Screenings for women
Participation in the screening is free for all insured and uninsured individuals who belong to the target group for the screening in the current year. Additionally, any further examinations and treatments identified during the screening are also free of charge.
Breast cancer screening
Breast cancer is the most common form of cancer both in Estonia and the world as a whole. About 800 primary cases of breast cancer are diagnosed each year and this number is on the rise.
Factors that increase the risk of breast cancer are:
genetic predisposition, excess weight, alcohol use, low physical activity, smaller number of births, higher age at the time of first childbirth, short period of breastfeeding, use of hormonal contraceptives, and hormone replacement therapy.
Why should you participate in the screening?
- Screening helps to detect the disease early and increases the chance of recovery.
- Free and easily accessible: in Estonia, breast cancer screening is free for women in the target group, including for the uninsured, and screening is performed in various health care facilities all over the country.
- By participating in the screening, you show that you care about your health.
- Screening is free for all insured and uninsured people who belong to the screening target group for a given year.
It is important to participate in the screening even if you do not have any signs or symptoms. If the disease is detected early, it is possible to fully recover.
See when you are invited to a breast cancer screening – www.sõeluuring.ee
How to participate in breast cancer screening?
You can participate in the screening in the following ways:
- Schedule an appointment in the Health Portal
- Phone a suitable health care facility and tell them that you wish to book a screening appointment:
• East Tallinn Central Hospital, Tallinn, Pärnu mnt 104, phone: 666 1900, 606 7684 (8 a.m.–5 p.m.)
• Mammograaf Rinnakliinik, Tallinn, Estonia pst 1/3, phone: 627 4222 (9 a.m.–5 p.m.)
• Mammograaf Kotka kliinik, Tallinn, Kotka 12, , phone: 627 4470 (9 a.m.–5 p.m.)
• North Estonia Medical Centre, Tallinn, J. Sütiste tee 19, phone: 6171049, 5300 6334 (8 a.m.–4 p.m.)
• Läänemaa Hospital, Haapsalu, Vaba 6, phone: 4725800 (8 a.m.–4 p.m.)
• Narva Hospital, Narva, Haigla 5, phone: 357 2737 (8 a.m.–4 p.m.)
• Pärnu Hospital, Pärnu, Ristiku 1, phone: 447 3561 (8 a.m.–4 p.m.)
• Ida-Viru Central Hospital, Kohtla-Järve, Ilmajaama tn 14, phone: 331 1711 (8 a.m.–4 p.m.)
• Tartu University Hospital, Tartu, Kvartali keskus, Riia 2, phone: 731 9411 (8 a.m.–4 p.m.)
• Tartu University Hospital, Tartu, L. Puusepa 8, phone: 731 9411 (8 a.m.–4 p.m.)
• Tallinna Eriarstikeskus, Tallinn, Linnamäe tee 3, phone: +372 608 2218 (Mon-Fri 8:30a.m- 7p.m., Sat 9a.m-3 p.m.) - Schedule, stops, and registration information for the mammography buses can be found HERE
Do I have to wait for the invitation to participate in the screening?
You can participate in the screening without an invitation. If you belong to the screening target group in a given year, you can contact a health care facility directly (see the list above).
Women belonging to the target group will find their invitation/referral in the Health Portal (subsection ‘Appointments and referrals’) from the beginning of the screening year. Referral for screening is valid until the end of the calendar year.
Upon registration, the woman’s year of birth is checked. You must bring your identity document to your screening appointment.
Screening invitation
The Cancer Screening Registry of the National Institute for Health Development will send a personal invitation to women in the target group.
Women whose year of birth is part of the screening target group and whose place of residence is the Republic of Estonia at the time of generating the screening invitation/referral are invited to a screening.
Women who have been diagnosed with breast cancer within the last five years will not receive a breast cancer screening invitation. This is based on queries to the Cancer Registry and the Health Information System.
Invitations to screenings are sent electronically, using the notification service of eesti.ee. An e-invitation will be sent to persons in the screening target group whose eesti.ee email address has been redirected to their personal email address or entered in the population register. Using the eesti.ee notification service, screening reminders are sent by text message to those who have not yet participated.
If there is no data on the redirection of emails in the Cancer Screening Registry, a paper invitation will be sent to the address entered in the population register. If data in the population register is inaccurate, the invitation may not reach the recipient. Therefore, it is important to check the accuracy of your contact details in the state portal.
What is the procedure for breast cancer screening?
An imaging exam called mammography is used to detect precancerous conditions and early-stage breast cancer.
You will need to take off your upper body clothing for the exam. You will be led to a device where the radiologist performing the exam will place your breasts in turn between two flat plates and will create two images of your mammary glands in different directions. The exam may feel a little uncomfortable, but it should not hurt. Mammography has a low radiation dose and is safe for your health.
You should not use deodorant or body cream on the day of the exam.
Using deodorant, body creams, and body powder may affect the quality of the X-ray image. Women who are still menstruating should come for screening on day 5–15 of the cycle, as breasts are less tender and sensitive in that period.
The exam takes about 20 minutes and the results come within two weeks.
Results of the exam are accessible via the Health Portal (subsection ‘Appointments and referrals’). If there is a need for further testing, the woman is contacted and notified.
How to perform self-checks?
You can do the most for your health. Please check your breasts regularly!
See the video on how to do it most efficiently.
Cervical cancer screening
Cervical cancer is mostly caused by the human papillomavirus (HPV), which is transmitted mainly by skin and mucous membrane contact, including sexually. The source of infection is another person infected with the papillomavirus. Human papillomavirus infection may cause changes in cells that may develop into precancerous conditions and cervical cancer.
Cell changes develop over a longer period of time. The process usually takes time and may take up to 10–25 years. Participating in the screening helps to detect possible cell changes and precancerous conditions in time, that these can be treated so actual cancer will not develop.
Cervical cancer is not hereditary. All women of all ages can develop cervical cancer. In Estonia, the prevalence and mortality of cervical cancer is one of the highest in Europe.
Why should you participate in the screening?
- Cervical cancer screening searches for precancerous conditions, which means that the screening enables to prevent cancer.
- Free and easily accessible: in Estonia, cervical cancer screening is free for women in the target group, including for the uninsured, and screening is performed in various health care facilities all over the country. Alternatively, you can order the HPV test to your home.
- By participating in the screening you demonstrate that you care about your health.
- Screening is free for all insured and uninsured people who belong to the screening target group for a given year.
It is important to participate in the screening even if you do not have any signs or symptoms. In case of early detection, it is possible to fully recover from the disease.
See when you are invited to a cervical cancer screening – www.sõeluuring.ee
How to participate in cervical cancer screening?
You can participate in the screening in the following ways:
- Schedule an appointment in the Health Portal
- Phone a suitable health care facility and tell them that you wish to book a screening appointment
Contact information can be found HERE Order the HPV home test from HERE
Do I have to wait for the invitation to participate in the screening?
You can participate in the screening without an invitation. If you belong to the screening target group in a given year, you can contact a health care facility directly (see the list above).
Women belonging to the target group will find their invitation/referral in the Health Portal (subsection ‘Appointments and referrals’) from the beginning of the screening year. Referral for screening is valid until the end of the calendar year.
Upon registration for the screening, the woman's year of birth is checked. You must bring your identity document to your screening appointment.
Women who have been diagnosed with cervical or uterine cancer within the last five years will not receive a cervical cancer screening invitation. This is based on queries to the Cancer Screening Registry and the Health Information System.
Screening invitation
The Cancer Screening Registry will send a personal invitation to women in the target group.
Women whose year of birth is part of the screening target group and whose place of residence is the Republic of Estonia at the time of generating the screening invitation/referral are invited to a screening.
Invitations to screenings are sent electronically, using the notification service of eesti.ee. An e-invitation will be sent to persons in the screening target group whose eesti.ee email address has been redirected to their personal email address or entered in the population register.
If there is no data on the redirection of emails in the Cancer Screening Registry, a paper invitation will be sent to the address entered in the population register. If data in the population register is inaccurate, the invitation may not reach the recipient. Therefore, it is important to check the accuracy of your contact details in the State Portal.
What is the procedure for cervical cancer screening?
All dangerous virus strains are checked by papillomavirus testing.
Regular testing for human papillomavirus, i.e. HPV testing, is important as catching the virus may cause cell changes in the long term. These changes can develop into precancerous conditions, which are usually not accompanied by changes in the woman’s well-being.
A HPV test can be done at a health care facility or at home (order the home testing kit here).
A home HPV test and a HPV test sample taken by a health care professional at a health care facility are equally accurate and reliable.
The HPV home testing sampling kit consists of a sampler, sampling instructions, an information leaflet, and a labelled prepaid return envelope. Women who have chosen at-home testing should follow the instructions and mail the sample at the latest within five days after taking it. Mailing the sample to the laboratory is free.
Participating in the screening at a health care facility is similar to a gynaecological examination.
During the test, sample material is taken with a small brush from the cervical mucosa and canal and the sample is subsequently analysed in a laboratory. The procedure is painless.
The sample cannot be taken during menstruation.
The most suitable time for giving the sample are days 10–20 of the cycle.
Do not take the home test sample during pregnancy or within three months after pregnancy.
You can get the HPV test during pregnancy at the midwife’s or gynaecologist’s, but please inform them of your condition.
If there are no dangerous virus strains found, the woman is not specifically notified of the test results.
Results of the exam are accessible via the Health Portal (subsection ‘Appointments and referrals’).
- If the test results are negative, you are expected to screening again in five years. If your health condition changes, you must see a physician.
- If the test result is positive, additional tests are needed. The presence of the virus does not mean a diagnosis of cancer or precancerous conditions. Additional testing is done in health care facilities listed on the website of the the Health Insurance Fund.
HPV vaccination
Vaccination will protect you against the most dangerous types of HPV which may cause cancer and genital warts in the genital area. Therefore, HPV vaccination is recommended for all young people from age 9.
As of 1 February 2024, girls and boys aged 12–18 are vaccinated for free as a part of the national immunisation schedule. It is recommended to start the vaccination as soon as possible, i.e. at age 12.
For more information, see here.