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Cervical Screening Programme | Southern | Te Whatu Ora

Public Service, Obstetrics and Gynaecology

What to expect with your choice of screening

Doing an HPV swab (self-test)

The vaginal swab is an easy way for most people to collect their screening sample. It is quick and should not be uncomfortable. 

If you prefer, your healthcare provider can help you with your swab test. 

If you choose to do a self-test you will be given a kit with the following detailed instructions. 

Step 1 - Wash your hands with soap and water and dry them thoroughly. 
Step 2 - In a private space, find a comfortable position to take your sample. You may like to sit, stand, lie down or squat. If you cannot find a position that works for you, ask your healthcare provider for help. 
Step 3 - Take the tube containing the swab out of the bag and remove the swab stick. You may need to hold and twist the cap to break the paper seal. Try not to touch the swab tip either with your fingers or against any surface. 
Step 4 - Holding the swab stick about halfway down, use your free hand to open your vagina and gently insert the tip of the swab about 4-5cm (about the length of you thumb, similar to inserting a tampon). 
Step 5 - Rotate the swab 4 times for about 20 seconds, gently touching the sides of the vagina, then remove. Put the swab back into the tube. 
Step 6 - Dispose of any leftover materials in the rubbish bin, then wash your hands with soap and water and dry them thoroughly. 
Step 7 - Place the completed sample and form back into the bag, seal it and give it back to your healthcare provider who will send it for testing. 

If you make a mistake 

It is very unlikely you will get anything wrong. 

It is ok to continue with the test if you:  
have touched the swab tip with your fingers (though it is best to avoid this)
have inserted the swab into your vagina but are unsure if you have inserted it far enough

If you drop your swab let your healthcare provider know and ask them for a replacement. 

Cervical Sample 

A cervical sample can only be taken by a trained health professional. The sample is taken from your cervix. The test is usually done in a clinic or health centre, but some healthcare providers may offer other locations, such as community settings or mobile units. 

Cervical Sample tests only take about 10 minutes.

It is best to avoid having your test during your period (menstruation).

Here’s how it usually works.

  1. Discuss what is going to happen with the person taking your smear, and make sure they have explained it clearly.
  2. You can lie on your side or your back (whichever is more comfortable) with your knees bent up. Let the smear taker know your preference.
  3. It’s up to you how modest you want to be – cover up with the sheet provided if it feels better.
  4. They will open your vagina gently with a plastic or metal speculum.
  5. They use a small, soft brush to take a small sample of cells from the surface of your cervix.
  6. Once that's done, you can get dressed.
  7. They’ll confirm how you will receive your results.
  8. Your test sample is sent to a laboratory, and checked for any cell changes.
  9. Your results will be sent to your smear taker after a couple of weeks.
  10. Further tests or treatment will be arranged if your results require it.

 

You may find it a little bit uncomfortable, but if you feel pain or discomfort at any time let the person taking your smear know straight away.

If this is a follow-up test after HPV has already been found in a vaginal swab test, your cervical sample will be used to check for cell changes. 

If you have not had an HPV swab test, the cervical sample will first be tested for HPV. Only if the virus is found will the sample then also be checked for cell changes. 

For more information visit www.timetoscreen.nz or call us on 0800 729 729

This page was last updated at 8:46AM on February 14, 2024.