Trigger / content warning: mention of child sexual abuse and rape
This post is inspired by a recent video blog by my friend and fellow mental health blogger Aimee Wilson. The twelve minute video is titled “Come along with a CSA survivor to a smear planning appointment with Northumbria NHS Gynae.” As well as showcasing the video itself, I want to share my response to it and why I feel this is such an important topic.
What’s it About?
Here’s what the vlog is about in Aimee’s own words.
Being a CSA [child sexual abuse] survivor, I have had to meet with Gynae to discuss having my smear test under a general anaesthetic. I filmed this vlog to provide advice and empathy to other survivors and to bring insight to those who judge people for struggling with this procedure. Don’t judge a person’s journey when you haven’t walked in their shoes!
It’s characteristic of Aimee to share her lived experience in the hope it might inform and help other people. To note, the video covers Aimee’s appointment to discuss options for her upcoming cervical screening, not the screening itself.
The vlog is available in full on YouTube and in five parts on Instagram (part 1 | part 2 | part 3 | part 4 | part 5). Note that the first thirty seconds are silent.
What’s a Smear Test?
For anyone unfamiliar with the procedure or the terminology, the following description of cervical screening (smear tests) is taken from the NHS website.
Cervical screening, which used to be called smear test, is a test to check the health of the cervix and help prevent cervical cancer. It’s offered [in the UK] to women and people with a cervix aged 25 to 64.
The website includes further detailed information about what cervical screening is, why it’s important, when someone will be invited for a screening test, how to book a test, what happens at the screening appointment, the results, and further help and support.
What Did I Think of the Video?
I was part way through watching Aimee’s vlog when she messaged me to ask how my day was going.
A: Are you home yet?
M: Just on my way now. I’m listening to your YouTube. About your gynae appointment.
A: Oooooo thank you!!
M: Aimee, it’s one of the best, most important things you’ve ever done. And that’s saying a lot!
A: Wowwww thank you so so so much! That’s such an incredible comment! Can I screenshot it and post? I’ll tag you obviously.
M: Yes of course!
True to her word, Aimee shared my comment shortly afterwards, saying that it had made her day. That’s a lovely thing to hear, but I was only saying what I believe to be true.
Why Is it So Important?
But why is this such an important topic? I posted the following comment Aimee’s video on YouTube.
This is such a great thing to do, and I know it will be of value to so many people. People in similar situations as yourself, but also people like me who have no first hand experience but want to understand and know how to support friends and loved ones. Thank you.
I know little about what it means to have survived rape or sexual abuse. The little I do know is thanks to people like Aimee who have trusted me sufficiently to share what they’ve lived through and how their lives have been impacted. That’s the most I can claim by way of experience, but at Aimee’s suggestion last year I wrote an article about being there for a friend who’s survived rape or sexual abuse. Aimee’s vlog adds considerably to my understanding.
What Does Aimee Talk About in her Video?
Aimee opens with a brief introduction and trigger / content warning. She explains the background to her situation including her past experience of sexual abuse and rape. This appointment is to meet with the gynae team at her local hospital to discuss her next cervical screening. As Aimee describes, she finds things like this very difficult. Her first cervical screening was conducted under general anaesthetic. “So this time I’m just going to discuss the idea of doing it in the same way.”
She makes clear her reasons for making the video. “I thought I would bring you guys along with me because I know it’s something that I’m not alone in, and I just wanted to show that there are options. And for anyone who doesn’t understand the issue I just want to show how difficult it can be and provide some insight into it.”
Aimee talks about her preparations for the appointment. She’s waiting for a taxi to arrive, which she booked to make sure she gets there in plenty of time, and to offset the anxiety and nervousness she knew she’d be feeling on the day.
“So a tip for people who might go through something like this [would be] consider your transport and think about anything that could come up before your appointment, and budget time so you’re not so stressed.”
Ironically, her taxi is late, so she’s worried she might not make her appointment in time. She rings ahead to let the hospital know she might be late.
The video continues with Aimee back home after the appointment. She describes how well it went, and how lovely all the staff were with her. The plan they agreed is for Aimee to try with sedation first, on the understanding that if that doesn’t work for her they will move straight away to a general anaesthetic.
“So I’ve got a plan I’m happy with. I’m glad that they listened to me, that I didn’t have to go into detail about my reasons, just sort of roughly explained [...] I felt very validated and supported for the appointment. So I like to think that other people could be treated that way as well. If you’re watching this [...] please think about your options and don’t be afraid to speak to professionals and to voice what you think would be helpful for you.”
Before she closes, Aimee talks about how there’s a lot of information and messaging on social media about how important cervical screenings are “and how people who don’t have theirs are sort of taking a risk and it’s not a wise decision.” She points out that no matter how well-meaning, this kind of messaging can come across as disrespectful and deaf to the needs of people such as her, for whom such procedures can be extremely traumatic. “That’s why it’s so important,” Aimee says, “to speak up and explain to someone and provide them with insight as to why someone might find a smear difficult.”
Aimee points out that it’s not only cervical screenings which can be difficult for her and other survivors of abuse, rape, and sexual assault. Other gynaecological procedures and examinations can be no less difficult. She closes by saying she intends to rest “and practice some self-soothing and some distraction with Netflix and stuff like that.”
My Key Takeaways
Everyone who watches Aimee’s video will get something different from it, depending on their level of understanding and personal experience. Here are a few of my key takeaways.
Plan ahead to reduce anxiety and stress as much as possible. This includes arranging transport, making sure you know where the appointment is to be held, and allowing plenty of time to get there.
Try not to stress if things go wrong on the day. “Don’t be afraid to ring if you are running late or if something comes up.”
Be clear about what you want from the appointment, but also be open to alternatives. Aimee wanted her scan to be done under general anaesthetic like last time, but agreed to try sedation first.
Plan for what you’ll do and how you might feel after the appointment, acknowledging that it’s a major thing you just did. Include options for self-care if you can.
Aimee didn’t mention this, but I’d suggesting having one or two trusted friends or family members on hand in case you find you need someone to talk to, or to offer support.
The biggest takeaway for me is what a huge difference it makes when someone’s experience and needs are treated with care and respect. Aimee was listened to and wasn’t put under pressure to explain or justify herself or her needs.
I’m immensely proud of my friend for making this video and for sharing so openly about such a sensitive and difficult topic. I’m sure it will be of help to many.
Aimee, thank you!
Further Reading and Resources
I’m NOT Disordered Help Directory
NHS Cervical Screening Information
Rape Crisis Tyneside and Northumberland Cervical Screening Information
Cervical Screening Information: Support for People Who Feel Anxious About Attending
The Impact of Trauma and Cervical Screening (Somerset and Avon Rape and Sexual Abuse)
About Aimee Wilson
You can find Aimee Wilson at her blog I’m NOT Disordered, on Instagram, and on Twitter/X.
Photos by Aimee Wilson.