When you're busy juggling work and daily responsibilities, it's easy for cervical screening to get delayed or overlooked. Many women in this situation think, "I'm feeling fine. Why do I need to do this screening?"
However, screening is not just about finding cancer but about detecting early cell changes long before they can grow into a serious issue. Cervical cancer can affect anyone with a cervix, and symptoms often do not appear until later stages.
Regular screening offers a valuable opportunity to catch any changes early, when treatment is usually simpler and more effective. Understanding who should be screened – and when – can help you feel more confident and supported in looking after your health.
Who is at risk for cervical cancer?
Nearly all sexually active women carry some risk for cervical cancer. The primary cause is human papillomavirus (HPV), a very common virus transmitted through skin-to-skin contact during sexual activity. While your immune system usually clears the infection on its own, persistent HPV can lead to changes in cervical cells over time.
It’s worth noting that developing HPV isn't any indication about your lifestyle choices or mean that you’re doing something wrong. It's simply part of how the virus spreads – HPV is extremely common, with an estimated 80% of sexually active people contracting it at some point in their lives.
Cervical cancer is often called a "silent disease" because there are usually no early warning signs. It may take years for symptoms like unusual bleeding or pelvic discomfort to appear, which is why it’s so important to schedule regular screenings.
What is cervical cancer screening?
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Cervical cancer screening looks for abnormal cells in your cervix before they have the chance to develop into cancer. These are preventive tests designed to catch potential problems early, when they're easiest to address.
The Pap smear test
A Pap smear collects cells from your cervix, which are then examined under a microscope for any abnormalities. The test is quick, usually taking just a few minutes. You may feel mild discomfort afterwards, but most women find it tolerable.
The HPV test
The HPV test identifies high-risk HPV types that can lead to cervical cancer. Even if you feel perfectly well, a positive result helps your doctor monitor or treat any abnormal changes early, before they progress.
Combined screening (co-testing)
Sometimes both tests are performed together, known as co-testing. This approach gives a fuller picture of your cervical health by checking for abnormal cells and high-risk HPV at the same time.
If abnormal cells are found, don’t panic. This doesn't necessarily mean you have cancer. In most cases, it is simply a warning sign for your doctor to keep a closer eye on your situation.
Cervical cancer specialists in Singapore
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The importance of cervical cancer screening
Regular cervical screening has transformed how we prevent cervical cancer, saving countless lives through early detection.
Early detection saves lives
Screening catches abnormal cells before they turn into cancer. When found early, these cells can be treated with straightforward procedures that can prevent the cancer from developing any further.
Cervical cancer usually develops slowly over several years. This gradual progression gives your doctor time to step in with treatment that's minimally invasive and protects your fertility.
High success rates when caught early
When abnormalities are found and treated early, the outcomes are excellent. Countries with widespread screening programmes have seen cervical cancer rates drop by more than half over the past few decades.
Regular screening has transformed cervical cancer from a common cause of death into a largely preventable disease. A screening test takes just 5-10 minutes – time well spent for years of your protection and peace of mind.
If you're due for cervical screening or haven't had one in a while, schedule an appointment with Thomson Medical. Our gynaecologists can perform your screening in a comfortable environment and answer any questions you may have about your cervical health.
When to start cervical cancer screening
Knowing when to start screening and how often to go can feel unclear at first. The good news is that guidelines are based on your age and individual risk factors, which makes it easier to navigate once you know what applies to your specific situation.
Recommended screening age and frequency
You should begin cervical cancer screening between ages 21 and 25. Starting at this age allows for early detection while avoiding unnecessary tests during your younger years, when your body often clears HPV infections naturally.
Your screening schedule will depend on your age and the type of test you have:
If you're between 21 and 29, you'll usually need a Pap smear every three years.
Between ages 30 and 65, you can choose either a Pap smear every three years, an HPV test every five years, or co-testing (both tests together) every five years.
After age 65, you may be able to stop screening if you've had regular tests with normal results.
Your doctor may recommend a different schedule based on your personal history. If you've had abnormal test results, a weakened immune system, or other risk factors, more frequent screening might be advised.
The most important thing is staying consistent. Regular screening at the recommended intervals gives you the best protection and peace of mind.
Preparing for your screening appointment
If you've never had a screening test before, it's natural to feel nervous. Knowing what to expect can help ease any anxiety.
The appointment is brief, usually taking just 5-10 minutes. Your healthcare provider will explain each step and answer any questions you have. If you feel uncomfortable at any point, let them know – they can adjust their approach to make you more comfortable.
You can consider these few simple steps, which can help make your appointment easier, such as:
Schedule your appointment for a time when you're not menstruating, as this gives the clearest results.
Wear comfortable clothing that's easy to remove.
Consider bringing a trusted friend or family member if that helps you feel more at ease.
Don't hesitate to ask questions before or during the appointment.
You'll receive your results within 2–3 weeks. An abnormal result is actually quite common and usually indicates minor changes that can be easily addressed with follow-up care.
Overcoming barriers to cervical screening
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Even if you understand that screening is important, it can be hard to book the appointment. Many women delay or skip screening for reasons that make perfect sense in the moment. Fortunately, there are practical ways to work through them.
Common concerns and ways to address them include:
Feeling embarrassed or uncomfortable:
Doctors perform these tests regularly and are trained to help you feel at ease. If you’re feeling uncomfortable, you can always request a female doctor or nurse to guide you through your screening.
Concern about discomfort:
If you've had a negative experience before or feel anxious about the appointment, talk to your healthcare provider about your concerns. They can take steps to make the experience more comfortable for you.
Busy schedules:
Try booking your appointment well in advance and treating it like any other important commitment. Many clinics offer flexible hours, including early morning or late afternoon slots.
Cultural or personal beliefs:
Speaking with a healthcare provider you trust can help address these concerns while respecting your values. Taking control of your health is something to feel proud of.
Whatever's been holding you back from cervical screening, addressing it is worthwhile. The appointment takes just minutes but provides years of protection. Your health is worth that investment of time.
If concerns about discomfort or past experiences have been holding you back from cervical screening, schedule an appointment with Thomson Medical. Our doctors understand these concerns and will work with you to ensure a comfortable, respectful experience.
FAQ
Does cervical screening hurt?
Most women feel mild pressure or slight discomfort during the test, but it shouldn't be painful. The procedure takes just a few seconds. If you feel pain, let your healthcare provider know so they can adjust.
Can I have a cervical screening test during my period?
It's best to avoid scheduling your screening during your period, as blood can affect the test results. Try to book your appointment when you're not menstruating for the most accurate results.
Do I still need screening if I've had the HPV vaccine?
Yes. The HPV vaccine protects against the most common high-risk HPV types, but it doesn't cover all of them. Regular screening is still important to catch any abnormal cells the vaccine doesn't prevent.
Can I request a female doctor or nurse for my screening?
Yes. You can request a female healthcare provider when booking your appointment. Your comfort is important, and most clinics are happy to accommodate this request.
How long does it take to get cervical screening results?
Results usually come back within 2-3 weeks. Your doctor will contact you to discuss the findings. If results are abnormal, they'll explain what this means and any next steps needed.
Do I need cervical screening if I'm over 50 or post-menopause?
Yes, screening is still recommended until age 65 if you've been getting regular tests. Menopause doesn't reduce your risk of cervical cancer. After 65, you may be able to stop if you've had normal results for several years.
The information provided is intended for general guidance only and should not be considered medical advice. For personalised recommendations and tailored advice based on your unique situations, please consult a specialist at Thomson Medical. Request an appointment with Thomson Medical today.
For more information, contact us:
Thomson Specialists (Women's Health)
Thomson Women's Clinic (TWC)
- Novena:
6592 6686 (Call), 8611 8986 (WA) - Bukit Batok:
6569 0668 (Call), 8686 3525 (WA) - Choa Chu Kang:
6893 1227 (Call), 8282 1796 (WA) - Jurong:
6262 8588 (Call), 6262 8588 (WA) - Katong (female doctor):
6970 2272 (Call), 8611 9020 (WA) - Punggol:
6243 6843 (Call), 8811 0328 (WA) - Sembawang: 6753 5228
- Sengkang: 6388 8125
- Serangoon (female doctor): 6382 3313
- Tampines: 6857 6266
- Tiong Bahru: 6276 1525
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