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19th February 2025
11:53am GMT
It’s a simple but essential procedure designed to detect early signs of cervical cancer, but many women feel nervous about the test, particularly when it comes to concerns about pain.
A smear test, also known as a cervical screening, involves a healthcare professional inserting a device called a speculum into the vagina to gently hold it open.
Using a small brush, they collect cells from the cervix, which are then analysed for any abnormalities that could indicate a risk of cervical cancer.
Reporter Emily Keegan, spoke on The Hard Shoulder and shared that she was initially “terrified” of smear tests but that her feelings changed as she approached her 25th birthday - the age when Irish women are first invited for the screening.
“As it started to approach, I became more excited about it,” Emily said. “I was still definitely nervous, but I was curious to see what it was like. It was kind of like a club that I wanted to be in.”
Emily explained that growing up, smear tests were never really discussed - not even in school - leaving her feeling uncertain about what to expect.
“It’s something I had no idea about until my mother mentioned it,” she said.
Emily discovered her experience was common after speaking with other women her age.
Many women in their mid-20s also told her about feeling anxious about the test but recognised the importance of cervical health.
One friend admitted: “I’m turning 25 and feel like I shouldn’t delay it any further… Cervical health is an important conversation that everyone needs to have.”
One of the most common fears about smear tests is that the procedure might be painful.
However, Dr. Shirley McQuaid from Dublin’s Well Woman Centre says that discomfort is rare.
“Generally, it’s unusual for the test to be painful,” she said. “It’s a strange experience, but not actually painful.”
Dr. McQuaid explained that medical professionals can use different types of specula to ensure the patient’s comfort.
If one doesn’t seem right, they can switch to another type that may be more suitable.
When Emily went for her own smear test, she felt “a little bit” nervous but was soon reassured.
As the speculum was inserted, she experienced a “bit of pressure,” but it wasn’t painful. “It was more of a tickly sensation,” she said.
The entire procedure was over in less than a minute, and she was told her results would arrive within six weeks.
For Emily, the test turned out to be much easier and quicker than she had anticipated.
Cervical screenings play a vital role in preventing cervical cancer by detecting abnormal cells early.
Women in Ireland can check if they’re due for an appointment through the CervicalCheck register, and if they are, they should contact their GP to schedule the test.
It’s natural to feel nervous about a smear test, but it’s important to remember that the procedure is quick, usually painless, and crucial for maintaining cervical health.
