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Pap smear: Do I need one if I'm a virgin?

Do virgins need Pap smears? Does a Pap smear cause you to lose your virginity?

- Yosun / Turkey

Mayo Clinic breast-health specialist Sandhya Pruthi, M.D., and colleagues answer select questions from readers.

Answer

If you're a virgin — meaning you haven't had sexual intercourse — you probably don't need a Pap smear.

The purpose of a Pap smear is to collect cells from your cervix, which is the lower end of your uterus. The cells collected in a Pap smear can detect if you have cervical cancer or suspicious cells that indicate you may develop cervical cancer.

In most cases, cervical cancer is caused by a sexually transmitted disease called human papillomavirus (HPV). If you've never had any type of sexual intercourse, you're unlikely to have HPV. There are other risk factors for developing cervical cancer, such as family history and smoking, so talk to your doctor if you have concerns.

Even if you do have a Pap smear, it will not cause you to lose your virginity. Although the instruments used to collect the cervical cells may stretch or even tear your hymen — the thin tissue covering the vaginal opening, which is present in some women who've never had sex — you will only lose your virginity when you've had sexual intercourse.

For effective cervical cancer screening, the American Cancer Society recommends all women have a Pap smear by the age of 21, or after they have been sexually active for three years.

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Dec 1, 2008