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Re: Adolescent pap guidelines From: Rafael Haciski (haciski@earthlink.net) Wed Oct 25 16:33:29 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Barbara Nicol: "Re: Adolescent pap guidelines" Previous message: Lynn Montgomery: "Re: Adolescent pap guidelines" In reply to: Lynn Montgomery: "Re: Adolescent pap guidelines" Next in thread: rmodugno@aol.com: "Re: Adolescent pap guidelines" Reply: rmodugno@aol.com: "Re: Adolescent pap guidelines" I reiterate (strongly) Lynn's comments. Have seen too many LSIL and HSILs in that very same population, and only "recently" sexually active! Having sex, especially if unmarried, to me indicates potential exposure, and need for monitoring. Also time to suggest a vaccine... -- Rafael Haciski MD FACOG Palmetto, FL On Oct 25, 2006, at 5:21 PM, Lynn Montgomery wrote: > First of all, she is not at "quite low risk for HPV", she is at > high risk > given that she is sexually active - being recently postpartum. I have > always adhered to the practice of doing the first pap at age 18 or > when they > become sexually active. Given the extremely high number of > abnormal paps I > see in 14 through 18, I would not want to wait until age 21, and I > live in a > "low risk" community. I don't think this has anything to do with > lawyers, > it has to do with the fact that the prevalence of HPV is very high > and it is > our role to apply appropriate screening to assure that cervical > lesions > don't go undetected. > Lynn > Next message: Barbara Nicol: "Re: Adolescent pap guidelines" Previous message: Lynn Montgomery: "Re: Adolescent pap guidelines" In reply to: Lynn Montgomery: "Re: Adolescent pap guidelines" Next in thread: rmodugno@aol.com: "Re: Adolescent pap guidelines" Reply: rmodugno@aol.com: "Re: Adolescent pap guidelines"

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