpose and is harming more women than it is saving.

margaretmccartney.com/2013/02/05/women-cervical-smears-and-manipulation/

forwomenseyesonly.com/2017/10/27/unnecessary-pap-smears-discussion-forum/comment-page-1/#comment-218432

Parsleyisntfood · 22/01/2018 17:57

Surely it’s worth noting that sometimes they are done without lubricant. Why would that happen? No specialist training to gloop a bit of ky on surely. But it happens.
I’ve delivered a baby with 10 people staring at my foof, in stirrups, I am sure they had seen it all before, a smear doesn’t embarrass me. But it bloody hurts. And it doesn’t need to

ToadsforJustice · 22/01/2018 18:02

I find the “smear for smear “ lipstick promotion distasteful. It reeks of celebrity self promotion.

PramWanker · 22/01/2018 18:21

Hpv normally clears itself if left, so do cell abnormalities- 95% of moderate changes will never progress to cancer- yet thousands of women are subjected to unnecessary procedures such as lletz, cone biopsy etc and the worry of being told they are "precancerous". I find a lot of women don't fully understand what it actually means. They say they had their lives saved by the smear, when in fact in most cases this isn't true.

Yep.

Whenever this discussion comes up on here, there are always posters sharing their stories of they or women they knew who had a test, found an abnormality and needed treatment. They are generally presented as a reason to go for screening, thank heavens they caught it early, this could be you don't delay etc.

But the odds are that whenever a number of examples are given, some of the treatments were entirely unnecessary. And no, of course I'm not talking about full blown cervical cancer here. But there's an absence, too often, of any awareness at all that some of the women undergoing procedures would have been better off had they never gone for the smear in the first place. And without this awareness, a person cannot give informed consent to their smear.

I agree with missymoo that we need more transparency and less emotional blackmail.

ThisBabyIsAnOctopus · 22/01/2018 18:29

I don’t go for smears since painful VEs during my first birth 4.5y ago. It’s something I’ve been feeling really guilty about but this thread has made me feel better about balancing that risk.

PramWanker · 22/01/2018 18:30

I don't think that's missing the point at all!

PocketCoffeeEspresso · 22/01/2018 18:39

I don’t go for smears since painful VEs during my first birth 4.5y ago. It’s something I’ve been feeling really guilty about but this thread has made me feel better about balancing that risk.

Before my first child, all VEs and smears were toe-curlingly painful - scrape me off the ceiling, stabbing me in the vagina painful. Since having him though (and not even vaginally - I never dilated, so EMCS) they've become totally fine - VEs with my second I barely felt the smear since was fine.

Thinking about it, he's 4 now, so I must be overdue one...

grannytomine · 22/01/2018 18:40

Long time since I had one, cervix removed about 17 years ago, but back then I used to get mine done at Family Planning Clinic. Do they still do them? They were ideal as open evenings and Saturday mornings and you could book it even if you weren't getting contraceptives there.

The other thing is they used to start earlier, think I had my first at 18 maybe people are less embarrassed then and more likely to do what they are told? I'm not sure but amongst my friends/sister/sil everyone always had their smears so something must have changed.

I actually find the mammogram far more painful than the smear. I am an A cup and lady doing the mammograms says my breast tissue is too firm. So OK if you are floppy and a big cup but blooming awkward trying to sandwich my breasts into the machine.

AssassinatedBeauty · 22/01/2018 18:42

Surely 18 year old teenage girls are likely to be more embarrassed about an intimate exam?

guardianfree · 22/01/2018 18:44

Agreed Granny - mammograms can be very painful Sad
My worst was when the woman doing it had the most awful body odour - every time she came over to readjust me I physically recoiled. It was a disgusting experience. But fortunately a one off.

OP posts:
expatinscotland · 22/01/2018 18:44

'So OK if you are floppy and a big cup but blooming awkward trying to sandwich my breasts into the machine.'

Nope, hurts like all hell if you're floppy and have a big cup, too.

Walkingdead11 · 22/01/2018 18:46

Smears are not nice, no two ways about it, but they are all we have at the moment to potentially and actually prevent death. If some of you don't get that I really do despair....perhaps take yourself off to a hospital with terminal cervical/breast cancer patients, perhaps look at the faces of these women who are dying and also look at the sad, petrified faces of their children....ffs!!!

Jenny17 · 22/01/2018 18:46

Guardian are asking “What are your experiences of being called for a smear test?” www.theguardian.com/society/2018/jan/22/what-are-your-experiences-of-being-called-for-a-smear-test

MyVisionsComeFromSoup · 22/01/2018 18:48

I had the GP barking at me "you have to relax, I can't get in if you don't" at my last attempt to have a smear done, I ended up in floods of tears, being made to feel really stupid, because I was having flashbacks to a traumatic ectopic pregancy and how that was dealt with (not very well, they dumped me in a side office, and forgot about me till I collapsed on the floor, then "forgot" to explain exactly what had happened during the surgery till two days and a nasty infection later).

But a week or so previously, I'd had an internal ultrasound, in a slightly darkened room with pleasant music playing, and been given blankets and sheets to cover myself with.

Same GPs practice, totally different experience. Why does a smear have to be "right, knickers off, legs spread, don't be stupid, of course it doesn't hurt"?

AssassinatedBeauty · 22/01/2018 18:48

@Walkingdead11 what a vile post. Have you even read the thread and the comments about the effectiveness of smear testing?

Firenight · 22/01/2018 18:50

I have to take a day off work to get it done or take the 3 year old with me. Ergo, it doesn’t happen. We’re overdue the dentist too as my work days got messed around and messed up the appointment.

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