Key points
- It is available to everyone eligible for screening, aged 25 to 74.
- No speculum is needed. The swab goes only a short way into the vagina.
- The sample is tested for HPV. If HPV is found, you may need a clinician to take a cell sample.
- If HPV is not found, your next test is usually due in 5 years.
- It can also be used for some follow-up tests, including Test of Cure.
How to collect your sample
Your healthcare provider will give you the swab and instructions. You collect the sample in private, usually in a bathroom or behind a screen at the clinic. Always follow the instructions that come with the swab.
- Get ready. Wash and dry your hands. Undress from the waist down and get comfortable, for example standing with one foot raised, squatting or lying down.
- Insert the swab. Hold the handle and gently insert the soft tip about 4 to 6 cm into your vagina.
- Rotate it. Gently turn the swab for 10 to 30 seconds. It does not need to reach the cervix.
- Return it. Remove the swab, place it back in its tube, close the lid and hand it to your provider.
When a clinician sample is better
- You have symptoms such as bleeding after sex, between periods or after menopause, unusual discharge or pain. These need an examination.
- You are being followed up after treatment for adenocarcinoma in situ (AIS), which needs a cell test.
- You have been asked to return for a cell test after HPV was found.
Your results
HPV not found
Low risk. Your next test is usually due in 5 years. If you are having follow-up tests, such as Test of Cure, you may need another test sooner.
HPV 16 or 18 found
Referral for colposcopy. A cell sample is taken at the colposcopy.
Other HPV found
Return so that a clinician can take a cell sample from your cervix, ideally within about 6 weeks.
A self-collected sample cannot be checked for cells. This is why a cell sample is needed if HPV is found. See Understanding your cervical screening results.
Common questions
Does it hurt?
Most people find it quick and comfortable. It is similar to inserting a tampon.
What if I do it wrong?
It is hard to get wrong. If the sample cannot be tested, you will be asked to repeat it.
Can I do it while pregnant?
Yes. Self-collection is suitable during pregnancy.
Does it test for other infections?
No. It tests only for HPV. Ask me or your GP if you would like a sexual health check.
Can I do it at home?
Usually it is done in private at the clinic. Doing it at home is usually fine, but please check with me first.
Can I do it during my period?
Yes. You can do it at any time in your cycle. Very heavy bleeding can affect the result, so some people prefer to wait until it has eased.
Does a doctor or nurse need to be in the room?
No. You do it in private. You can ask for help at any time, and they can help you with the swab without a speculum.
I have had the HPV vaccine. Do I still need screening?
Yes. The vaccine does not protect against every type of HPV that can cause cancer.
Questions to ask your doctor
- Is self-collection suitable for me?
- What happens if HPV is found?
- When is my next test due?
When to seek help
Self-collection is for people without symptoms. If you have bleeding after sex, between periods or after menopause, or ongoing unusual discharge or pelvic pain, please see your GP or contact the rooms for an examination.
Who to call
- Rooms
- 03 8400 6193 — appointments and non-urgent questions, business hours
- Urgent, after hours
- Dr James Aridas, 0459 706 061 — urgent gynaecology concerns, and pregnancy concerns before 20 weeks
- From 20 weeks pregnant
- The birth suite at your booked hospital: Epworth Freemasons 03 9483 3833 · Cabrini Malvern 03 9508 6000 · Jessie McPherson 03 9594 2776
- Emergency
- Call 000 or go to your nearest emergency department