I’m wondering, is a yearly really necessary? I’m 24, and in a (hopefully) permanent lesbian relationship, which is ATM long-distance so there’s no sexual interactions at all. I have had probably..a dozen paps (Pregnancies: They do one when you first go in, and at 6 wk checkup, plus between pregnancies) and not one has been abnormal. I’m pretty low-risk for any of the cancers or problems. My fiance has no STDs that she would possibly be sharing with me when we’re together in a few months, and while we’re in an open relationship at this moment (But again, I’m not having sex with anyone) in the future we plan to be monogamous except for when she conceives the child(ren) we want together. When that happens of course she plans on getting checked for STDs, and paps and all.
But there’s a little problem: While back when I had my tubal in February, the doc had success in family planning medicaid paying for patients post-tubal to have yearlies, NOW it doesn’t. And I *cannot* afford 80 dollars a year for a pap smear, I just can’t. Planned parenthood is out of the question–the nearest one is in Asheville, I have no way to travel 2 hours for a yearly. The health department only does free yearlies if you have family planning medicaid too, so that’s out. The only thing my medicaid will cover now is emergency gynecological care. Otherwise, it doesn’t cover anything.
So I’m kind of at a loss as to what to do. Is it really necessary to have a yearly when I’m low-risk (except my grandma having uterine cancer), and have never had an abnormal pap? Aside from cervical cancer (and really, how would I get HPV when I’m not having sex except with a woman–and that’s a few months away, that doesn’t have HPV?), and ovarian cancer aren’t there signs to look out for with the other cancers?
And another question: I had ridiculous weight gain with my tubal, and despite chasing 4 kids around the house, cleaning a lot, dancing, pilates for exercise, and eating pretty much nothing but protein and fresh veggies, I have NOT lost it. Is that normal post-tubal?
Edited for clarification
ETA: Also, isn’t ovarian cancer genetic and rare? And isn’t non-HPV cervical cancer genetic, or really rare one?