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Dr. Phil, MD
Dr. Phil, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 59373
Experience:  GP in the United States
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My mum would like to know, if you havent had sex it years

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My mum would like to know, if you haven't had sex it years do you still need to have a smear test ?
Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.

Excellent question!

The current guidelines are as follows

1)age 30-65 pap test without HPV (human papillomavirus testing) every 3 years

2)age 30-65 pap test with HPV every 5 years.

3)stop screening at age 65 if successive normals

If hysterectomy was performed due to benign reasons, then stop pap testing.

This is regardless of sexual activity.

I hope this helps.

If you have more questions, just reply. :)
Customer: replied 5 years ago.

So my mum needs to have a smear test every 3 years? i'm 25 and i have never had a smear test as i'm not sexual active . my nurse said i don't need one until i am sexual active


 


 

Thanks Lisa.

Your nurse is not correct.

Recommendations for your age are 21-30 pap every 3 years regardless of sexual activity

And your mom as above. your mom can do it every 5 years if an HPV is done with the pap.

The new guidelines exclude sexual activity
Customer: replied 5 years ago.

It will hurt me as i'm not sexual active. and you cant catch the hpv virus without sexual activity ?


 


 

It won't hurt Lisa.

The speculum is very small.

And you can get HPV without sexual activity

Check out this article based on a good study that was done

http://www.myhealthnewsdaily.com/2925-hpv-infection-sexual-intercourse-teens.html
Customer: replied 5 years ago.

Right ok , HPV is a transmitted sexual


 


The next question is


 


I keep getting tight muscles in my neck and my neck keeps on clicking and it has been like this for a while. i'm not stressed about nothing but still keep getting tight muscles ? and it give me headaches and makes my head feel tight .

Thanks Lisa.

This is a muscle spasm/muscle tension. You don't necessarily have to feel stressed to have this.

A muscle relaxer like flexeril and physical therapy will help

This is common in females. Females seem to have tight necks.

Please don't forget a positive rating for all the help I have given you here. Thanks. :)
Customer: replied 5 years ago.

Can tight muscles in the neck and shoulders make you feel dizzy or light headed. i sometimes worry i have a brain tumor. and i have tight muscles all the time.

Yes, they definitely can cause these symptoms Lisa.

Those are quite common actually

I doubt a brain tumor unless you have a headache and a focal neurological problem like hand weakness, facial droop, etc
Customer: replied 5 years ago.

can i get a muscle relaxer without prescription


 

No, you would need to see a doctor for that.

They don't really sell any over the counter

I would ask for flexeril 5mg daily as needed
Customer: replied 5 years ago.

how serious is Mitral valve prolapse with regurgitation?

Please keep in mind that I'm only credited when you rate me. This is the third question without compensating

I'm happy to answer as I'm a cardiology expert as well

Please rate positive
Customer: replied 5 years ago.

i will rate you don't worry , how serious is it ?

Depends on how bad the regurgitation is

Moderate to severe is a big deal
Customer: replied 5 years ago.

Mine has been rate mild, i have to have echo every year.

That's nothing to worry about. Just keep monitoring it
Dr. Phil, MD and other Medical Specialists are ready to help you
I noticed that our chat is not complete.

A positive rating is the only way I am credited for my work. However, my main goal is your 100% satisfaction. If you are satisfied, please rate positively. If not, just click reply and I will happily provide more information.