Cervical Cancer and Virginity: Are You at Risk?

Can virgins get cervical cancer? It's a question many women wonder about but hesitate to ask. The short answer is yes, though the risk is significantly lower since most cervical cancer stems from sexually transmitted HPV. However, understanding the complete picture – including rare transmission routes and other risk factors – is important for every woman's health, regardless of sexual history.

What is cervical cancer?

Cervical cancer develops when abnormal cells in the cervix grow uncontrollably, often due to changes in DNA. The most significant cause is persistent infection with certain strains of the human papillomavirus (HPV), which is transmitted primarily through sexual contact.

Can virgins get cervical cancer?

Yes, but it's extremely rare. The risk of developing cervical cancer for virgins – those who have never had any form of sexual intercourse – is extremely low because HPV spreads primarily through sexual activity.

Medical literature documents rare cases of cervical changes in women with no history of sexual intercourse, confirming that while uncommon, non-sexual HPV transmission can occur.

How can HPV affect virgins?

While penetrative sex is the most common route for HPV transmission, the virus can also be spread via:

• Skin-to-skin genital contact that does not involve penetration
• Vertical transmission from mother to child at birth (rare)
• Intimate contact that doesn't involve intercourse

Medical case studies have documented HPV lesions in virgins through these uncommon pathways.

Who is at risk for cervical cancers?

You are more likely to develop cancer of cervix if you:

• Have not received or completed the HPV vaccination series.
• Have a family history of cancer of cervix or other gynaecologic cancers.
• Have a weakened immune system (due to medical conditions or medication).
• Have taken immunosuppressant medications or oral contraceptives over an extended period of time (longer than 5 years).
• Have used tobacco products, such as smoking cigarettes, or been exposed to secondhand smoke.

Should virgins get cervical screening?

Current guidelines recommend cervical screening starting at age 25 in Singapore, regardless of sexual history. However, given the extremely low risk for virgins, screening recommendations should be individualised based on your specific circumstances.

There are two types of cervical cancer screening:

• Pap smears detects abnormal cervical cells
• HPV tests identifies high-risk HPV infections

Screening guidelines

• Ages 25-29:
  • Pap smear every 3 years
• Ages 30-65:
  • Combined Pap smear and HPV test every 5 years, or HPV test alone every 5 years

For virgins specifically

While your risk is very low, discuss with your doctor whether screening is necessary based on:

• Your age and family history
• Whether you have any symptoms
• Your personal comfort level with the examination

What symptoms should you watch for?

If you're a virgin experiencing these symptoms, cervical cancer is highly unlikely. However, persistent symptoms always warrant a doctor visit to rule out infections, hormonal changes, or other health issues:

• Unexplained vaginal bleeding (between periods or after menopause)
• Unusual vaginal discharge
• Pelvic or lower back pain
• Pain during urination or bowel movements

Don't ignore persistent symptoms. While cervical cancer is extremely unlikely, other treatable conditions may cause these issues.

If you experience any unusual symptoms or if you have concerns about cervical cancer screening regardless of your sexual history, consult an obstetrician and gynaecology (O&G) specialist. Contact Thomson Medical to arrange a consultation and receive personalised care.

What are the prevention methods for cervical cancer?

HPV vaccination significantly reduces the risk of cancer of the cervix by preventing infection with the high-risk HPV types that cause most cancers. The vaccine is most effective when given before sexual activity begins but still provides protection at any age.

Regular cervical cancer screenings catch abnormal cell changes early, when they're easiest to treat.

Maintaining a healthy lifestyle – including not smoking, eating a balanced diet, and managing stress – helps keep your immune system strong to fight off HPV infections if exposed.

Thomson Medical's 4-in-1 women screening

To help prevent cervical cancer, early detection is important, as symptoms may not appear until advanced stages. A regular screening can help identify abnormal changes and potential warning signs before they progress. To help prevent these conditions, we offer a 4-in-1 women's screening package, which includes:

• Consultation & examination
• Pap smear
• HPV test
• Pelvic ultrasound scan

An additional HPV vaccination is also available as an extra protective measure against cervical cancer.

Cervical cancer treatment cost in Singapore

The cost of cervical cancer screening and treatment in Singapore can vary depending on the type of test, subsidies available, and whether the procedure is done on an outpatient or inpatient basis.

A Pap smear typically costs between SGD 50 and SGD 300, depending on the clinic and whether it is part of a package.

• A standalone HPV test costs around SGD 200 without any subsidies if done as a walk-in.
• An HPV test combined with a Pap smear is usually about SGD 250 without subsidies for walk-in patients.
• The cost of a colposcopy ranges from about SGD 1,200 to SGD 10,400, depending on whether it is done as a day surgery or inpatient procedure.

Additional costs to consider

Beyond the primary screening costs, you should budget for:

• Imaging studies such as CT scans, MRI scans, or PET scans
• Laboratory tests and blood work
• Medications for managing side effects

How does insurance work for cervical cancer treatment?

Many patients are concerned about how much of their treatment will be covered by insurance. In Singapore, several schemes can help ease the financial burden.

• Doctor's fees:

  • Each specialist has their own panel of insurance providers and coverage arrangements

• Procedures and scans:

  • Some procedures like diagnostic imaging or certain surgical techniques may be subsidised by the Singapore government or covered under MediShield Life

• Overall treatment costs:

  • Your total out-of-pocket expenses will depend on how your insurance plan covers both the doctor's professional fees and the hospital/procedure costs

Fortunately, there are several programmes in Singapore that can help lower the total cost, such as MediSave, MediShield Life, and Integrated Shield Plans. Each of these offers different levels of coverage depending on your eligibility and insurance arrangements. 

This price was last updated in June 2025. Treatment costs may have changed since then. For current pricing, detailed insurance coverage information, and personalised financial guidance, contact our medical concierge team.

FAQ

How rare is cervical cancer in virgins?

Cancer of the cervix in virgins is extremely rare. Nearly all cases develop from HPV transmitted through sexual contact. However, the risk is not zero due to rare non-sexual transmission routes. Medical literature documents occasional cases in women with no sexual history.

Do I need a cervical smear (Pap smear) if I’m a virgin?

Current guidelines recommend cervical screening starting at age 25 regardless of sexual history. However, because your risk as a virgin is so low, discuss with your doctor whether cervical smear tests are necessary for your individual situation. Factors like family history, symptoms, or personal concerns may influence the recommendation.

Who is prone to cervical cancer?

Cervical cancer is most common in women aged between 30 and 35, but it can happen at any age. Anyone with a cervix can get it. Risk increases significantly with sexual activity, multiple sexual partners, smoking, weakened immune systems, and lack of HPV vaccination.

What if my Pap smear shows abnormal results even though I'm a virgin?

Abnormal Pap results in virgins are rare but possible. Your doctor will likely repeat the test to confirm results or recommend a colposcopy (a closer examination of your cervix). Abnormal results don't automatically mean cancer—they usually indicate inflammation, infection, or minor cell changes unrelated to HPV. Your doctor will investigate the cause and monitor or treat as needed. Be honest about your sexual history so your doctor can properly interpret results.

How does cervical cancer develop?

It develops slowly when a persistent high-risk HPV infection causes abnormal cell changes in your cervix over time. If left untreated, these changes progress from mild precancerous cells to severe dysplasia and eventually to invasive cancer. This process usually takes 10–20 years, which is why regular Pap smears and HPV tests are important for detecting and treating abnormal cells before cancer develops.

Should I get the HPV vaccine if I'm a virgin?

Yes, absolutely. The HPV vaccine is most effective when given before any sexual activity or HPV exposure. If you're a virgin, you're in the ideal position to get maximum protection from the vaccine. In Singapore, the vaccine is recommended for girls and women aged 9-26, though it can benefit women up to age 45. Getting vaccinated now protects you before you become sexually active.

The information provided is intended for general guidance only and should not be considered medical advice. For personalised recommendations and tailored advice, schedule an appointment at Thomson Women's Clinic & Cancer Surgery.