You need Cervical Screening Kent ? Mr Penman offers a cervical screening programme which includes a brief gynaecological consultation with a cervical smear test.
Should you have specific gynaecological issues, this would need to be discussed at a full gynaecological consultation and not at a cervical screening appointment.
Cervical screening (smear test or pap test) is where a sample of cells is taken from the cervix (neck of the womb) and these cells are looked at under the microscope for signs of early changes in the cells. Cervical screening is not a test for cancer, it checks the health of the cervix and if abnormal cells are detected, it allows early treatment before any cancerous cells develop.
The cervix is unique in that it is covered with two different types of cells. The part closest to the uterus is the endocervix and has glandular cells, whilst the part next to the vagina is the exocervix and is covered in squamous cells.
Where the two cell types meet is called the transformation zone and it is predominantly within this zone that cancerous cells begin. The cells don’t go straight from normal cells to cancerous cells but go through a change – a pre-cancerous change and the point of the cervical smear is to look for any changes. In the UK we have a scale of measurement for cervical intraepithelial neoplasia (CIN)
When Can I Get a Cervical Smear?
Mr Penman recommends that if you are sexually active and over 20 years, that a cervical smear every 3 years is recommended. Under 20 years, generally the virus (Human Papilloma Virus) that is thought to cause cervical changes, is transient and the body is capable of clearing it. It is the persistence of this virus that leads to the changes in the cervix that can lead onto cervical cancer.
Make sure you are not menstruating when you come for your smear test. This makes the collection of cells from the cervix impossible.
When you book your appointment, please tell the booking clerk that you are wanting a cervical smear test performed. This affects the length of the appointment required.
What Happens at My Appointment ?
Mr Penman will take a brief gynaecological history. He will then ask you to lay on the medical couch, having removed your lower clothing. There is a blanket to cover yourself with when laying down. A nurse will come into the consulting room at this point for your and Mr Penman’s security.
Mr Penman will then insert a speculum into your vagina, this gently holds the wall of the vagina open allowing for easy access with the cervical brush to take a sample of cells. The speculum can be a little uncomfortable, but Mr Penman has a lot of experience in doing this and will be as gentle as possible. He has frequently taken cervical samples from patients who have a history of difficulties in obtaining cervical cells.
The sample is then taken using cervical brush that takes a few cells from the cervix, this is painless. The brush is then placed in a bottle of preserving liquid to send to the laboratory. Today liquid based cytology is used rather than preparation of a microscope slide in the doctors consulting room, as it was done in previous years. The liquid is treated in the laboratory to remove any mucus and the cells extracted and slide prepared under controlled conditions. This method has been found to produce much more accurate results.
Cervical Smear Result
Your cervical smear test result takes around 10 days. Mr Penman will email you with the result and send a copy of the result to you in the post. It is a good idea for you to pass this onto your GP so they have a copy of the result too.
If there are any details that require discussion regarding your cervical smear test result, Mr Penman will ring you and discuss the findings with you, invite you back for a follow up consultation where he can discuss them further and recommend any further treatment if this is necessary.
Approximately 1 in 20 tests show cervical changes. The majority will not lead onto cancer as the cells will over time return to normal, Some cases however will remain abnormal and require treatment to ensure that they do not become cancerous. Should your test show abnormal results, Mr Penman will advise you and arrange further treatment if required.
Booking A Cervical Screening Test
You can book your cervical screening test by clicking on the blue gynaecology appointment button to the right of this article, or following the link to the gynaecology appointment booking page where you can either send an online booking or ring your hospital of choice to book your appointment with Mr Penman.
Cost of Cervical Screening Test
Mr Penman charges £118 for a gynaecological consultation with cervical screening test. This charge includes all the laboratory fees too, so there is nothing further to pay.