Booking a smear test: everything you need to know in 2025

Cervical screening (commonly called a smear test) is a vital health check for women aged 25 to 64. It’s one of the most effective ways to prevent cervical cancer, detecting changes in cervical cells early before they have a chance to develop into something more serious. But how do you go about booking a smear test, and what should you expect? Here’s everything you need to know about this important procedure and how to get it scheduled in 2025. 

Why is booking a smear test important?

Smear tests are a preventative health measure offered through the NHS Cervical Screening Programme. They check for high-risk strains of human papillomavirus (HPV), which can cause abnormal changes in cervical cells. If these changes are found, early treatment can stop them from progressing into cervical cancer. Regular screening saves lives—it’s as simple as that. 

While the thought of a smear test may feel daunting for some, it’s important to remember that the test is quick, simple, and designed with your health in mind. 

How to book a smear test

1. Receiving your invitation 

The NHS will send you an invitation letter when it’s time for your cervical screening. These letters are typically sent every three years for those aged 25 to 49, and every five years for those aged 50 to 64. The letter will explain how to book your appointment and provide key details about the process. 

2. Booking your appointment 

Once you’ve received your invitation, you can book a smear test at your local GP surgery. Most surgeries offer convenient online booking options, so you can choose a time that works best for you. If online booking isn’t available, simply call your GP practice to arrange your appointment. 

3. What about private smear tests? 

If you prefer, you can also book a private smear test. Private health providers may offer appointments outside standard NHS guidelines, such as for individuals who want screening more frequently. Check with your chosen private provider whether more frequent screening is appropriate for you and for more details on their booking process and costs. 

Key preparation steps

Preparing for a smear test can help make the process smoother and ensure the most accurate results. 

  • Timing your appointment 

Try to schedule your smear test for a time when you’re not on your period, as this can make the test more comfortable and effective. If your cycle is unpredictable, speak to your GP for advice. 

  • Avoid vaginal products 

For 24 hours before your test, avoid using vaginal creams, lubricants, or other products that could affect the results. 

  • Dress comfortably 

Wear loose-fitting clothing that’s easy to remove from the waist down, as this will help you feel more at ease during the procedure. 

Addressing patient concerns

It’s natural to feel nervous about booking a smear test, but you’re not alone. Many people have questions or concerns about the process, and healthcare professionals are there to support you. If you’re worried about discomfort or feeling embarrassed, let your nurse or doctor know—they’re experienced and will do everything they can to make you feel comfortable. 

Remember, smear tests are a routine procedure. They only take a few minutes, but the benefits can last a lifetime. 

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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