title: A neglected lesbian health concern: cervical neoplasia.
abstract: Many health care providers believe that lesbian women do not need routine Papanicolaou smears. This erroneous assumption fails to recognize that the majority of lesbian women have had prior heterosexual relationships and thus may be at risk for developing cervical neoplasia. The following case report describes a lesbian woman who denied prior heterosexual intercourse but who developed cervical intraepithelial neoplasia grade 2 (CIN 2) associated with a high oncogenic risk human papillomavirus (HPV) type. Sexual contact with multiple lesbian partners who had previous heterosexual relationships likely explains her cervical disease.
authors.affiliation: Department of Family Medicine, Medical College of Georgia, Augusta 30912-3500, USA.
authors.forename: D G
authors.initials: DG
authors.lastname: Ferris
authors.forename: S
authors.initials: S
authors.lastname: Batish
authors.forename: T C
authors.initials: TC
authors.lastname: Wright
authors.forename: C
authors.initials: C
authors.lastname: Cushing
authors.forename: E H
authors.initials: EH
authors.lastname: Scott
mesh_terms: D000328:Adult; D005260:Female; D018452:Homosexuality, Female; D006801:Humans; D065006:Papanicolaou Test; D027383:Papillomaviridae / Q000302:isolation & purification; D030361:Papillomavirus Infections / Q000150:complications; D012725:Sexual Behavior; D012747:Sexual Partners; D014412:Tumor Virus Infections / Q000150:complications; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology; D014626:Vaginal Smears / Q000706:statistics & numerical data*; D016387:Women's Health; D002578:Uterine Cervical Dysplasia / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology