Quote Originally Posted by Quillfred
Unless a women is 21+ or has been sexually active for 3 or more years, we do not require a regular physical exam but would instead take an extensive personal and family history. I am always surprised how many family health care providers insist on teens getting Paps even on young women not yet sexually active (or having gyn complaints).
You don't recommend a pelvic exam until someone has been sexually active for 3 years?????

The AAP and ACOG recommend a pelvic after the 1st sexual intercourse experience and yearly thereafter. The youngsters are the ones with the highest rates of STD's. Why are you not doing exams until long long after this window?
Having worked in the inner city for years and seeing many many many immaculate conceptions and even more spontaneous STD's ("from the toilet seat" I guess ) we don't go by history.