DIY Cervical Cancer Tests Poised for Launch in Ireland

UPDATE: DIY cervical cancer tests are set to roll out in Ireland, following successful trials in the UK. Leading gynaecologist Ruaidhrí McVey confirmed to Extra.ie that these ‘do it yourself’ screening tests are gaining traction, offering women an alternative to traditional clinical procedures.

The UK’s NHS has reported positive feedback from clients and healthcare professionals alike, showcasing the potential for home tests to increase screening participation. Currently, women in Ireland undergo testing for human papillomavirus (HPV) only within clinical settings, as part of the Health Service Executive’s cervical screening programme. However, the introduction of home tests represents a “great opportunity” for women who may avoid primary care for various reasons.

McVey explained how the home tests work: “Women can take a self-smear, send it off in a postage-paid envelope, and receive their results without needing a speculum exam.” This could significantly improve access for those hesitant about clinical visits.

Despite the promising advantages, McVey noted that the proportion of women preferring home tests may be relatively small. Still, he emphasized their importance for those who typically do not attend primary care appointments.

Notably, the home cervical tests will not screen for all gynaecological cancers. The Irish Network for Gynaecological Oncology (INGO) states that nearly one in three women erroneously believe these tests cover cancers such as vulval, vaginal, and ovarian. McVey clarified, “Vulvar and vaginal cancers are considered rare compared to endometrial and cervical cancers.”

In Ireland, approximately 350 to 400 cases of cervical cancer are diagnosed each year, with a slightly lower number for ovarian cancer. While awareness of cervical cancer is high, there is less recognition of endometrial cancer, which often affects women over the age of 50.

McVey warned, “Any new, persistent, or progressive symptom, particularly bleeding after menopause, warrants investigation.” He urged women not to rely solely on cervical screenings, as they only detect cell changes caused by HPV, not other types of cancer.

The INGO’s research highlights alarming barriers to seeking medical help, revealing that one in seven women delay or avoid doctor visits due to embarrassment, and one in five hesitate to discuss symptoms with their GP’s receptionist. These hesitations can lead to life-threatening consequences, as nearly 2,000 women are diagnosed with gynaecological cancers in Ireland annually.

McVey reassured women that primary care centres are well-equipped, noting, “Most general practitioners have a female GP specialized in women’s health.” He encourages women to have conversations about their health, stating that while intimate examinations can be daunting, alternatives like ultrasounds are available.

With the launch of DIY cervical tests on the horizon, women in Ireland may soon gain a more accessible option for essential health screenings. As developments unfold, the health community urges women to stay informed and proactive about their health choices.