Cervical cancer

Because vaccination cannot prevent all cases of cervical cancer, it is necessary to have a smear test taken regularly. Currently, this is the only way the doctor can detect abnormalities that could lead to cervical cancer.

Simple and painless

A smear test is a fairly simple and painless test, but it can sometimes cause minor inconveniences, such as minor blood loss.

To take a smear, you lie on the examination table with your legs raised . Your feet rest on the table or on special leg supports. The doctor uses a speculum or metal instrument to view the inside of your vagina and cervix. The doctor will then remove some cell material from the inside of your cervix for examination.

You usually get the result within two weeks .

How often?

Women aged 25 and over who are (or have been) sexually active should have a smear test taken every three years by their GP or possibly by a gynaecologist.

From 50 to 65 years, the examination can be done every five years , provided that you have had smears taken regularly and that the last three smears showed no abnormalities and were of good quality.

However, an annual examination is recommended :

• with a previous abnormal smear;
• if you have previously undergone treatment of the cervix;
• if you have or had genital warts;
• if your immune system does not function optimally due to the use of medicines or illness.

A smear test is fully reimbursed by the health insurance once every three calendar years .

When not to have a smear taken?

• In case of inflammation of the cervix or vagina. The inflammation must then be treated first.
• During menstruation or other bleeding. The blood cannot properly assess the cells.
• During pregnancy and breastfeeding because the cells are more difficult to assess due to hormonal changes.
• If you are over 65 years old and the last two smear tests had a favorable result . It remains useful for women over 65 who have never had a smear test.
• If the previous smear was taken less than three months ago . After all, the superficial cell layer needs at least six weeks to recover.

Results

The result of a smear test indicates abnormalities much earlier than the first symptoms of cervical cancer, but never offers complete certainty .

The examination may prove to be unreliable in some cases, for example if insufficient cells have been removed, too many white or red blood cells are present, in the event of an infection or if the cells have not been removed correctly. In that case, a new smear is taken after three to six months.

Good to know

Via the Patient HealthViewer you will find all data about the population screenings for cervical cancer for which you have received an invitation.