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New insights on self-sampling for cervical cancer screening

Lilly Matson
by Lilly Matson | Analysis

27 April 2022

64 comments 64 comments

YouScreen self-sampling kit.

Cervical screening aims to prevent cervical cancer from developing by spotting cell changes that could become cancer if left untreated, or spot cervical cancer at an early stage so treatment is more likely to be successful.  

In the UK, cervical screening is offered to those aged 25 to 64, and combines testing for a virus called human papilloma virus (HPV) with looking at cells for abnormalities 

England has one of the highest cervical screening coverage rates in Europe, but coverage has been declining for approximately 20 years. Coverage is the proportion of eligible people who have been screened within 3.5 years (for ages 25-49) or 5.5 years (for ages 50-64). 

In the first study of its kind, funded by us and published in the Journal of Medical Screening, results have revealed that 51.4% of women eligible for cervical screening would prefer self-sampling for cervical screening, when the patient takes their own sample, over being tested by a clinician if they were offered a choice. 

“I think this research has come at a good time and can add to the ongoing conversation round self-sampling.”  

We spoke to Hannah Drysdale, doctoral researcher and lead author of the paper, about what these results mean for the future of self-sampling. 

What causes cervical cancer?

Virtually all cases of cervical cancer are caused by infection from HPV, a common virus that infects the skin and cells lining the inside of the body. There are over 100 different types and around 13 types, considered “high risk”, are linked to cancer. 

Around 8 in 10 people will be infected with HPV at some point in their lives, but in the majority of cases, the infection will go away on its own, without the person ever knowing they had it. 

Occasionally, these infections aren’t cleared. This is when damage to DNA can happen, which can cause changes to the cells in our body. In some cases, these cell changes can be resolved on their own, but they can also lead to cancer if left untreated over a long period of time. 

What does cervical screening involve? 

HPV primary testing’, the process in most of the UK, involves a health professional, usually a practice nurse, taking a sample from the cervix which is then sent off to the lab. The laboratory will check for high risk HPV. If high risk HPV is found, the laboratory will test the sample for abnormal cell changes.  

Anyone with a cervix between the ages of 25 and 64 is eligible for cervical screening. The screen is routinely carried out by a health professional at your GP, a sexual health clinic or other specialist clinics.  

“The key difference is that with clinician sampling, they use a speculum to open up the vagina so that they can view and take samples from the cervix. This can be tested for HPV and checked for abnormal cells if HPV is found” explains Drysdale. “But with HPV vaginal self-sampling, the person who is having the screening takes the sample themselves, at home, using something that looks a bit like a long COVID swab.” 

After the sample has been taken, the swab will be sent to the laboratory in the post, and tested for HPV. A letter with the results will be sent back to the person who has taken the sample and to their GP. 

“Only about 1 in 6 women who will have used the self-sampling test will have to go to a doctor for screening to test for cell changes.” 

Why does cervical screening stop after 64?

Regular cervical screening provides lasting protection against cervical cancer. Research shows that people who have regularly attended cervical screening when invited are very unlikely to develop cervical cancer after 64.

Cervical screening is offered at ages when the benefits are biggest, and the harms are smallest. This balance is not as clear for those aged 65 and over.

If you are over 65 and have never had cervical screening, you can ask your GP for a test if you want one.

But remember, screening is for people without symptoms. No matter your age, if you notice any changes to your body that are unusual for you or don’t go away, tell your doctor.

The results are in 

This is the first study of its kind looking into all eligible women’s anticipated preferences if they were offered a choice at the point of invitation.  

The study, carried out by researchers at King’s College London, analysed questionnaire responses from 3672 women eligible for cervical screening in April 2021. 

The questionnaire asked participants’ theoretical preference for self-sampling or clinician sampling before and after receiving information on both. Results found that before information exposure, participants were equally likely to select clinician sampling (42.9%) and self-sampling (42.6%).  

However, after reading further information, there was a shift towards self-sampling – 51.4% chose self-sampling while 36.5% selected clinician sampling.  

The results revealed that more of the women who sometimes delayed or missed a cervical screening appointment, or who had never attended one, chose self-sampling, compared to regular attenders.  

Additionally, at the start of the survey, 379 people said that they did not intend to go for cervical screening in the future. However, after they had been presented with further information, 78.9% of these participants said that they would choose self-sampling in the future. 

The questionnaire also collected demographic information to study differences in preferences between different population groups and gathered information on the reasons participants gave for preferring self or clinician sampling. 

“The main points people selected as reasons for preferring self-sampling including ease, convenience, reduced embarrassment and increased comfort,” says Drysdale. “The participants were also given the option to provide alternative reasons, some of which mentioned reasons such as taking pressure off the NHS.” 

Self-sampling was also found to be more popular among older participants. One explanation for this is that older women can find cervical screening more uncomfortable post menopause, and prefer some non-speculum methods. 

On the other hand, women who preferred clinician sampling had more confidence in the test being done correctly by a healthcare professional and would be more likely to trust the results.  

The potential impact  

Importantly, these results suggest that preferences and decisions can change when people are provided with more information on screening and that providing the option for both clinician sampling and self-sampling has the potential to increase overall screening uptake. 

There have been some exciting improvements in our ability to prevent cervical cancer and catch it early, such as the switch to HPV primary testing, and the fact that young people are now offered a vaccine against the main types of HPV which cause cervical cancer. Ongoing refinements to the cervical screening programme, including exploring the option of self-sampling, may help us prevent even more cases and save more lives in the future.

Nicola Smith Senior Health Information Manager at Cancer Research UK 

HPV testing of self-collected samples also has the potential to overcome several barriers and may help to reduce inequalities in cervical screening uptake in specific groups of individuals. 

Individuals from deprived, non-English speaking and ethnic minority groups were under-represented in the study, but there was an indication that people from ethnic minority groups who had never attended cervical screening were less keen on self-sampling than White people. Therefore, further research is required to assess the impact of self-sampling on the performance of the current cervical screening programme and understand any impact of self-sampling on health inequalities

Other ongoing studies, such as the YouScreen study, has been offering self-sampling to non-attenders within the NHS Cervical Screening Programme in parts of North East London and North Central London, and will help us understand the potential impact of this option. 

What’s next? 

The results of this study have highlighted that screening preferences can change when women are provided with more information on their choices, spotlighting the importance of clear communication, something that should be considered if the UK national screening committee was to recommend self-sampling.

While this research has provided key data to the growing conversation around self-sampling, it has also raised a number of questions.

For example, the team of researchers recognise there is often a difference between people’s intentions and their actions. “They call it the intention behaviour gap,” explains Drysdale. “This means that while some women may say that they’ll choose self-sampling, in reality, when it comes to it, they may not actually do that.

“But hopefully, we’ll be able to look at the findings from the YouScreen study and see whether the results from there mirror our results.”  

However, importantly, this study is only one element of ongoing research into self-sampling that is helping to paint the full picture. What’s more, Drysdale herself is embarking on a second study interviewing women from different socioeconomic groups to get their points of view on self-sampling vs clinician sampling. 

“Australia are offering a choice of self-sampling in the summer following the Netherlands, and Denmark are offering self-sampling to non-attenders in their screening programmes,” Drysdale says. “I think these results are quite timely, because self-sampling is gaining traction.” 

The mounting evidence being generated will be considered by the UK National Screening Committee, who will then make a recommendation on whether self-sampling should be offered as part of the national cervical screening programme, and who it should be offered to.  

This decision is likely to be a little way off, so considering your cervical screening invitation when you receive one and making an appointment at the GP practice, or sexual health clinic where it’s offered, is still the main option. If you were invited for cervical screening during the pandemic and didn’t go but want to go now, make an appointment with your GP practice.  

Whilst there are companies which sell HPV self-sampling kits, the results of private tests cannot be acted on by the NHS cervical screening programme.  

Importantly, cancer screening is for people who do not have any symptoms. So, if you notice anything that doesn’t feel right then don’t wait for your next screening appointment, speak to your doctor as soon as you can.  

Lilly

    Comments

  • Rebecca
    25 September 2022

    Best idea by far for people who know what they are doing I think it’s a great idea

  • Elaine Moon
    12 June 2022

    I think home testing is ideal for those that find it embarrassing and are reluctant to visit a doctor for the test. Hopefully will make more women to come forward to do a test.

  • Denise
    11 June 2022

    Why is does the age stop at 64 ?
    I have had abnormal cells in the past and did have laser treatment on three occasions, when I just turned 64 I-was refused smear test with my doctor. I did go to a private hospital and they done the test, which came back clear, I am now 72 would I be able to do home testing ?

  • reply
    Jacob Smith
    16 June 2022

    Hi Denise,

    Regular cervical screening provides lasting protection against cervical cancer. Research shows that people who have regularly attended cervical screening when invited are very unlikely to develop cervical cancer after 64.

    Cervical screening is offered at ages when the benefits are biggest, and the harms are smallest. The balance is not clear for those aged 64 and over, and the risks of screening may be greater.

    But remember, screening is for people without symptoms. No matter your age, if you notice any changes to your body that are unusual for you or don’t go away, tell your doctor.

    I hope that helps,
    Jacob, Cancer Research UK

  • Sandra
    11 June 2022

    I am anxious about going to the dr’s I usually have to take meds to calm me down and another nurse in there to talk and calm me. Home texting sounds perfect to me.

  • Helen Mills
    11 June 2022

    I think it’s a fantastic idea . Also takes the pressure of taking up doctors precious time

  • Carla de Souza
    11 June 2022

    Why at the age of 74 can’t I get tested? I’ve had cancer twice:brain tumour and thyroid cancer.

  • Alva Jackson
    11 June 2022

    I would definitely do a home test.
    I am sure there will be many more women likely test if it is at home.

  • Olga
    11 June 2022

    It would be great if I can do it at home.

  • Kathryn Carter
    11 June 2022

    Is there a chance that women over 64 will be at risk from cervical cancer & self testing is of benefit to them

  • reply
    Jacob Smith
    13 June 2022

    Hi Kathryn,

    Regular cervical screening provides lasting protection against cervical cancer. Research shows that people who have regularly attended cervical screening when invited are very unlikely to develop cervical cancer after 64.

    Cervical screening is offered at ages when the benefits are biggest, and the harms are smallest. The balance is not clear for those aged 64 and over, and the risks of screening may be greater.

    But remember, screening is for people without symptoms. No matter your age, if you notice any changes to your body that are unusual for you or don’t go away, tell your doctor.

    I hope that helps,
    Jacob, Cancer Research UK

  • DeannecEdwards
    11 June 2022

    Brilliant idea. Keep up the good work

  • Pamela Rigby
    11 June 2022

    I would welcome this option.

  • Elaine Truby
    11 June 2022

    Would definitely do home test lot more convenient I have done bowel test from home and you put it back in post and you receive the result in post . Can’t see why the smear test would be any different brilliant idea .

  • Joanna
    11 June 2022

    What a great advancement. I’ve had regular smears at the GP surgery but would jump at the chance to do a home test. It would free up appointments for others too.

  • Gillian simpson
    10 June 2022

    Would definitely do home testing if I was offered.

  • Val
    10 June 2022

    How wonderful that this could be available for home testing, saving so much time for doctors. Keep up the research to find cures etc for this awful disease.

  • Sharan Hodgkins
    10 June 2022

    I’ve recently found lump in my vagina area and having wait for Dr app so I would defo be interested in Home Test Kit as My Late Mom passed with cervical cancer so I’m really worried about my lump.

  • Dawn Andrews
    10 June 2022

    I would definitely appreciate the opportunity of self-screening, where I could do the test myself in the comfort of my own home. Unfortunately, I haven’t been able to have any screening done for a few years now, as I am totally housebound. This has caused a great deal of worry as, roughly 20 years ago, I was found to have abnormal cells – which were readily identified through screening, and then removed. So, for me, this would be a massive help!

  • Julie
    10 June 2022

    Yes think this would be better for most people and lift the pressure from clinics

  • Maureen Atken
    10 June 2022

    I certainly would jump at the chance to screen at home and not have to go to doc/clinic

  • Glynis
    10 June 2022

    Great idea unfortunately the earliest age for a smear is 25 – this needs to change.

  • Elaine Thompson
    10 June 2022

    I would consider home testing. This would help out GP surgeries with other appointments. Maybe it would also help more women to consider this.

  • Caz
    10 June 2022

    I would rather do a test at home as I suffer with anxiety so it hard for me to build the courage to make an appointment at the doctors and it’s not easy to get appointments

  • Linda Davies
    10 June 2022

    I think the self sampling is a really good idea, I’m sure lots of women will take advantage of this. Is it available now and how do you obtain it.

  • Marion Prosser-Davies
    10 June 2022

    I would do a home test, as long as it was safe

  • Paula Giannasi
    10 June 2022

    I have been for screening twice now and the nurse has been unable to do my smear and has referred me to a doctor. This has upset me, as I have to build myself up to go, as taking a sample is always difficult. I am now looking at other options, as I feel a test should be straightforward. I would definitely like the option of doing my own cervical screening.

  • Kay Hines
    10 June 2022

    I’ve just been bleeding for a week and nobody knows why I’m aged 64 just had a virginal scan and act scan all came back clear. So I wouldn’t mind texting. Kay Hines

  • Nita Mitchell
    9 June 2022

    I think to do your own test will save woman a lot of embarrassment and therefore more women will do the test.

  • Sami Taylor
    9 June 2022

    Would most definitely home test if could get one. Takes ages to get an appointment with a GP or Nurse and then the appointment is always “convenient”.

  • Jo Jones
    9 June 2022

    Homes screening would be something I would do and prefer .

  • Nicola Davies
    9 June 2022

    I would defiantly do a home test. I had abnormal cells when I was 26 I had laser treatment and regular check ups I am now 58 and would like the opportunity to be able to do this

  • Sue
    9 June 2022

    Great news would definitely do it this was offered to me.

  • Debbie Hack
    9 June 2022

    I’m not sexually active,but would do a home test if offerd

  • Sheila Hartley
    9 June 2022

    I have Lichen Planus and 76 it worries me that I am never checked

  • Jane Bridges
    9 June 2022

    I think self screening is a brilliant idea but at 66 do I still need screening

  • reply
    Jacob Smith
    9 June 2022

    Hi Jane,

    Thanks for your question.

    Regular cervical screening provides lasting protection against cervical cancer.

    Research shows that after the age of 64, people who have regularly attended cervical screening when invited are very unlikely to develop cervical cancer.

    Cervical screening is offered at ages when the potential benefits are biggest, and the risks are smallest. The balance is not clear for those aged 64 and over, and the risks of screening may be greater.

    However, it’s important to keep in mind that screening is for people without symptoms. If you notice any changes to your body that are unusual for you or don’t go away, you should tell your doctor regardless of your age.

    I hope that helps,
    Jacob

  • Susan Doyle
    9 June 2022

    Hi
    Full of admiration for scientist’s amazing work!!!! I donate a regular amount of cash to Cancer Research UK every month, as normal as paying my bills. I am a 68 year old woman please can you kindly explain why there is a cut off point to testing women post 60? do we suddenly become immune from cancer ? Totally the opposite… I find that thought process of being “past it” at a certain age quite senseless and unforgiving as cervical cancer can kill a teen or an 80 year old there is no age discrimination with this horrible disease. .Every female should have the right to be tested from puberty to the grave.. Surely prevention is ultimately a better option than trying to cure. Sadly sometimes to late, surely regular testing earlier and later in life for women could change the whole dimension on the way we deal with this constant threat to women’s health fertility and lives in the future. I think the self testing kits should be available to every female from Puberty to 80 plus…..

  • reply
    Jacob Smith
    9 June 2022

    Hi Susan,

    Thank you for your ongoing support and for your question.

    Regular cervical screening provides lasting protection against cervical cancer.

    Cervical screening is offered at ages when the potential benefits are biggest, and the risks are smallest. The balance is not clear for those aged 64 and over, and the risks of screening may be greater.

    Also, research shows that people who have regularly attended cervical screening when invited are very unlikely to develop cervical cancer after the age of 64.

    But remember, screening is for people without symptoms. Regardless of age, if you notice any changes to your body that are unusual for you or don’t go away, you should tell your doctor.

    I hope that helps,
    Jacob

  • Carrie Dennis
    9 June 2022

    I feel better doing it my self and at home if this could work.

  • Ann Dawson
    9 June 2022

    I am very interested in the research. However at age 77 I do not think I qualify for the tests

  • Denise bloomer
    9 June 2022

    Would definitely do home screening if I could get one .

  • Lynette
    9 June 2022

    As always. So well done

  • Gillian Jackson
    9 June 2022

    I’m wondering why wormen over 64 don’t get offered the test. Do their bodies not develope this cancer?!

  • reply
    Jacob Smith
    9 June 2022

    Hi Gillian,

    Thanks for your question.

    Regular cervical screening provides lasting protection against cervical cancer.

    Research shows that people who have regularly attended cervical screening when invited are very unlikely to develop cervical cancer after the age of 64.

    Cervical screening is offered at ages when the potential benefits are biggest, and the risks are smallest. The balance is not clear for those aged 64 and over, and the risks of screening may be greater.

    However, remember that screening is for people without symptoms. You should tell your doctor if you notice any changes to your body that are unusual for you or don’t go away, regardless of your age.

    I hope that helps,
    Jacob

  • SJM
    9 June 2022

    Self-screening would be the ideal option for people who are housebound and therefore unable to attend a GP surgery or clinic. My daughter has M.E and has been housebound for the past 10 years and has been unable to attend any screening appointments.

  • Sue Gilbert
    9 June 2022

    My mother in law died age 80 to cervical cancer. I am 75 and asked my GP a few years ago if I could have screening and was told ‘no’. I feel that woman of any age should be allowed screening even if it is only on request.

  • EsioT
    9 June 2022

    I think self-screening for cervical cancer is a great leap forward for women of screening age but particularly for those of us in the older age group who still want to be screened but do not want the embarrassment of attending an appt for a professional to carry out the test. I look forward to being able to self screen as I am over the age of routine cervical screen.

  • Jan Bull
    9 June 2022

    I think this is a really wonderful advancement and congratulate the scientists. I am 77 years old and my mother had cervical cancer at 72!!
    I had my last test when I was 65 and feel it should be available past that age.

  • Susan crawley
    9 June 2022

    Great idea,I’m 69 and just lately constant reminders from gp to have it done

  • Janice
    9 June 2022

    This would be great for all ages

  • Georgina
    9 June 2022

    I think it is a good idea but I would still prefer to go to the surgery to have the test. That way I know it has been done correctly.

  • Marie Gregory
    9 June 2022

    I’m 51year old woman who fits into this category, I would do this trial.

  • Kaye Brister
    8 June 2022

    Can over 65’s do a home test? I think it’s wrong to exclude over 65 year olds.

  • reply
    Jacob Smith
    10 June 2022

    Hi Kaye,

    Thanks for your question.

    Trials are currently underway to see how self-sampling could be used to help improve the cervical screening programme. Until we have more research, we don’t know exactly how self-sampling might be used or who could receive self-sampling home tests.

    At the moment, cervical screening is offered to people with a cervix aged 25-64. Research shows that people who have regularly attended cervical screening when invited are very unlikely to develop cervical cancer after 64.

    If you are over 65 and have never had cervical screening, you can ask your GP for a test if you want one.

    You can find out more here

    I hope that helps,
    Jacob

  • Carly
    8 June 2022

    I think this is a very good idea – I had abnormal cells at my first smear and my sister is allot older than me and still won’t go as feels uncomfortable I’ve spoke to her many of times to tell her it’s nothing really and can potentially save your life

  • Catherine Gledhill
    8 June 2022

    This is a great idea. I fit into the risk category and would be pleased to join.

  • Sue Forrester
    8 June 2022

    I think this is a great idea but feel it should be offered to all women , those past 64 to be included

  • Therese Durrant
    8 June 2022

    I think a home self-test kit for cervical cancer screening is a really good idea. I am 61 so would fit into the ‘at risk’ age bracket. I’d much prefer to do the test myself rather than visit the doctor. I tend to put off the test every time I receive a reminder from the surgery.

  • Ruth ( 64)
    8 June 2022

    The ‘youScreen Study’ for non attenders is an excellent idea, so long as the NHS follow up the non replies. Home testing great idea as a backup only but not a replacement – but why not invite 64 plus too?

  • reply
    Jacob Smith
    8 June 2022

    Hi Ruth,

    Thanks for your question.

    Trials are currently underway in London to see how self-sampling could be used to help improve the cervical screening programme.

    Regular cervical screening provides lasting protection against cervical cancer. Research shows that people who have regularly attended cervical screening when invited are very unlikely to develop cervical cancer after 64.

    Cervical screening is offered at ages when the benefits are biggest, and the harms are smallest. The balance is not clear for those aged 64 and over, and the risks of screening may be greater.

    But remember, screening is for people without symptoms. No matter your age, if you notice any changes to your body that are unusual for you or don’t go away, tell your doctor

    I hope that helps,
    Jacob

  • Andrea foster
    8 June 2022

    I would like to do one at home , as my mum had cervical cancer

  • Carol Shoebotham
    8 June 2022

    Hi, I do think self screening is a good idea. I had a Hysterectomy many years ago but they left the neck of the cervix. I am 71 now but have not had a smear test for many years and it does concern me as I do have a few issues.

  • Carolyn
    8 June 2022

    Yes a great idea

  • Ann Sharrock
    8 June 2022

    Why only up to 64

  • reply
    Jacob Smith
    8 June 2022

    Hi Ann,

    Thanks for your question.

    Regular cervical screening provides lasting protection against cervical cancer. Research shows that people who have regularly attended cervical screening when invited are very unlikely to develop cervical cancer after 64.

    Cervical screening is offered at ages when the benefits are biggest, and the harms are smallest. The balance is not clear for those aged 64 and over, and the risks of screening may be greater.

    But remember, screening is for people without symptoms. No matter your age, if you notice any changes to your body that are unusual for you or don’t go away, you should tell your doctor.

    Thanks,
    Jacob

  • Sally
    8 June 2022

    Would love to be able to have my own kit to test myself

  • Daniela Lupu
    7 June 2022

    I will like to do the test

  • Ann Grey
    7 June 2022

    Brilliant idea, I hope it can be extended to older women as well.

  • Esther
    7 June 2022

    I think this is an excellent way to check and also for people who prefer privacy at least can do testing and be pro active instead of doing nothing at all.

  • Mary
    29 April 2022

    I would like to do my own cervical screening test

  • S sharpe
    28 April 2022

    The age limit for cervical screening should be lifted. I have had cervical screening from age 32 to 64. At 27 I had problems which resulted in a major operation. I would have be happy to continue with my check ups. I feel a majority of we ladies have been let down. Willing and wanting to continue. Is it always down to cost? Sadly most of us think so. Left out in the cold. And in some cases to die.

    Comments

  • Rebecca
    25 September 2022

    Best idea by far for people who know what they are doing I think it’s a great idea

  • Elaine Moon
    12 June 2022

    I think home testing is ideal for those that find it embarrassing and are reluctant to visit a doctor for the test. Hopefully will make more women to come forward to do a test.

  • Denise
    11 June 2022

    Why is does the age stop at 64 ?
    I have had abnormal cells in the past and did have laser treatment on three occasions, when I just turned 64 I-was refused smear test with my doctor. I did go to a private hospital and they done the test, which came back clear, I am now 72 would I be able to do home testing ?

  • reply
    Jacob Smith
    16 June 2022

    Hi Denise,

    Regular cervical screening provides lasting protection against cervical cancer. Research shows that people who have regularly attended cervical screening when invited are very unlikely to develop cervical cancer after 64.

    Cervical screening is offered at ages when the benefits are biggest, and the harms are smallest. The balance is not clear for those aged 64 and over, and the risks of screening may be greater.

    But remember, screening is for people without symptoms. No matter your age, if you notice any changes to your body that are unusual for you or don’t go away, tell your doctor.

    I hope that helps,
    Jacob, Cancer Research UK

  • Sandra
    11 June 2022

    I am anxious about going to the dr’s I usually have to take meds to calm me down and another nurse in there to talk and calm me. Home texting sounds perfect to me.

  • Helen Mills
    11 June 2022

    I think it’s a fantastic idea . Also takes the pressure of taking up doctors precious time

  • Carla de Souza
    11 June 2022

    Why at the age of 74 can’t I get tested? I’ve had cancer twice:brain tumour and thyroid cancer.

  • Alva Jackson
    11 June 2022

    I would definitely do a home test.
    I am sure there will be many more women likely test if it is at home.

  • Olga
    11 June 2022

    It would be great if I can do it at home.

  • Kathryn Carter
    11 June 2022

    Is there a chance that women over 64 will be at risk from cervical cancer & self testing is of benefit to them

  • reply
    Jacob Smith
    13 June 2022

    Hi Kathryn,

    Regular cervical screening provides lasting protection against cervical cancer. Research shows that people who have regularly attended cervical screening when invited are very unlikely to develop cervical cancer after 64.

    Cervical screening is offered at ages when the benefits are biggest, and the harms are smallest. The balance is not clear for those aged 64 and over, and the risks of screening may be greater.

    But remember, screening is for people without symptoms. No matter your age, if you notice any changes to your body that are unusual for you or don’t go away, tell your doctor.

    I hope that helps,
    Jacob, Cancer Research UK

  • DeannecEdwards
    11 June 2022

    Brilliant idea. Keep up the good work

  • Pamela Rigby
    11 June 2022

    I would welcome this option.

  • Elaine Truby
    11 June 2022

    Would definitely do home test lot more convenient I have done bowel test from home and you put it back in post and you receive the result in post . Can’t see why the smear test would be any different brilliant idea .

  • Joanna
    11 June 2022

    What a great advancement. I’ve had regular smears at the GP surgery but would jump at the chance to do a home test. It would free up appointments for others too.

  • Gillian simpson
    10 June 2022

    Would definitely do home testing if I was offered.

  • Val
    10 June 2022

    How wonderful that this could be available for home testing, saving so much time for doctors. Keep up the research to find cures etc for this awful disease.

  • Sharan Hodgkins
    10 June 2022

    I’ve recently found lump in my vagina area and having wait for Dr app so I would defo be interested in Home Test Kit as My Late Mom passed with cervical cancer so I’m really worried about my lump.

  • Dawn Andrews
    10 June 2022

    I would definitely appreciate the opportunity of self-screening, where I could do the test myself in the comfort of my own home. Unfortunately, I haven’t been able to have any screening done for a few years now, as I am totally housebound. This has caused a great deal of worry as, roughly 20 years ago, I was found to have abnormal cells – which were readily identified through screening, and then removed. So, for me, this would be a massive help!

  • Julie
    10 June 2022

    Yes think this would be better for most people and lift the pressure from clinics

  • Maureen Atken
    10 June 2022

    I certainly would jump at the chance to screen at home and not have to go to doc/clinic

  • Glynis
    10 June 2022

    Great idea unfortunately the earliest age for a smear is 25 – this needs to change.

  • Elaine Thompson
    10 June 2022

    I would consider home testing. This would help out GP surgeries with other appointments. Maybe it would also help more women to consider this.

  • Caz
    10 June 2022

    I would rather do a test at home as I suffer with anxiety so it hard for me to build the courage to make an appointment at the doctors and it’s not easy to get appointments

  • Linda Davies
    10 June 2022

    I think the self sampling is a really good idea, I’m sure lots of women will take advantage of this. Is it available now and how do you obtain it.

  • Marion Prosser-Davies
    10 June 2022

    I would do a home test, as long as it was safe

  • Paula Giannasi
    10 June 2022

    I have been for screening twice now and the nurse has been unable to do my smear and has referred me to a doctor. This has upset me, as I have to build myself up to go, as taking a sample is always difficult. I am now looking at other options, as I feel a test should be straightforward. I would definitely like the option of doing my own cervical screening.

  • Kay Hines
    10 June 2022

    I’ve just been bleeding for a week and nobody knows why I’m aged 64 just had a virginal scan and act scan all came back clear. So I wouldn’t mind texting. Kay Hines

  • Nita Mitchell
    9 June 2022

    I think to do your own test will save woman a lot of embarrassment and therefore more women will do the test.

  • Sami Taylor
    9 June 2022

    Would most definitely home test if could get one. Takes ages to get an appointment with a GP or Nurse and then the appointment is always “convenient”.

  • Jo Jones
    9 June 2022

    Homes screening would be something I would do and prefer .

  • Nicola Davies
    9 June 2022

    I would defiantly do a home test. I had abnormal cells when I was 26 I had laser treatment and regular check ups I am now 58 and would like the opportunity to be able to do this

  • Sue
    9 June 2022

    Great news would definitely do it this was offered to me.

  • Debbie Hack
    9 June 2022

    I’m not sexually active,but would do a home test if offerd

  • Sheila Hartley
    9 June 2022

    I have Lichen Planus and 76 it worries me that I am never checked

  • Jane Bridges
    9 June 2022

    I think self screening is a brilliant idea but at 66 do I still need screening

  • reply
    Jacob Smith
    9 June 2022

    Hi Jane,

    Thanks for your question.

    Regular cervical screening provides lasting protection against cervical cancer.

    Research shows that after the age of 64, people who have regularly attended cervical screening when invited are very unlikely to develop cervical cancer.

    Cervical screening is offered at ages when the potential benefits are biggest, and the risks are smallest. The balance is not clear for those aged 64 and over, and the risks of screening may be greater.

    However, it’s important to keep in mind that screening is for people without symptoms. If you notice any changes to your body that are unusual for you or don’t go away, you should tell your doctor regardless of your age.

    I hope that helps,
    Jacob

  • Susan Doyle
    9 June 2022

    Hi
    Full of admiration for scientist’s amazing work!!!! I donate a regular amount of cash to Cancer Research UK every month, as normal as paying my bills. I am a 68 year old woman please can you kindly explain why there is a cut off point to testing women post 60? do we suddenly become immune from cancer ? Totally the opposite… I find that thought process of being “past it” at a certain age quite senseless and unforgiving as cervical cancer can kill a teen or an 80 year old there is no age discrimination with this horrible disease. .Every female should have the right to be tested from puberty to the grave.. Surely prevention is ultimately a better option than trying to cure. Sadly sometimes to late, surely regular testing earlier and later in life for women could change the whole dimension on the way we deal with this constant threat to women’s health fertility and lives in the future. I think the self testing kits should be available to every female from Puberty to 80 plus…..

  • reply
    Jacob Smith
    9 June 2022

    Hi Susan,

    Thank you for your ongoing support and for your question.

    Regular cervical screening provides lasting protection against cervical cancer.

    Cervical screening is offered at ages when the potential benefits are biggest, and the risks are smallest. The balance is not clear for those aged 64 and over, and the risks of screening may be greater.

    Also, research shows that people who have regularly attended cervical screening when invited are very unlikely to develop cervical cancer after the age of 64.

    But remember, screening is for people without symptoms. Regardless of age, if you notice any changes to your body that are unusual for you or don’t go away, you should tell your doctor.

    I hope that helps,
    Jacob

  • Carrie Dennis
    9 June 2022

    I feel better doing it my self and at home if this could work.

  • Ann Dawson
    9 June 2022

    I am very interested in the research. However at age 77 I do not think I qualify for the tests

  • Denise bloomer
    9 June 2022

    Would definitely do home screening if I could get one .

  • Lynette
    9 June 2022

    As always. So well done

  • Gillian Jackson
    9 June 2022

    I’m wondering why wormen over 64 don’t get offered the test. Do their bodies not develope this cancer?!

  • reply
    Jacob Smith
    9 June 2022

    Hi Gillian,

    Thanks for your question.

    Regular cervical screening provides lasting protection against cervical cancer.

    Research shows that people who have regularly attended cervical screening when invited are very unlikely to develop cervical cancer after the age of 64.

    Cervical screening is offered at ages when the potential benefits are biggest, and the risks are smallest. The balance is not clear for those aged 64 and over, and the risks of screening may be greater.

    However, remember that screening is for people without symptoms. You should tell your doctor if you notice any changes to your body that are unusual for you or don’t go away, regardless of your age.

    I hope that helps,
    Jacob

  • SJM
    9 June 2022

    Self-screening would be the ideal option for people who are housebound and therefore unable to attend a GP surgery or clinic. My daughter has M.E and has been housebound for the past 10 years and has been unable to attend any screening appointments.

  • Sue Gilbert
    9 June 2022

    My mother in law died age 80 to cervical cancer. I am 75 and asked my GP a few years ago if I could have screening and was told ‘no’. I feel that woman of any age should be allowed screening even if it is only on request.

  • EsioT
    9 June 2022

    I think self-screening for cervical cancer is a great leap forward for women of screening age but particularly for those of us in the older age group who still want to be screened but do not want the embarrassment of attending an appt for a professional to carry out the test. I look forward to being able to self screen as I am over the age of routine cervical screen.

  • Jan Bull
    9 June 2022

    I think this is a really wonderful advancement and congratulate the scientists. I am 77 years old and my mother had cervical cancer at 72!!
    I had my last test when I was 65 and feel it should be available past that age.

  • Susan crawley
    9 June 2022

    Great idea,I’m 69 and just lately constant reminders from gp to have it done

  • Janice
    9 June 2022

    This would be great for all ages

  • Georgina
    9 June 2022

    I think it is a good idea but I would still prefer to go to the surgery to have the test. That way I know it has been done correctly.

  • Marie Gregory
    9 June 2022

    I’m 51year old woman who fits into this category, I would do this trial.

  • Kaye Brister
    8 June 2022

    Can over 65’s do a home test? I think it’s wrong to exclude over 65 year olds.

  • reply
    Jacob Smith
    10 June 2022

    Hi Kaye,

    Thanks for your question.

    Trials are currently underway to see how self-sampling could be used to help improve the cervical screening programme. Until we have more research, we don’t know exactly how self-sampling might be used or who could receive self-sampling home tests.

    At the moment, cervical screening is offered to people with a cervix aged 25-64. Research shows that people who have regularly attended cervical screening when invited are very unlikely to develop cervical cancer after 64.

    If you are over 65 and have never had cervical screening, you can ask your GP for a test if you want one.

    You can find out more here

    I hope that helps,
    Jacob

  • Carly
    8 June 2022

    I think this is a very good idea – I had abnormal cells at my first smear and my sister is allot older than me and still won’t go as feels uncomfortable I’ve spoke to her many of times to tell her it’s nothing really and can potentially save your life

  • Catherine Gledhill
    8 June 2022

    This is a great idea. I fit into the risk category and would be pleased to join.

  • Sue Forrester
    8 June 2022

    I think this is a great idea but feel it should be offered to all women , those past 64 to be included

  • Therese Durrant
    8 June 2022

    I think a home self-test kit for cervical cancer screening is a really good idea. I am 61 so would fit into the ‘at risk’ age bracket. I’d much prefer to do the test myself rather than visit the doctor. I tend to put off the test every time I receive a reminder from the surgery.

  • Ruth ( 64)
    8 June 2022

    The ‘youScreen Study’ for non attenders is an excellent idea, so long as the NHS follow up the non replies. Home testing great idea as a backup only but not a replacement – but why not invite 64 plus too?

  • reply
    Jacob Smith
    8 June 2022

    Hi Ruth,

    Thanks for your question.

    Trials are currently underway in London to see how self-sampling could be used to help improve the cervical screening programme.

    Regular cervical screening provides lasting protection against cervical cancer. Research shows that people who have regularly attended cervical screening when invited are very unlikely to develop cervical cancer after 64.

    Cervical screening is offered at ages when the benefits are biggest, and the harms are smallest. The balance is not clear for those aged 64 and over, and the risks of screening may be greater.

    But remember, screening is for people without symptoms. No matter your age, if you notice any changes to your body that are unusual for you or don’t go away, tell your doctor

    I hope that helps,
    Jacob

  • Andrea foster
    8 June 2022

    I would like to do one at home , as my mum had cervical cancer

  • Carol Shoebotham
    8 June 2022

    Hi, I do think self screening is a good idea. I had a Hysterectomy many years ago but they left the neck of the cervix. I am 71 now but have not had a smear test for many years and it does concern me as I do have a few issues.

  • Carolyn
    8 June 2022

    Yes a great idea

  • Ann Sharrock
    8 June 2022

    Why only up to 64

  • reply
    Jacob Smith
    8 June 2022

    Hi Ann,

    Thanks for your question.

    Regular cervical screening provides lasting protection against cervical cancer. Research shows that people who have regularly attended cervical screening when invited are very unlikely to develop cervical cancer after 64.

    Cervical screening is offered at ages when the benefits are biggest, and the harms are smallest. The balance is not clear for those aged 64 and over, and the risks of screening may be greater.

    But remember, screening is for people without symptoms. No matter your age, if you notice any changes to your body that are unusual for you or don’t go away, you should tell your doctor.

    Thanks,
    Jacob

  • Sally
    8 June 2022

    Would love to be able to have my own kit to test myself

  • Daniela Lupu
    7 June 2022

    I will like to do the test

  • Ann Grey
    7 June 2022

    Brilliant idea, I hope it can be extended to older women as well.

  • Esther
    7 June 2022

    I think this is an excellent way to check and also for people who prefer privacy at least can do testing and be pro active instead of doing nothing at all.

  • Mary
    29 April 2022

    I would like to do my own cervical screening test

  • S sharpe
    28 April 2022

    The age limit for cervical screening should be lifted. I have had cervical screening from age 32 to 64. At 27 I had problems which resulted in a major operation. I would have be happy to continue with my check ups. I feel a majority of we ladies have been let down. Willing and wanting to continue. Is it always down to cost? Sadly most of us think so. Left out in the cold. And in some cases to die.