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Female-to-male patients have high prevalence of unsatisfactory Paps compared to non-transgender females: implications for cervical cancer screening.

Authors
  • Peitzmeier, Sarah M
  • Reisner, Sari L
  • Harigopal, Padmini
  • Potter, Jennifer
Type
Published Article
Journal
Journal of General Internal Medicine
Publisher
Springer-Verlag
Publication Date
May 01, 2014
Volume
29
Issue
5
Pages
778–784
Identifiers
DOI: 10.1007/s11606-013-2753-1
PMID: 24424775
Source
Medline
License
Unknown

Abstract

The high unsatisfactory sample prevalence among FTM patients is likely due to a combination of physical changes induced by testosterone therapy and provider/patient discomfort with the exam. Clinicians should receive training in increasing comfort for FTM patients during the exam. FTM patients should be alerted that high rates of inadequate screening may require follow-up testing. Alternatives to repeated Pap testing, such as cytologic reprocessing of inadequate samples or primary human papillomavirus (HPV) DNA screening, should be studied for efficacy and acceptability among FTM patients.

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