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Here is an excerpt from my previous post, "Tips to Prepare for your visit with the Gynecologist"/Teen concerns:
Does my teenage daughter need a Pap smear?
The American Congress of Obstetricians and Gynecologists (ACOG) recommends the first reproductive health visit between 13-15 years of age. In most cases this will be a counseling appointment (just talking) to discuss their menstrual history, explain anatomy and STD prevention, to address contraceptive needs…and may not involve an actual pelvic examination. Once sexually active, the pelvic exam is recommended to screen for STDs, and may be necessary if complaints of pelvic pain or abnormal bleeding are present. Current guidelines suggest the actual Pap smear (done during the pelvic exam) is not necessary until 21 years of age or later. It’s important to understand the difference between the pelvic exam (visual and manual examination of the pelvic structures) and the Pap smear (a swab of cells collected from the cervix to screen for cervical cancer.)
Suzanne Hall, MD (@drsuzyyhall)
Eastside Gynecology Obstetrics, PC
Offices in Grosse Pointe, Roseville, Macomb, Rochester MI