Do’s and don’ts before a smear test

A smear test, also known as cervical screening, is an important health check that helps prevent cervical cancer by detecting the presence of the Human Papilloma Virus (HPV) which can cause cell changes in the cervix. While the procedure is quick and straightforward, preparing for your appointment can make the experience more comfortable and effective. Here’s a helpful guide to the do’s and don’ts before a smear test to ensure you feel confident and empowered. 

Do’s before a smear test

1. Book your appointment at the right time 
Aim to schedule your cervical screening when you’re not on your period. This helps ensure the test is as accurate as possible and avoids unnecessary rescheduling. If your cycle is unpredictable, speak to your GP or nurse when booking. 

2. Wear comfortable clothing 
Choose loose-fitting clothes that are easy to remove from the waist down. This will help you feel more at ease during the procedure. 

3. Inform your nurse of any concerns 
If you’re feeling anxious or have had previous negative experiences, let your nurse know before the test begins. They’re trained to provide support and can take extra steps to make the process more comfortable. 

4. Empty your bladder beforehand 
A quick visit to the toilet before your appointment can help you feel more relaxed during the test. 

5. Check eligibility 
If you’ve recently received an invitation or are unsure if you’re due for cervical screening, contact your GP. You can also ask about screening if you’ve had unusual symptoms or changes, even if you’re under 25 or overdue. 

Don’ts before a smear test

1. Avoid using vaginal products 
Refrain from using tampons, vaginal creams, lubricants, or douches for at least 24 hours before your test. These can interfere with the sample and affect the results. 

2. Don’t fear the smear 
It’s normal to feel nervous, but remember, the procedure is designed to protect your health. The test is quick, and healthcare professionals are there to make it as comfortable as possible. 

3. Avoid sexual activity 
It’s best to avoid sex for 24 hours before your smear test. Semen, lubricants, or spermicide can impact the accuracy of the sample. 

4. Don’t skip your appointment 
Life gets busy, but attending your cervical screening is crucial for your health. If you need to reschedule, try to book a new appointment as soon as possible. 

5. Don’t hesitate to ask questions 
Whether you’re wondering, “Can you have sex before a smear test?”, “Can you have a smear test when pregnant?” or “What should I expect after a smear test?”—no question is too small. Your GP or nurse will be happy to provide answers and reassurance. You can find out more about what a smear test is and what to expext after a smear test here: What is a smear test?

Managing anxiety before your smear test

It’s completely normal to feel anxious about a smear test. Here are some tips to help ease your nerves: 

  • Practice deep breathing or mindfulness exercises before your appointment. 
  • Bring a friend or family member along for support. 
  • Remember the benefits: cervical screening saves lives by detecting changes early. 

Don’t fear the smear

Preparing for your smear test with these do’s and don’ts can help ensure a smoother, more comfortable experience. Don’t let fear or uncertainty stop you from prioritising your health. If you have any questions or concerns, speak to your GP or nurse—they’re there to help. 

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.

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