Many ob-gyns will give girls the pill without a pelvic exam since many girls go on the pill to regulate their period. Other hormonal forms of birth control usually require a pelvic exam since all girls have to get one when they become sexually active. If your doctor asks if you want one, I highly recommend it. Not too many people enjoy having one done, but being ready for sex means being ready to take care of yourself, and that includes uncomfortable doctor visits!

It depends on where you live.

In New York State, you cannot get horomonal birth control without a pap-smear if:

You are over the age of 18.
Or
You are sexually active.

If you are under 18 or have not had sex yet, then you can get birth control without a pap smear.

Yay for New York state! I like that they won't give birth control without a pap first. Some people hate it, but I always say, if someone's ready for sex, they should be ready to go to the doctor and be safe and responsible about it!

As far as I know most everywhere requires a full exam including pap, etc.

Yep, same thing in Ontario. They will only give you a prescription for 1 year's supply of birth control after you have had a full exam and pap - so they make sure you're getting it annually.

Also, anytime you start or change birth control (first time or new brand or new type) the doctor will only give you a 3-month prescription so that you have to come back for a follow-up appointment after 2 1/2 months to see how you're doing, talk about any side-effects you're having, discuss, etc. before getting a prescription for the remaining 9 months.