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Preventive Care Guidelines

Preventive Care For Women 18-39

Below are the screening tests and immunizations that most women ages 18 to 39 need. This plan does not include recommendations for pregnancy. You and your health care provider may decide that a different schedule is best for you, this preventive plan can guide your discussion.

Screening

Who needs it

How often

Abdominal aortic aneurysm Men ages 65 to 75 who have ever smoked One-time screening by ultrasonography
Alcohol misuse All adults At routine exams
Blood pressure All adults Every 2 years if your blood pressure reading is less than 120/80 mm Hg*

Yearly if your systolic blood pressure reading is 120 to 139 mm Hg or your diastolic blood pressure reading is 80 to 89 mm Hg*

Colorectal cancer All adults ages 50 and older According to the American Cancer Society:
For tests that find polyps and cancer:

  • Flexible sigmoidoscopy every 5 years1, or
  • Colonoscopy every 10 years, or
  • Double-contrast barium enema every 5 years1

For tests that primarily find cancer:

  • Yearly fecal occult blood test2, or
  • Yearly fecal immunochemical test every year2, or
  • Stool DNA test, interval uncertain2

The tests that are designed to find both early cancer and polyps are preferred if these tests are available to you and you are willing to have one of these more invasive tests; talk with your doctor about which test is best for you

Depression All adults with access to a clinical practice that has staff and systems in place to assure accurate diagnosis, effective treatment, and follow-up At routine exams
Diabetes mellitus, type 2 Adults who have no symptoms and have sustained blood pressure (treated or untreated) greater than 135/80 mm Hg At least every 3 years
HIV Anyone at increased risk for infection At routine exams
Lipid disorders All adults At least every 5 years
Obesity All adults At routine exams
Syphilis Anyone at increased risk for infection At routine exams
Tuberculosis Anyone at increased risk for infection Check with your health care provider
Vision All adults3 Every 1 to 2 years; if you have a chronic disease, check with your health care provider for exam frequency

 

Counseling

Who needs it

How often

Aspirin for primary prevention of cardiovascular events Men ages 45 to 79 when potential benefits from a decrease in heart attacks outweigh the harm or risks from an increase in gastrointestinal hemorrhage When diagnosed with risk for cardiovascular/heart disease; check with your health care provider before starting
Diet, behavioral counseling Adults with hyperlipidemia and other known risk factors for cardiovascular and diet-related chronic disease When diagnosed
Tobacco use and tobacco-related disease All adults Every visit

 

Immunization

Who needs it

How often

Tetanus/diphtheria/pertussis (Td/Tdap) booster All adults Every 10 years. Tdap is recommended if you have contact with a child younger than 12 months. Either Td or Tdap can be used if you have no contact with infants.
Measles, mumps, rubella (MMR) All adults ages 65 and older who have no previous infection or documented vaccinations** One dose
Chickenpox (varicella) All adults ages 65 and older who have no previous infection or documented vaccinations** Two doses; second dose should be given at least 4 weeks after the first dose
Flu (seasonal) All adults Yearly, when the vaccine becomes available in the community
Hepatitis A People at risk4 Two doses given at least 6 months apart
Hepatitis B People at risk5 Three doses; the second dose should be given 1 month after the first dose, and the third dose given at least 2 months after the second dose (or at least 4 months after the first dose)
Pneumococcal (polysaccharide) All adults One dose
Zoster All men ages 60 and older One dose

 

*According to the ACS, women ages 20 to 39 years should have a clinical breast exam as part of their routine health exam every 3 years, and breast self-exams are an option for women starting in their 20s.

**Exceptions may exist; please discuss with your health care provider

1Recommendation from the American Academy of Ophthalmology

2For complete list, see the CDC website

3For complete list, see the CDC website

4People ages 19 to 21 years and who are first-year college students or have one of several medical conditions

5For complete list, see the CDC website

Other guidelines are from the U.S. Preventive Services Task Force

Immunization schedule from the CDC