Cervical Screening and General Physical Exam Behaviors of Women Exposed In-utero to Diethylstilbestrol.

In this study we evaluated whether women who were exposed in utero to diethylstilbestrol (DES) follow the recommendations for cervical screening and general physical examinations.

DES-exposed (3140) and unexposed women (826) from the Houston, Boston, Rochester and Los Angeles sites reported on the 1994 questionnaire how frequently over the preceding five years (1990-1994) they had Papanicolau (Pap) smears and general physical examinations.

The study found that DES-exposed women exceeded the recommended frequency of Pap smear screenings compared to unexposed women. The DES exposed women also exceeded the annual recommendations for physical examinations among women without a history of chronic disease when compared to unexposed women. Whereas most DES-exposed women are receiving cervical cancer screening at recommended intervals, a third are not having these annual Pap smear examinations.

** PubMed abstract for this article **