Smear test results: what to expect and calming anxiety while waiting

Results from any kind of medical tests can be nerve-wracking, especially if you've read up on why you need them in the first place. However, like most routine checks, smear tests are a form of precaution and help doctors catch any potential issues early so that you can receive treatment or medical advice (if you need it) straight away. Let's start by going through what the smear test is and what you can expect from the waiting period between your test and the results.

There are usually three main types of results you can expect from your smear test:^[3]

Normal test results (HPV negative)

This result means that no abnormal cells were found in your cervix, which is great news! Each test result has a few different names. For this one, it can be called HPV negative, normal, negative for intraepithelial lesion (an area of abnormal growth on your cervix), or negative malignancy (no uncontrolled growth of cells). In this case, you'll be asked back for your next smear test in 3-5 years.

Inconclusive or unsatisfactory results

An inconclusive or unsatisfactory result can mean that the sample taken during the test might not include enough cervical cells to test. This result can also happen when cells are clumped together, or hidden by blood or mucus. But don't worry, this result does not mean there is something wrong, just that the test hasn't collected enough cells. All that happens now is that your doctor will ask you back in 2-3 months to do the test again. This might feel a bit deflating, especially if you've been nervous throughout the process, but just remember it's important to check everything is okay.

Abnormal results (HPV positive)

We know this can be a daunting title, but it's important to know the correct terms so you can understand your results properly. Remember, an abnormal result does not always mean cancer, so try not to think that straight away. Your doctor will help you understand what the result means and the next steps they will need to take. Abnormal results in your cervical sample means that HPV cells have been found in your cervix or that cells have changed. This result can be broken down into two outcomes:

HPV found with no cell changes

This means that potential high-risk strains of HPV have been found in your cell sample, but there are no changes to your cells. If this is your result, your doctor will ask you to come back in a year's time for another smear test. This will give your body a chance to get rid of the HPV on its own. Although this result might feel a little worrying, you can be assured that your doctor will send you for further tests if they are needed. If not, your next smear test in a year is just to double-check that these cells still haven't changed.

HPV found and cell changes

This result means that high-risk human papillomavirus (HPV) strains have been found in your cell sample, or that there are changes in your cervical cells. In this case, your doctor will send you for some follow-up tests. This result doesn't mean that you have cancer. There are lots of types of abnormal and changing cells, and further testing will let your doctor know if you need treatment and what you need. In most cases, you'll be sent for a colposcopy at a specialist clinic (a procedure that uses a speculum and microscope to get a better look at your cervix).

The wait for your results can be anxiety-inducing, especially if you've never had a smear test before and aren't sure what to expect. Luckily, we have some guidance on how you can try and stay calm in the time between your test and results.

Keeping busy with positive distractions

You are more likely to dwell on the outcome of your results if you are alone and sitting at home. Your usual routine and some positive distractions can help you focus on other things if you are anxiously waiting for your smear test result. Here are a few things we recommend for shifting your focus onto things you enjoy, to keep your anxiety at bay: 

• Focus on your favourite hobbies or activities. Think about what makes you the most relaxed and at ease, like walking, reading, painting, or just winding down in a comfy chair. 
• Try journaling. For some of us, writing down our worries helps our anxiety. Journaling can be a great way to release stress and rationalise your thoughts. You could even make a list of your worries to chat with your doctor about.

Taking care of your physical and mental health

If you're worried about your smear test results, you may feel a slight lack of motivation. However, it's super important not to neglect your health at this time, as eating well and exercising can actually make you feel better. Exercise is also a great way to reduce stress and anxiety. It releases 'feel-good' endorphins (endorphins are natural brain chemicals that can improve your sense of wellbeing) and can help take your mind off your worries.^[4]

Avoid the “what if” spiral?

When you’re worried about the outcome of a medical test, it’s easy to imagine worst-case scenarios and get stuck in a loop of “what ifs.” You might feel tempted to search the internet for possible results, but this can actually increase anxiety, especially if you’re reading information that isn’t relevant to your situation. It's much more helpful to get informed by your doctor or a healthcare professional who can provide the guidance and reassurance you need. They’re there to answer your questions, address your concerns, and give you clear, accurate information, helping you avoid unnecessary worry while you wait.