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Low-Risk, Young Women May Not Need Pap Test.

OB GYN News

| March 15, 2001 | MACREADY, NORRA | COPYRIGHT 2001 International Medical News Group. 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

MILWAUKEE -- Routine annual Pap smears in low-risk women under the age of 25 may be unnecessary, according to a study of nearly 1,700 young women.

In the study, which assessed women reporting for military service, only a history of four or more sexual partners or current chlamydia infection was positively associated with an increased risk of having an abnormal Pap smear, Dr. Mary-Ann Shafer said in a poster presentation at a conference on STD prevention sponsored by the Centers for Disease Control and Prevention.

She and her colleagues studied findings from 1,699 women whose mean age was 19 years. Pap smears were normal in 92% of the women, even though screening identified STDs in 13%.

The 8% of smears that were abnormal included 5% that were related to a diagnosis of human papillomavirus and 2% that were low-grade squamous intraepithelial lesions. No carcinoma was found, said Dr. Shafer, professor of pediatrics at the University of California, San Francisco.

Overall, 38% of the women reported having had one or more "casual" sexual partners within 3 months before the exam. Dr. Shafer estimated that a lifetime history of four or more sexual partners would double a young woman's risk of an abnormal Pap smear.

The American ...

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