Sarah is a 23 year old woman. She comes to your office complaining of an increase in vaginal discharge.
You ask her if she is sexually active and she says yes.
You ask her whether she has sex with men, women or both and she says women only.
You ask her when she knew that she was homosexual and she says she doesn’t know.
You ask her how she feels about being a lesbian and she says fine.
You then tell her you are going to do a pelvic exam and ask her when she last had a PAP smear. She tells you that she hasn’t had one in a number of years, then tells you that she can’t have one now as she is menstruating.
Sarah then leaves your office and does not return.