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Linda has a question for dr. Paul John when does my daughter need her first pap smear the rules have changed on that actually in favor of the young women because we used to make them have pap smears at a much earlier age they answer the questions usually when they become sexually active the other part of that is that we also counsel them on the causes of cervical cancer which we know now is the human papilloma virus and we have a vaccine for that itamp;#39;s a good time at their first PAP to talk to them about that