Cervical Screening & LGBTQIA+ Health: What You Need to Know

Earlier this year, I had the opportunity to assist with a self-swab cervical screening project at Sydney Mardi Gras 2025. It was a powerful and eye-opening experience, not just because of the amazing community engagement, but because so many people told us the same things:

“I didn’t know I was eligible.” “I thought I didn’t need one because I’m queer.” “I’ve been putting it off for years because I was scared or ashamed.”

That day made something clear: myths and stigma are keeping too many LGBTQIA+ people from getting the care they deserve. So let’s talk about what cervical screening really means for our communities and how we can reclaim it as an act of self-care and empowerment.

Let’s be honest, navigating the healthcare system as an LGBTQIA+ person can be frustrating, confusing, and sometimes even painful. When it comes to cervical screening, a lot of us have been left out of the conversation entirely. Whether you're a lesbian, bisexual woman, queer person, trans man, or non-binary person with a cervix, you deserve safe, respectful, and inclusive care. That includes access to cervical screening. So let’s break the silence, bust some myths, and talk about what cervical screening really means for our communities.

"Do I Even Need This?" Let’s Talk About the Myths

One of the most common (and harmful) myths out there is that only straight women need cervical screening.

The truth? HPV the virus that causes most cervical cancers can be passed through any kind of genital skin-to-skin contact, not just heterosexual sex. This means:

• Queer women and non-binary folks are still at risk

• Trans men who have a cervix still need screening

• You don’t have to be sexually active right now to be at risk

• No penis required!

If you have a cervix and are aged 25 to 74, you should be getting a cervical screening test every five years, or more often if recommended by your healthcare provider.

Why LGBTQIA+ Folks Avoid Screening and Why It Matters

Let’s be real: cervical screening isn’t always easy, and it’s even harder when:

• You’ve been misgendered or made to feel unwelcome in a clinic

• You’re unsure if your provider understands your body or identity

• You’ve experienced dysphoria, trauma, or painful exams in the past

These barriers are valid and they’re why so many people in our communities skip or delay cervical screening. But skipping it can mean missing early signs of changes that could lead to cervical cancer. You deserve care that feels safe, affirming, and comfortable.

Special Considerations for Trans and Non-Binary People

If you're taking testosterone, you may notice changes like vaginal dryness or tighter tissues. This can make cervical screening more uncomfortable but there are ways to make it easier.

You can ask your healthcare provider about:

• Using extra lubrication

• Taking pain relief beforehand

• Topical oestrogen to reduce dryness

• Trauma-informed care or longer appointment times

You also have the right to:

• Bring a support person

• Pause or stop the procedure at any time

• Request a specific gender of provider (where available)

Don’t be afraid to speak up. Your comfort and consent come first.

What Affirming Care Looks Like

A good healthcare provider should:

• Use your correct name and pronouns

• Ask inclusive questions about your sexual history (or not assume at all)

• Explain the procedure clearly and check in with you throughout

• Be open to feedback about what you need to feel safe

You don’t need to tolerate care that feels dismissive or judgmental. If something feels off it’s okay to try a different clinic or provider.

You Deserve This Care

Cervical screening can save lives, but it only works if we’re part of the system. The more we talk about it, the more we challenge the idea that these procedures are only for certain kinds of people. You are valid. Your body deserves respect. Your health matters.

Quick Tips for a More Comfortable Screening:

• Wear comfy clothes for easy changing

• Let the clinic know ahead of time if you have any concerns

• Ask for a longer appointment so you don’t feel rushed

• Bring a trusted friend or support person

• Choose a queer-friendly or LGBTQIA+ inclusive clinic if possible

Final Thought

Cervical screening isn't always easy but it shouldn’t be traumatic. With the right support, it can be just another part of your regular self-care.

Don’t let bad past experiences or misinformation stop you from getting the care you deserve. You’re not alone in this and there are people, clinics, and community orgs out there who’ve got your back.

If you’re unsure where to start, reach out to your local LGBTQIA+ health service or peer support network. We’re in this together.

Cervixes come in all kinds of bodies and every one of them deserves care.

Resources

• TransHub – Cervix Care for Trans People

• ACON – LGBTQ+ Cervical Screening Info

• Cancer Council Australia – Cervical Screening

• 1800 My Options (Victoria) – Find Inclusive Clinics

If you’re unsure where to start, reach out to your local LGBTQIA+ health service or peer support network. We’re in this together. Cervixes come in all kinds of bodies and every one of them deserves care.

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The information provided in this blog post is intended for general educational purposes only and does not constitute professional medical advice, diagnosis, or treatment. While I am a registered health practitioner, this content is not a substitute for consultation with a qualified healthcare professional who can consider your individual circumstances.

This blog reflects my personal views and professional experiences and does not represent the views of my employer or any affiliated organisations.

In line with AHPRA guidelines, no testimonials are included, and this blog post is not intended to advertise or promote specific services or treatments.