If you have already been invited but have not been able to attend, you can still book an appointment with your GP. You do not need to wait until your next letter. 

Lichen sclerosus is a chronic inflammatory skin condition. It can affect any part of the body but most often on the genitals. For some, lichen sclerosus won’t cause any issues when going for cervical screening. For others cervical screening may be a bit painful. This can be from scar tissue around the vulva and vaginal opening. Applying vaginal moisturisers for three weeks before your appointment can help. As well as using the smallest speculum suitable for you. You can also try book a double appointment. This will give you more time to talk through your needs, risks and options.

Vaginal atrophy causes the walls of the vagina to become thinner, dry and inflamed. This is from a lack of oestrogen. It can affect people at any age but is most common after menopause. Vaginal atrophy can be treated with over-the-counter vaginal lubricants, moisturisers (different from a lubricant) and doctors may prescribe an oestrogen-based cream for the vagina. Tell your doctor you have vaginal atrophy at the start of your appointment. There are things they can do to help make it easier. Such as using the smallest speculum size suitable for you.