By Annabel Rackham
BBC News
"I got my cervical screening missive successful November and I've been putting it disconnected due to the fact that I don't privation to bash it - I don't deliberation immoderate miss truly wants it done to them."
Elena Coley Perez is 26 and owed to person her archetypal cervical screening - oregon smear trial - that examines the opening to your womb from your vagina.
Screening invites are sent to women aged betwixt 25 and 64, but immoderate bash not instrumentality up the offer.
NHS records amusement 4.6 cardinal women - oregon 30% of those who are eligible - person ne'er been screened for cervical crab oregon are not up to day with their tests.
Women are sometimes excessively embarrassed to travel guardant oregon enactment it disconnected due to the fact that they are anxious, surveys person found.
Struggling to publication their tests owed to GP backlogs volition not assistance the situation, accidental charities.
Elena has told the BBC she was already disquieted astir having a smear test, and the trouble she experienced successful booking 1 enactment her disconnected adjacent more.
"I got different missive successful December truthful I went to publication online due to the fact that with my section GP you person to spell done this long-winded form," she said.
"I typed successful cervical screening and thing was coming up, truthful I ended up waiting 35 minutes connected the telephone to beryllium told they had nary appointments for the remainder of the twelvemonth and to telephone backmost successful the caller year."
Elena past tried again successful January and was told determination was nary availability.
"At this constituent I was like, 'what's the point?' - you're trying to bash thing that tin hopefully forestall you from getting crab and you get to the doctor's country and you conscionable get a 'no' - it's truly off-putting," she says.
"This is my archetypal smear and it's daunting capable arsenic it is, due to the fact that the missive doesn't truly explicate [what I'm going to person done]".
Administered by a caregiver oregon GP, the trial involves taking a tiny illustration of cells from the cervix to cheque for definite types of quality papillomavirus (HPV) infections.
High-risk types of HPV tin origin abnormal insubstantial maturation which tin pb to cancer.
Elena yet managed to publication a cancellation assignment aft her 3rd effort astatine trying.
Nicky Bennett, a 42-year-old objective trainer, has besides had the aforesaid acquisition arsenic Elena erstwhile trying to publication a regular smear test.
"I had my reminder missive successful October 2022 and tried to publication successful the country erstwhile I went successful for a vaccine," she said.
"At the reception table they said I would person to ringing up and couldn't archer maine erstwhile the adjacent disposable assignment was. That's truly hard due to the fact that I question circular the state truthful I'm not disposable to conscionable bash that."
Nicky was inactive trying to publication her assignment erstwhile she spoke to america and said she spent the greeting connected clasp to her doctors for much than an hr and a quarter.
"You springiness up and that's portion of the occupation - you cognize you request it done but past erstwhile you're astatine enactment and you can't get done and you conscionable hold it," she said.
"And with thing similar a smear trial - no-one wants to unreserved to person that done."
The BBC enactment the difficulties these women had faced to the Department of Health and Social Care, which said it was "taking action" to amended the concern for those who needed smear tests.
"We are expanding the fig of settings for screenings, opening up 24/7 laboratory screening truthful radical get results faster, arsenic good arsenic making appointments disposable during evening," a spokesperson said.
An NHS spokesperson told the BBC it had carried retired "3.5 cardinal cervical screening appointments successful 2021/22, an summation of 9.4% since earlier the pandemic, and a grounds fig of radical person been invited for screening successful the past year".
The foundation Jo's Cervical Cancer Trust says fractional of each cervical cancers hap successful women who person ne'er been screened oregon are not up-to-date with screening.
Its main executive, Samantha Dixon, has told the BBC: "If captious appointments similar cervical screening go harder to entree determination is the precise existent imaginable that women could springiness up oregon beryllium enactment disconnected attending.
"Screening tin already beryllium hard to attend, for illustration owed to past trauma oregon fears, and we should beryllium making it easier to entree not adding caller challenges.
"Through screening and the HPV vaccination we tin destruct cervical cancer, but that time volition get further distant if screening uptake falls."