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Ob: When to do a firstFrom: Garry E. Siegel, M.D. (garrys@mindspring.com)Wed Aug 30 17:55:53 2006
New guidelines regarding the timing of the first pap are pasted below: Based on the natural history data and the rarity of cervical cancer in the population of women younger than 21 years, the ACS recommendations for initial Pap testing changed, and the new criteria have been endorsed by the American College of Obstetricians and Gynecologists (ACOG) (2). Adolescents should undergo their first Pap test approximately 3 years after the onset of vaginal intercourse or no later than age 21 years. The decision about the initiation of cervical cytology screening in an adolescent patient should be based on the clinician's assessment of risks, including 1) age of first sexual activity, 2) behaviors that may place the adolescent patient at greater risk for HPV infection, and 3) risk of noncompliance with follow-up visits. Obtaining a complete and accurate sexual history, therefore, is critical I saw a newly pregnant 17 year old today, who had not been sexually active for 3 years, and had never had a pelvic examination. Should I have done a pap? Garry
-- Garry E. Siegel, M.D. Private Practice Roswell, GA
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