What age should you book a smear test?
Cervical screening, commonly known as a smear test, is one of the most effective ways to prevent cervical cancer. It’s a quick and simple health check that can allow detection of abnormal cell changes in the cervix, often before they have the chance to develop into cancer. But when should you book your first smear test, and how often should you have them? Here’s what you need to know.
The age guidelines for cervical screening
In the UK, cervical screening is offered to women and individuals with a cervix starting at the age of 25. This decision is based on extensive research and aims to ensure the benefits of screening outweigh any potential risks.
The screening schedule is as follows:
- Ages 25 to 49: Screened every three years.
- Ages 50 to 64: Screened every five years.
- Ages 65 and older: Screening is only offered if recent test results show abnormal changes or if you haven't been screened since the age of 50.
If you fall into one of these age groups, the NHS will send you an invitation to book your smear test when it’s time.
Why does cervical screening start at 25?
The decision to begin cervical screening at age 25 is backed by evidence that shows cervical cancer is very rare in younger women. In women under 25, the cervix is still developing, and cell changes (caused by HPV) are common but often resolve on their own without treatment. Screening too early can lead to unnecessary interventions, which carry their own risks, such as complications during future pregnancies.
The current guidelines strike a balance between maximising the benefits of screening and avoiding unnecessary treatments for young women.
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How often should you have a smear test?
The frequency of cervical screening depends on your age: every three years for those aged 25 to 49, and every five years for those aged 50 to 64. This interval allows sufficient time to monitor changes in cervical cells while minimising unnecessary procedures.
If you’re ever unsure about when your next smear test is due, speak to your GP or check with your local health provider.
What if I’m under 25 and have symptoms?
Even though routine cervical screening doesn’t start until 25, it’s important to see your GP if you experience any unusual symptoms at any age. Symptoms like irregular bleeding, unusual discharge, or pain during sex could indicate an issue that needs further investigation. Remember, cervical screening is a preventative measure, not a diagnostic test. If you have concerns, your GP will arrange the necessary tests to investigate your symptoms.
Why is cervical screening so Important?
Cervical screening can detect high-risk types of HPV and cell changes in the cervix long before they become cancerous. Regular screening has been shown to prevent thousands of cervical cancer cases in the UK every year.
If you’re eligible, booking your smear test when invited is one of the best things you can do for your long-term health. It’s quick, straightforward, and could save your life.
Take action for your health
Knowing when to book your smear test is just the first step. If you’ve received an NHS invitation, make it a priority to book your appointment. If you’re unsure about when you’re due or have questions about cervical screening, contact your GP for guidance.
Find out more about cervical screening (smear tests) with our AXA Health Smear Fear Campaign.
Reviewed by Dr Pallavi Bradshaw
Dr Pallavi Bradshaw is Deputy Chief Medical Officer at AXA Health, with over 20 years of experience in global healthcare. Pallavi graduated from St Catharine’s College, Cambridge and trained at Addenbrooke’s Hospital as an Ophthalmologist before joining the Medical Protection Society (MPS). In her role she provides support and leadership across AXA Health, guiding the development of AXA Health’s external policy, with a particular interest in patient safety.