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Lesbians, bisexual women need to have screenings.

Contraceptive Technology Update

| October 01, 2004 | COPYRIGHT 2003 A Thomson Healthcare Company. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

If your practice includes care of lesbian and bisexual women, and most practices do, don't dismiss taking their reproductive histories. New research indicates that previous pregnancy, induced abortion, and hormonal contraceptive use are common among women who report sex with women, regardless of whether they identify themselves as lesbian. (1)

Why is it so important for clinicians to perform Pap smears and sexually transmitted disease (STD) screens for lesbian and bisexual women? According to the researchers involved with the new study, parity and hormonal contraceptives modify the risk of reproductive cancers and cardiovascular disease; however, clinicians may not obtain reproductive histories from patients who self-identify as lesbian. (1)

"Pap smears are important because our work, and case studies from some other authors, (2) have shown that oncogenic strains of human papillomavirus [HPV] occur at the cervix in many lesbians, including those who report no prior sex with men," states Jeanne Marrazzo, MD, MPH, assistant professor of medicine at the University of Washington in Seattle.

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