What will you suggest regarding her next check-up?

19-year-old sexually active lady came for her annual check-up, she is otherwise healthy using no contraceptive, her pap smear and all investigations are normal.

What will you suggest regarding her next check-up?
A . After 6 months
B . After 5 years
C . After 1 year
D . After 3 years

Answer: D

Explanation:

Usually pap smear should be started after 21 years of age regardless of sexual activeness but if a female is sexually active and u suspect any abnormality then u can do pap smear before 21 years of age as in this case. Pap Smear = Negative, then should be followed for screening after 3 years. Pap smear + HPV Testing = Negative, then should be followed after 5 years