Feature Article

Lifestyle & Health
Approach to Health Care for Lesbian and Bisexual Women
Delk C, Wiczyk H
The Female Patient. 2010;35(1):26-29

Common Clinical Scenario: A 31-year-old nulligravida woman presents for her annual examination. Her last visit was 4 years ago. She reports a history of menarche at age 10; irregular, heavy periods; and no history of sexually transmitted infections (STIs) or abnormal Pap test results. She has never used hormonal contraception. During your interview, she states she has been exclusively involved with women sexually and asks if she needs to continue getting Pap tests. Additionally, she asks for advice regarding preventive health measures. How might you counsel her?


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