A 20-year-old woman presents for routine pelvic exam. She is sexually active and uses condoms occasionally. She began sexual activity at age 13 and has had seven lifetime partners. She has been...

A 20-year-old woman presents for routine pelvic exam. She is sexually active and uses condoms occasionally. She began sexual activity at age 13 and has had seven lifetime partners. She has been treated for both chlamydia and gonorrhea over the past 3 years and experiences five to six UTIs per year. She started menstruating at age 13 and continues to have irregular menses.Which of the following is not a risk factor for cervical dysplasia or cancer?

A. Chlamydial infection

B. Multiple sexual partners

C. Recurrent UTIs

D. Cigarette smoking

E. Early age of first sexual activity