Cervical smear should be avoided during menstruation because
blood stained smears may be difficult to interpret.
Smear should be taken despite bleeding if local cervical
lesion is seen or the woman has abnormal vaginal bleeding
that needs investigation.
If there are signs of infection or atrophy, they should
be treated before having cervical cancer screening. If problems
with compliance or return for testing are anticipated, a
cervical cancer screening test should be done at the first
Postmenopausal women with clinical evidence of cervical
or vaginal atrophy may be given a 7-day course of topical
estrogen and stopped 2 days before taking cervical cancer
screening test as it is difficult to interpret smears with
atrophic cellular changes.
Notes to clients on booking appointment
Avoid vaginal douching, sexual intercourse and use of
vaginal medicines for 48 hours before taking the smear as
these may wash away or conceal abnormal cells.
Remind the clients of the optimal timing for a good cervical