Information for Patients

Many people tell us that they find cervical screening uncomfortable, embarrassing, stressful and takes away the feeling of being in control.

Having the test done in a different position may help.

Common Worries

There are lots of reasons why people avoid cervical screening. Some worry it might be uncomfortable or painful, others feel shy or embarrassed, and some are anxious about the procedure or the results.

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Physical Comfort

If lying on your back feels uncomfortable, you can have the test done while lying on your left side.

This position helps your body relax, which can make the test easier and more comfortable. It may also help the nurse or doctor find your cervix more easily. You can choose to lie on your left side if you have:

  • A disability
  • Joint or muscle pain
  • Cerebral palsy
  • Arthritis
  • Trouble moving after surgery
  • A larger body size
  • A tilted cervix

When your body is more relaxed, the procedure can be quicker and more comfortable.

“The Left lateral was much more comfortable… What a treat to be tested in the left lateral position.”

More information:

Practice Nurse: Cervical screening – giving patients more choice

Less Embarrassment

Feeling embarrassed is a common reason why many people avoid cervical screening. People often tell us that:

  • They don’t feel confident with their bodies.
  • Feel embarrassed to be naked and show their genitals in front of the nurse or the doctor.
  • Find it hard to expose their bodies in front of others due to cultural and religious reasons.

You can choose to have the test done while lying on your left side instead of your back. It may help you feel less exposed and less vulnerable because:

  • Your legs are only slightly apart.
  • Your genital area is less exposed.
  • It feels more like a natural and safer resting position similar to the recovery position.

This test position may help you feel less exposed and less vulnerable, making the experience less embarrassing and more comfortable.

“I was surprised how much more dignified it felt. I felt like I was in control of my body, not lying back with everything on show.”

“I felt much less exposed and more relaxed lying on my side. I wish I’d known this was an option earlier.”

More information:

NHS England: Engaging with people who face specific barriers

Healthwatch: Cervical screening my way

Reduced Anxiety

Feeling anxious is one of the main reasons people delay or avoid cervical screening. Some people worry about what the results might show, while others feel nervous about the procedure itself. Some transgender people and survivors of female genital mutilation worry about the shape and size of their genitals and exposing them during cervical screening. Other people find that lying on the back triggers feelings of vulnerability and brings back memories of past traumatic experiences.

The position used during the test can affect how you feel. Lying on your back with your legs apart may feel uncomfortable or even upsetting for some people. The left side-lying position is a gentler alternative that may help reduce anxiety by offering:

  • More modesty
  • A greater sense of control
  • Increased comfort

Choosing to have the procedure done while lying on your left side may feel more natural, less exposing and safe.

“I always avoided my smear test because I felt so anxious. Lying on my side instead of my back made it bearable.“

“I find smear tests or anything dealing with my nether regions very traumatic… I felt almost no discomfort and I felt a lot less vulnerable in the left lateral position.“

“The nurse talked me through everything and I felt like I had a choice. That made a big difference.”

More information:

The Eve Appeal: Tips for screening survivors of sexual trauma

NHS England: Engaging with people who face specific barriers

56 Dean Street: Trans and Non Binary Cervical Smears: