There are no official guidelines to assist in answering this question. I will search for relevant research papers instead.
From the Research
Cervical Cancer Screening Guidelines for Lesbian Women in British Columbia, Canada, in 2012
There are no specific studies that provide the cervical cancer screening guidelines for lesbian women in British Columbia, Canada, in 2012. However, the following information can be gathered from the available studies:
- Barriers to cervical cancer screening among lesbian women include lack of opportunistic screening, fear of penetration, and encountering heterosexism and discrimination 1.
- Lesbians have low rates of cervical cancer screening, and the most commonly-cited reasons for lack of screening are lack of a physician referral and lack of a physician 2.
- Routine screeners among lesbian women are more likely to have disclosed their sexual orientation to their primary care physician or gynecologist, and are more likely to know that lack of Pap testing is a risk factor for cervical cancer 2.
- A study on young women in British Columbia found that barriers to participation in cervical cancer screening include difficulty finding health-care providers and the invasiveness of the Pap test, while facilitators include assistance with finding a health-care provider and education about Pap tests 3.
- A qualitative study on cervical cancer screening among lesbian and bisexual women and transgender men found that creating welcoming and inclusive healthcare environments is important to facilitating cervical screening among these groups 4.
Key Findings
- Lesbian women face significant barriers to cervical cancer screening, including lack of opportunistic screening and fear of penetration 1.
- Physician recommendation is a potent determinant of regular screening behavior among lesbian women 2.
- Education about the importance of cervical cancer screening and assistance with finding health-care providers are key factors in increasing young women's participation in screening 3.
- Creating welcoming and inclusive healthcare environments is important to facilitating cervical screening among lesbian and bisexual women and transgender men 4.