@JLeslie , having a pelvic exam and Pap is no longer required before obtaining the pill from Planned Parenthood or other GYN providers. Things started changing about 10 years ago, partly in an effort to get teens to think about birth control before they became sexually active.
When I see a teenager for a first visit, I’m doing a review of her medical history to make sure she’s a good pill candidate (the most common risk out factor is migraines with aura), and then a lot of discussion about how the pill works, how to remember to take it, what to expect the first few months, etc. If she’s a virgin, I do a general exam but not pelvic. If she’s been sexually active, I want to get STD cultures, and do a pelvic, but individualize whether to do a Pap.
At this point, the experts, based on the latest research, recommend waiting for 3 years after first sexual experience before getting the first pap smear. The reason is that young women generally have good immune systems, and yes, many of them will contract HPV viruses, but the majority of them will clear the virus on their own over a year or two. By waiting to test, we avoid the temptation to over-react and treat something that has a good chance of taking care of itself. By the time you get to the 3 year mark, the HPV infections that are not going to resolve without help will still be in the early stages and easily treatable.