A cervical smear test (or cervical screening) is one of the most important tools we have for preventing cervical cancer. But if you’ve been told your test result is “positive”, it’s natural to feel concerned or confused.
At Kent Family Medical, we believe that knowledge is empowering. This guide breaks down what a positive smear test means, what happens next, and how we support you at every step.
What Does a Positive Smear Test Mean?
Firstly, a “positive” result does not mean you have cervical cancer.
In most cases, it means one of the following:
1. HPV Found, No Cell Changes
This is the most common outcome. Your test has detected high-risk types of human papillomavirus (HPV) – a very common virus that most people will have at some point.
In many cases, the body clears HPV on its own. If there are no abnormal cells present, you’ll usually be invited back in 12 months for a repeat test to check if the virus has gone.
2. HPV Found, With Cell Changes
If HPV is found and there are changes in the cells of your cervix (known as dyskaryosis), you’ll be referred for a colposcopy to look more closely.
These changes might be:
- Low-grade: Mild changes that often resolve without treatment.
- High-grade: More serious changes that may need treatment to prevent them from developing into cancer.
Take a look at how our Well Woman Health Screening is designed to support your health and wellbeing.
What Is a Colposcopy?
If abnormal cells are found on your smear test, your GP may refer you for a follow-up procedure called a colposcopy. But what exactly does that involve?
A colposcopy is a simple outpatient procedure that allows a specialist to examine your cervix in more detail using a magnifying camera called a colposcope.
These abnormal cells are not cancer, but they could develop into cervical cancer over time if left untreated. A colposcopy helps to assess whether any treatment is needed.
What Happens During a Colposcopy?
The procedure is carried out in an outpatient clinic and usually takes 15 to 20 minutes. It’s similar in setup to a smear test:
- You’ll lie on an examination bed, and a speculum will be gently inserted to hold the vaginal walls open.
- The specialist uses a colposcope – a magnifying camera – to view your cervix in detail.
- A special liquid may be applied to highlight any abnormal areas.
- If necessary, a small biopsy (tissue sample) may be taken for laboratory analysis.
It can feel a little uncomfortable, but it shouldn’t be painful. You can usually go home shortly afterwards and resume normal activities the same day.
Colposcopy is a routine and highly effective way to monitor cervical health and prevent problems before they start.
The procedure is similar in setup to a smear test and usually takes around 15 to 20 minutes:
- You’ll lie on an examination bed, and a speculum will be gently inserted to hold the vaginal walls open.
- The specialist uses a colposcope – which stays outside your body – to closely inspect the cervix.
- A special liquid may be applied to highlight any abnormal areas.
- If necessary, a small biopsy (tissue sample) may be taken for further analysis.
The procedure may feel a little uncomfortable, but it shouldn’t be painful. Most people can return to their normal routine the same day.
Colposcopy is a routine and highly effective way to monitor cervical health and prevent problems before they start.
What Happens If Abnormal Cells Are Found?
If the colposcopy or biopsy confirms abnormal cells, you may be offered treatment to remove or destroy them. This is highly effective in preventing cervical cancer.
Common Treatments Include:
- LLETZ (Large Loop Excision of the Transformation Zone): Removes abnormal cells using a fine wire loop and electrical current.
- Cold Coagulation: Applies heat to destroy abnormal tissue.
- Cone Biopsy: Removes a cone-shaped section of the cervix under local or general anaesthetic.
After treatment, you’ll usually be invited back for a follow-up smear test (called a test of cure) in about six months to ensure all abnormal cells have been successfully removed.
We understand that these procedures can sound daunting, but they are routine and performed with your comfort and care in mind.
We’re Here To Support You With The Results Of Your Cervical Smear Test
If you’ve received a positive smear result or have been referred for a colposcopy, we’re here to support you.
You may want to book an appointment if:
- You’re feeling anxious or unclear about your results.
- You’ve had multiple abnormal tests.
- You’re experiencing symptoms such as unusual bleeding, pain, or discharge.
- You would prefer your smear test to be carried out in our clinic setting, or would like to discuss having a smear test outside of the normal NHS recall system.
At Kent Family Medical, our GPs provide clear explanations, timely referrals, and personalised follow-up, so you feel informed and reassured every step of the way.
Book a Consultation With Us
Cervical screening saves lives – and early action makes all the difference.
If you’re due a cervical smear test, it’s important to get it booked – don’t put it off.
And if you’ve had a positive smear test and want to speak to a GP who understands your concerns, we’re here to help.
Contact us today to book your appointment and take the next step with confidence.