I’d just like to correct a common misunderstanding. Cervical smears do not collect cells from the lining of the womb.
The procedure to collect uterine tissue is a hysteroscopy. I suffered an agonising outpatient hysteroscopy without sedation, anaesthetic or pain relief some time ago. It should never have been an option in my case but the gynaecologist just went ahead, collected a biopsy and removed a large fibroid, piece by agonising piece, with a rotating blade. Because of this I am no longer able to have smears. Any future procedures will need to be carried out under general anaesthetic.
Lack of public toilets in towns.