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Smear tests, a few things you may not have known….

So I read the bit on Beaut.ie about smear test this morning, but found it a little light on info, so rather then complain about it I decided to write my own bit. Here goes.

Why do we need smear tests?
Well our bodies keep replacing our cells, it’s part of what it does and some parts of the body do that replacement more then others, our skin replaces it’s selfa lot. The cells which make up our cervix’s (neck/entrance of the womb) get replaced fairly frequently. When this happens there is a chance that they won’t copy themselves properly due to a few things and if that is left unchecked it can be an issue.

What few things?
Being on hormonal contraception is a factor and so is being sexually active, but even women who aren’t in a sexual relationship or haven’t been for a while should get a smear test, yes even nuns need them.

So to be able to get a sample of cells from our cervix, the person doing your smear test as to be able to see it and what is were speculum come in. Yes that weird contraption which looks like a duck beak.

Did you know they come in a range of sizes?
They do, there are at least 3 sizes and there are ones which have different curve on them as well.
Too many women put up with pain when having a smear test when at the most it should be no more then uncomfortable. Also there are now plastic speculum which are more comfortable then the unyeilding metal ones.

When you are having your next smear test done ladies, talk to the Dr or practice nurse about the speculum, let’s face it, if you are going to be on intimate terms with one, it’s best that it’s one which fits and knowing which one is best for you makes it easier. My practice nurse does my smears and it’s marked on my file which one is to be used and if I ever need to go else were or another member of staff as to give me a smear I know what one fits best.

Ok lets talk about lube.
Lube should always be used when a speculum is being inserted, often a coating of lube will be applied out your sight, but some of it will remain inside you after the speculum is removed and well, what goes in will come out. So if you are going for a smear, bring a panty liner to put on afterwards.
Also, there is such a thing as too much lube. Too much lube on a speculum will have it shifting about inside you unable to do it’s job (which is to hold open the walls of your vagina), if you feel the speculum sliding to much say it to the person doing your smear.

We shouldn’t be just laying back and not being involved, not asking questions, esp when it’s something so intimate as a smear test. Health professionals need our consent and as ever informed consent is the best kind. There is also the model of smear taking which involves ladies inserting the speculum ourselves. Slipping it in as comfortable as we can and then calling in the health professional to open it up and get to work. Seriously if this may work better for you then talk to your dr or nurse about it.

In other countries having a smear test includes a general exam of the area, that is not always the case here but you can bring up any concerns you have, or bumps you want looked at. Part of the procedure also these days includes a swab for Chlamydia, which makes sense as it’s the most common sti,
easily treatable but some women can have it and have no symptoms so it was added to what happens when you have a smear test done.

Post smear cramping.
Some women get it, some do not, I know someone who does and so makes her appointments for late afternoon so she can go home to a hot water bottle, having a post smear plan to unwind and treat yourself after can make it all go easier.

The fear of an abnormal smear.
There is a history in my family re issues with abnormal smears, but I had never had one until the last year. I had my first smear near 20 years go, have always kept up having them and then got the dreaded letter. I have to admit I did get a bit freaked but when I rang my practice nurse she explained that they detection methods have gotten better so that looking at my results they were only slightly abnormal and with that she just booked me a repeat smear in 6 months. The next result was normal.

If you get an abnormal result, there’s no reason to panic, even if you get a second one it’s not a big deal and even if you do need treatment there is a series of steps which get taken long before the word cancer ever has to be uttered. That is the thing about smear tests, they are an awesome early warning system, which is why they are so important.

Unfortunately it’s been one of those things which for so long we didn’t talk about, we didn’t share the tips and tricks which can make it easier.

If you want more information or to sign up to the Cervical Check program which offers free smear tests to women over the age of 25 (I think 25 is too late tbh, if you are sexually active you should have it done) or to find how to find a health professional if your own Dr doesn’t do them then the website is
http://www.cervicalcheck.ie/

Nevada Lawmaker Receives Death Threats After Talking About Her Abortion

pNevada, which has one of the highest rates of unintended teen pregnancy in the nation, is considering updating its abstinence-only education policy to require more comprehensive sexual health instruction in public schools. This week, in a debate over that proposed legislation, Nevada Assemblywomen Lucy Flores (D) testified in favor of the bill, sharing her own story about the consequences of inadequate sex ed — all of her sisters became teenage mothers, and Flores herself decided to have an abortion when she became pregnant at 16.[…]/p

via Nevada Lawmaker Receives Death Threats After Talking About Her Abortion.

There has been a lot of press interest on the topic of abortion in Ireland and journalists of many types wanting to speak to Irish women who have had an abortion, they seem surprised when we don’t come forward to talk to them.

I don’t find it surprising at all, due to the shaming and the stigma and people know your business. I know it’s important but it’s still so very hard to do.

When a woman is brave enough like Lucy Flores gets treated in such a vile manner it makes it even harder.

The 8th amendment needs to be repealed for the sake of the health and lives of women.

http://www.irishtimes.com/news/health/savita-halappanavar-death-report-finds-foetus-not-mother-was-main-focus-1.1345890

The Health Service Executive report on the death last year at Galway University Hospital of Savita Halappanavar has found there was an overemphasis by hospital staff on the welfare of Ms Halappanavar’s unviable foetus and an underemphasis on her deteriorating health.

The final draft report says: “The investigating team considers there was an apparent overemphasis on the need not to intervene until the foetal heart stopped, together with an underemphasis on the need to focus an appropriate attention on monitoring for and managing the risk of infection and sepsis in the mother.”

Miscarriage management in this country is based on catholic dogma, which was wedged into our constitution in 1983. If a woman is miscarrying and it is unavoidable and the fetus will not survive, they do not intervene if there is a fetal heartbeat, unless the life of the woman is in imminent danger.

Never mind her physical, mental or emotional heath. She will be left to miscarry (often with out pain relief which may effect the dying fetus and be said to hasten the miscarriage) until her life is at risk or the fetal heart beat stops. In other countries once it is found that the miscarriage is un avoidable and the fetus will not survive women are offered to have the pregnancy ended rather then put them at further risk to their health.

If we had the same model if miscarriage management as other western countries, no woman would be left to suffer and miscarry in such a cruel fashion. X Case legislation will not deal with the risks to the health of women only risk to the life of women in the cases of suicide. The 8th amendment needs to be repealed for the sake of the health and lives of women.