Why are UK women skipping smear tests? Most common reasons listed in concerning new study
The prospect of going for a smear test can be daunting. It can feel unnatural to have such an intimate screening, and the process can be uncomfortable, but it is crucial to get through any fears for the good of your health.
Cervical Cancer Prevention Week took place from January 20-26, 2025 which highlighted the importance of attending cervical screenings to prevent cervical cancer.
In the UK, smear tests are offered to anyone with a cervix, by the age of 25, to detect abnormal cell changes and protect against cervical cancer. However, misconceptions and fears about the nature of the procedure often deter many from scheduling or attending appointments.
READ MORE: John Swinney denies pet cats could be banned in Scotland to help protect wildlife
READ MORE: Sara Sharif's dad 'has target on back' after move to brutal prison where 'lag's head melted'
A new survey from AXA Health polled the nation to uncover the reasons why women - all five million of them - in the UK are avoiding their smear test.
Those aged 45-54 were the most likely to attend their appointment (84 per cent), whilst the 25-34 age group were the least likely (74 per cent) with the highest avoidance rate at 20 per cent.
Of the 78 per cent of those who attended their cervical screenings, only 70 per cent of these were invited. This suggest that some are keen to get a smear test despite having yet to receive their routine invitation.
So, why are women dodging their smear test?
The recent survey shows that nearly half of those polled worry about hygiene before a smear test, with over 50 per cent of Gen X women citing it as a concern. Other common worries include what to wear, being on their period, hair removal, and bleeding during or after the test.
When it comes to the procedure itself, 38 per cent worry about discomfort during a smear test. While it might feel a bit uncomfortable, it should be painless if you’re relaxed.
Other common concerns included whether the healthcare professional would be female — which you can request when booking — followed by worries about positioning, not knowing the healthcare professional, and having to chat during the test.
The most common reason for avoiding a smear test was revealed to be due to concerns about the procedure being uncomfortable or painful. However, a small, soft brush is used, and the nurse will be gentle to minimise any discomfort during your appointment.
Dr Pallavi Bradshaw, Deputy Chief Medical Officer at AXA Health shares: ‘’Medical professionals who carry out this procedure are trained to make the experience as comfortable as possible and see numerous patients a day who all share similar concerns.
"However, it is important to note you have the right to request a female healthcare professional before your visit and you can stop the procedure at any time if you need to."
For the majority, a cervical screening test is likely their first medical appointment regarding their vagina, so it is natural for a degree of worry regarding the unknown. The routine and super quick procedure is vital in preventing cervical cancer, though. If you're worried, it is advised to bring along a trusted friend or family member for support.
You may find comfort in knowing you will be provided with a sheet to put over you, and you can undress behind a screen if this is something you would prefer.
What's more, smear tests are quick — usually done in under five minutes. It's best to schedule your cervical screening for a time when you’re not menstruating.
Top reasons why women avoid attending smear tests
Don't miss the latest news from around Scotland and beyond - Sign up to our newsletter here .
