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No opinion of the Committee 463, cervical cancer in adolescents: screening, assessment and management , published in August 2010 of Obstetrics and Gynecology.

A healthy immune system usually clear HPV, the virus that causes cervical cancer from the body. People with weakened immune systems, however, can not fight viral infections as easily or at all. Because of their weakened immune system, HIV-infected adolescents should be screened twice in the neck after the first year of HIV diagnosis and annually thereafter. Sexually active adolescents who have a weakened immune system for organ transplantation or long-term steroid therapy should be screened intervals of six months in the first year after initiation of sexual intercourse and then continue with annual Pap tests.

The vast majority of adolescents have to wait up to 21 years before having their first Pap test, said Cheryl B. Iglesia, MD, Chairman of the Committee on gynecologic practice. Our guidelines now specify the exceptions to this recommendation. Dr. Iglesia said that while most teenage girls do not need a Pap screening, they need to continue with annual visits to their gynecologist.