I am so glad I found this site!. Both my daughter and I had an appointment at the surgery today for smear tests. Cancer runs in the family so we didn't want to not have the tests. My daughter is ASexual so has never had sex (sex repulsed) and also suffers from autism and anxiety. The nurse tried to do her test but was unable to due the extreme pain. This was her first smear test. She is getting referred to the hospital to see if they are able to get a smear.  My daughter told me that if every attempt was going to be that painful she doesn't want one. The one thing that really annoyed us is that the nurse asked her if she has had sex and my daughter said no and the nurse said "awwww" as if to say 'what a shame'. Medical professionals need to be more considerate that not all people want sex, or cannot have sex. LGBTQ+ people do exist and people need to recognise this. I am 52 and I have had a few smears, but this was the first extremely painful one. The nurse didn't use any lube at all and it was agony.  I am considering writing to the surgery regarding LGBTQ+ as something needs to be said.