Young women and anal sex: should we consider rectal PAP smear testing?

Thank you for drawing attention to the increase in heterosexual anal intercourse.1 In 1983 while finishing my master’s thesis and building a sexual function questionnaire for my study, I obtained my data for the tool using heterosexual female graduate students. Anal intercourse activity was reported by 10%.If anal intercourse is becoming more common, then perhaps it is time to begin anal Papanicolaou test screening on those women reporting such practices—similar to current screening in men who have sex with men—to screen for human papillomavirus.
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