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SAN FRANCISCO--Dr. Meg Dana Newman offered the following tips on conducting gynecologic exams of women who are HIV positive at a meeting on HIV management sponsored by the University of California, San Francisco:
* Conduct a full pelvic examination with cervical and anal Pap smears, said Dr. Newman, director of aids education in the Positive Health Program at San Francisco General Hospital.
* Rule out acute disease, including chlamydia, gonorrhea, and syphilis.
* Include careful inspection of the vulva, the cervix, and the anus for interstitial neoplasms. The human papillomavirus thrives in patients who are immunosuppressed.
* If normal, repeat Pap smears and inspection every 6 months. After two negative Pap smears in a woman with reasonable immune restoration, which she ...