Clinical services Health Information What is Cervical Screening? Cervical screening What is Cervix (Cervical) Cancer? The cervix is often referred to as the ‘neck of the womb’ which sits at the inside end of the vagina. Cervix or Cervical cancer is a cancer of the cells of the cervix and is preventable. Cervical screening can detect changes in the cells of the cervix BEFORE they become cancerous. The new Cervical Screening Test will prevent even more cancers A cervical screening test (Pap test) is a simple test that checks for early changes to the cells of the cervix. These changes may lead to cervical cancer but having cervical screening significantly reduces this risk. Regular cervical screening saves many lives each year from cervical cancer. About eighty percent of people who develop cervical cancer have not had regular cervical screening tests or have never had one. The National Cervical Screening program (NCSP) is changing. Due to a better understanding of the Human Papilloma Virus (HPV) and its natural history, HPV school vaccination programs and availability of new technology, the program has been updated to further reduce the risk of cervical cancer in Australia. The current system of having two yearly cervical screening is being replaced by HPV testing with cytology (if required) every five years. Using knowledge about the HPV types that cause cell changes, and new technology, we can now look for the virus with better accuracy than we could look for abnormal cells. After 1 December 2017, anyone with a cervix and aged between 25 and 74 years who have been sexually active will be invited to attend cervical screening every five (5) years. This includes people who have had the HPV vaccine because the vaccine does not protect against all types of HPV. See HPV and HPV vaccinations for more information. New changes Before the changes *if no abnormalities found Cervical Screening test HPV testingIf HPV test positive, then liquid-based cytology is also performed Pap test (cytology) Sample collection Using a speculum, cells are collected from the cervix Using a speculum, cells are collected from the cervix Sample preparation Liquid-based cytology Pap smear slide or liquid-based cytology Screening Interval Five years* Two years* Age range for participation 25-74 18-69 What will cervical screening involve? During the procedure, which only takes a few minutes, the doctor or nurse gently inserts an instrument called a speculum into the vagina, so that the cervix can be seen. A tiny brush is then inserted into the vagina to collect cells from the cervix. These cells are added to a solution called liquid-based cytology (LBC) which is sent to the laboratory for HPV testing. The results are usually available within a couple of weeks. If HPV virus is detected, then the laboratory will report whether the cervical cells are normal or not. This quick procedure might feel a bit uncomfortable, but it shouldn’t hurt. If it does hurt at any stage throughout the procedure tell the doctor/nurse immediately. Occasionally, the laboratory will report that the sample was unsatisfactory and another cervical screen has to be taken. Usually, this is because not enough cells were collected. This doesn’t mean your cervical screening is abnormal, but more likely that the laboratory has received an insufficient amount of cells. I’m under 25 years of age, why don’t I get offered screening anymore? Evidence shows that: There are low rates of cervical cancer in this age group Before the introduction of the new cervical screening (HPV testing), cervical screening was not very effective in this age group at preventing cancer HPV vaccination programs have reduced the incidence of HPV in vaccinated and unvaccinated populations Most young persons will clear the HPV virus all by themselves Younger generations are at risk of overtreatment in the current cervical screening program More cervical cancers are predicted to be prevented using the new cervical screening program However, it is important that you visit your local health care professional if you have symptoms such as unexpected vaginal bleeding or unusual discharge. If you have any questions which aren’t answered here, email [email protected] or talk to your local health care professional. To book a cervical screening test at one of our clinics, please go to https://www.true.org.au/clinic. Abnormal cervical screening results: Abnormal results will be reported in two stages; the first will about be the HPV virus being detected. The second result will whether or not there is an abnormality found in the cervical cells on the cervical screening test. If the results of your cervical screen are abnormal this does not mean you have cancer. Often abnormal results are caused by an inflammation or infection that will clear up naturally. Sometimes you may need to have cervical screening more often. The Pap test and the new HPV test can only screen for possible problems, not diagnose them. If your cervix appears abnormal during the pelvic examination or you have an abnormal test, your doctor may organise for you to have a colposcopy. A colposcopy is a simple procedure that is performed in a doctor’s office. The doctor uses a device called a Colposcope, which is large microscope that is positioned approximately 30cm from your vagina. A bright light on the end of the Colposcope allows the doctor to see the cervix more clearly. The procedure is painless and takes about 10 to 15 minutes. If the doctor sees abnormal cells they will take a biopsy. A biopsy involves taking a sample of the abnormal cell tissue from the cervix. It is not usually painful but may be uncomfortable. The sample is sent to the laboratory for testing. When the results come back, your doctor will recommend either treatment, another colposcopy in the future, more frequent cervical screening or no further action may be necessary. Some types of abnormal cells may require specialist treatment. Make sure you talk to your doctor, nurse or health worker about what is best for you. For information about cervical cancer prevention and information in other languages, go to Cancer Screening Australia For information about cervical cancer prevention in the LGBTIQ+ communities, go to LGBTIQ - PapScreen Victoria. For information about cervical cancer prevention for Indigenous communities, go to Information about cervical screening for Aboriginal women. For more general information, visit the Cancer Council.