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[quote=Anonymous][quote=Anonymous][quote=Anonymous]For what it's worth, healthy, low-risk women do not need routine annual pelvic exams.

http://www.health.harvard.edu/blog/expert-panel-says-healthy-women-dont-need-yearly-pelvic-exam-201407027250

However, I agree that it would be good for a sexually-active 18-year-old to talk to a doctor (whether a gynecologist or generalist) about disease prevention and contraception, especially long-acting reversible contraception, which is highly effective.

http://www.acog.org/Resources-And-Publications/Committee-Opinions/Committee-on-Adolescent-Health-Care/Adolescents-and-Long-Acting-Reversible-Contraception[/quote]

I wish they would quit saying that. I skipped one annual exam because of that guideline and guess what I got? Cervical cancer, stage 2. I had never had any kind of issue before that and had I done my usual annual exam it would have been caught and handled before it ever progressed to cancer. [/quote]

The guidelines relate to age. The evidence shows that young women often clear HPV on their own and that too many young women were undergoing invasive procedures on their cervix that were largely uneccesary. I'm so sorry to hear you got cervical cancer, but there are a ton of variables in the guidelines so I don't know if your situation is applicable to all women.

OP, why don't you take her to a midwife? She's trained to include the woman more and will probably make it more of a positive experience. [/quote]

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