It should at least be offered to the patient if it will help.  It’s really none of my business if they have penetrative vaginal sex or not.  They don’t not offer men prostate ultrasound and biopsy if they don’t have anal sex.  Denying as a blanket policy is depriving women of the option for good healthcare and is wrong, IMO.

I have done TV on not sexually active patients who consent (and I wasn’t able to answer the clinical question TA) as young as 14, and in their 40s (one patient was a nun).  I haven’t had any particular bad cases.

Lastly, what if your patient was raped?  Can you imagine saying well, it’s ok to do this exam since you were assaulted.

This is a demeaning, sexist policy and should be scrapped.