I'm 29 years old and I've never had sex. My period has been significantly delayed in the last 2 months (almost 2 weeks), and I also feel pain in the sacral part. Before, I had infections that disappeared after a while and I did not treat them. I went to the gynecologist, who carried out the examination, prescribed a vaginal cream because she didn't like the discharge. When I asked about the cytology, she refused me, saying that in my case it was not needed, because I had not had sex. As far as I know, virginity does not protect against cancer. Then 2 other doctors refused me this way. I signed up for a free cytology as part of the National He alth Fund program in my city and there I was given a "supposed" cytology, because I do not know if it can be called a cytology since there was no speculum and you took a swab "on top" with a stick, not a special brush. Besides, she explained to me that since I am a virgin there is no way to get into the cervical canal. I know that the method used on me is not very reliable, so I might as well be sick and not know anything about it. What is left for me in this situation? Maybe I should wave my hand like my other virgin friends who are about 30 years old (there aren't enough of them at all) and recognize that pap smear is not a test for me?

Cytology is a test that detects precancerous conditions and cervical cancer. Since it has such a purpose, the swab should be taken from the disc and the cervical canal and not from the vestibule of the vagina. Women who have not had sex are extremely unlikely to develop cancer. This is due to the low probability of contracting the papillomavirus. Perhaps hence the reluctance to get your Pap smear, but of course the smear for testing should be obtained and it is possible. In this case, a small speculum is inserted into the vagina.

Remember that our expert's answer is informative and will not replace a visit to the doctor.

Barbara Grzechocińska

Assistant professor at the Department of Obstetrics and Gynecology at the Medical University of Warsaw. I accept privately in Warsaw at ul. Krasińskiego 16 m 50 (registration is available every day from 8 a.m. to 8 p.m.).

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