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[quote=Anonymous]STD screening and contraceptive counseling are done without a speculum exam. Cervical cancer screening is not started until 21 years of age. She should definitely have her HPV vaccination and have a discussion of long acting reversible contraceptives (LARC). For what it's worth, do you know for sure she has not yet had such discussions with her doctor or nurse or gone on her own to a school based clinic or planned parenthood? [/quote]
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