|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: Ob: When to do a firstFrom: Gordon Goldman (obgyndoc@swbell.net)Wed Aug 30 20:02:13 2006
Garry, Unfortunately, you need to assume they are not completely candid and the 'safest' course, IMHO, is to get the Pap when you first see the patient. It could be the best investment either you or the patient has made. I think the 'guidelines' are just that, and the reality will differ with each practice and with each individual within each practice. Gordon _____ From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Ronald Ainsworth Sent: Wednesday, August 30, 2006 7:07 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Ob: When to do a first I've been having that same thought, but what hold's me to doing a pap on those patients is the fact that I don't know how long anyone has been sexually active. How honest are your patients about sexual activity, drug use, alcohol use, etc.? "Garry E. Siegel, M.D." <garrys@mindspring.com> wrote: 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
|
|
Return to
|
Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Fri May 2 04:45:41 2008 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.