Your cervical screening questions answered

Over the years, we’ve seen many Clue members share concerns about cervical screenings on social channels—fears about pain, embarrassment, and not knowing where to go. So this Cervical Cancer Awareness Month, we’re addressing those concerns head-on and sharing real experiences from the Clue Community to help demystify the screening process.

Cervical screenings, like Pap smears and HPV tests, catch issues early, prevent cervical cancer, and save lives. Globally, cervical cancer remains the fourth most common cancer in women. Over half of cervical cancer cases in the U.S. occur in those who’ve never been screened, highlighting the power of regular screenings (1).

We surveyed over 7,800 Clue members globally to better understand what shapes different experiences with cervical screenings—what encourages some of you to go regularly, and what still holds others back. Could self-collection tests change how we detect cervical cancer early? What if more knowledge and trust made prevention accessible to everyone? Can normalizing open, honest conversations about screenings reduce fear and stigma?

Here’s what we learned from your responses:

Fear and anxiety around cervical screenings

• 31% of those aged 26 and over who haven’t had a cervical screening said it’s because they are too scared to.

“I feel like I'm about to get a genuine anxiety attack even thinking about the procedure.” (27, Ireland)

“Women's comfort is less than an afterthought in healthcare, so I don't trust that even my female doctor would be able to do it empathetically. I am a virgin so I can't see this procedure not being extremely uncomfortable.” (30, Canada)

“I feel nervous and embarrassed about the procedure. I don’t know whether it hurts or not, and I’ve never had anyone see me down there.” (23, Lebanon) 

Reasons for not getting screened 

• 13% of respondents aged 26 and over* haven’t gone for a cervical screening. 

*Although guidelines vary around the world, the majority of countries surveyed recommend beginning cervical screening by the age of 25. 

The top four reasons for not getting screened are:

• I did not think I needed to: 32%

• I was too scared of the procedure: 31%

• I would feel too embarrassed: 22%

• I don't know where to go: 20%

Screenings may be uncomfortable, but not as painful as you think

• 32% of all respondents reported experiencing no pain during their most recent cervical screening—which is double the percentage that experienced no pain during their first screening.

“I don't remember feeling any discomfort as I did the first time and it definitely wasn't painful.” (31, UK)

“I think people see that instrument and think it will hurt, but it’s more cold than anything.” (36, Canada) 

“Discomfort due to the speculum and due to my doctor having a hard time finding my cervix due to the angle of the speculum.” (27, Canada)

• Around 40% of respondents reported no pain, just some discomfort, during both their first and most recent cervical screenings.

“Being older and more familiar with my bodily responses, it has become easier to remain relaxed and not tense in the procedure. While it's still uncomfortable, I can relax so that it is not painful.” (31, Australia)

“Women’s health is underrated and so much goes on undetected. To have peace of mind for a small amount of discomfort is worth it.” (36, Australia)

“Normally I'm nervous and the speculum is really uncomfortable. Last time I went I had a very sweet calming nurse and had no pain.” (35, UK)

Preparedness and understanding

• 1 in 3 respondents felt (somewhat) unprepared and uninformed during their first cervical screening because they didn't know what to expect. 

“I know that a pap smear is important for screening for cancer, but I’ve never had it explained to me.” (22, USA)

They do get easier (and less intimidating) 

• 71% of respondents aged 26 and over have had multiple screenings.

• Only 10% of all participants who’ve been screened multiple times reported a negative experience at their most recent one.

“The nurse was nice and it didn't hurt at all this time. It felt uncomfortable after but so much better than the first time!” (28, UK)

“My doctor explained everything to me and the test itself was a little awkward but it was all over pretty quickly and I went about my day.” (22, USA)

“The speculum is genuinely uncomfortable, but doesn't last long. Not too bad for every 5 years I'd say.” (27, South Africa)

Could self-collection HPV tests be a reliable alternative for screening? 

Human Papillomavirus (HPV) is a very common sexually transmitted infection that most people will get at some point. More than 8 in 10 women and 9 in 10 men will have it in their lifetime (2). Two types of HPV (HPV 16 and HPV 18) cause 70% of cervical cancers worldwide (3).

How does the Clue community feel about self-collection HPV tests?

• 51% of respondents said they would consider using a self-collection HPV test if they had the option.

• However, 60% expressed concern about trusting the results.

Studies show self-collection is as reliable as clinician-collected when done correctly (4,5). 

• The process is simple, requiring no special skills. 

• Self-collected samples do not need to reach the cervix—the samples needed to test for HPV are taken from the vagina. 

• The swab is similar in size to that found in a Covid test, or even a tampon, so it is much less intimidating than a speculum, or even a tampon.

We understand that cervical screenings can feel daunting, and we hope these insights from the Clue community help reassure you that you're not alone. Routine screenings tend to get easier with each one, and for just a few minutes of discomfort, they are incredibly important. 

Knowledge is key—if the thought of a Pap smear or HPV test feels overwhelming, don’t hesitate to speak with your healthcare provider. They can offer guidance and solutions to make the experience more manageable for you.

LIMITATIONS/DISCLAIMER:

Cervical screening recommendations vary by country, with the age to begin testing ranging from 20 to 30. The majority of countries surveyed recommend starting by age 25. This discrepancy may influence people's responses, particularly regarding the timing of their first screening or the reasons they haven’t had a test yet. Another factor that can influence responses is whether respondents are sexually active, which was not a question in this survey.