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Cervical screening and HPV self-sampling

A cervical smear and a validated self-sampling kit can detect high-risk HPV before cervical cancer causes symptoms. A positive self-test always requires an agreed medical follow-up step; in the Dutch programme, a cervical smear follows to assess cervical cells. Screening is for people without symptoms and never replaces assessment of bleeding, unusual discharge or pelvic pain.

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A cervical smear and a validated self-sampling kit can detect high-risk HPV before cervical cancer causes symptoms. A positive self-test always requires an agreed medical follow-up step; in the Dutch programme, a cervical smear follows to assess cervical cells. Screening is for people without symptoms and never replaces assessment of bleeding, unusual discharge or pelvic pain.

  • HPV and early cell changes usually cause no symptoms; this is exactly why screening is offered.
  • Bleeding during or after sex, between periods or after menopause requires medical assessment, even after a normal screening test.
  • Read all instructions for the specific self-sampling kit and only use the supplied materials and specified submission or return procedure.
  • Check the name, expiry date and packaging, collect the sample as illustrated, close it correctly and submit or post it as instructed.
  • Make an appointment for bleeding after sex, between periods or after menopause, and do not wait for the next screening.
  • For urgent GP care outside normal opening hours, call HAP 9252. Call Ambulance 912 only for an immediately life-threatening situation.

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Further reading

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Cervical cancerCervical cancer develops in the lower part of the womb that opens into the vagina. Persistent infection with certain types of HPV is the main cause; screening can detect abnormal cells before they become cancer.
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Testing for prostate cancerA PSA test can detect prostate cancer early but can also cause false alarms and overdiagnosis. Testing without symptoms is therefore a personal choice after explanation of the chance of benefit, further tests and potential harm; symptoms such as inability to urinate, bone pain or bleeding require diagnostic assessment and are not ordinary screening.
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Testing for bowel cancerScreening can find bowel cancer or precancerous changes before symptoms develop. A stool test, colonoscopy or another test has benefits and drawbacks; you need to ask locally which programme is available in Curaçao.