SCREENING AND IMMUNIZATION
GUIDELINES FROM TEENS TO 60 AND BEYOND
These charts are a starting point for a discussion with your health care provider about what you can do to prevent certain diseases and keep healthy. Depending on your personal medical and family history, you can decide which activities and tests are right for you.
Recommended Screening Tests And Immunizations for Women Ages 13-19
|
Stay Healthy Tips for Women
Teen Years |
|
To Do |
How Often |
|
General Health |
|
Checkup with pelvic exam |
Discuss with health care provider |
|
Blood pressure, weight/height |
Discuss with health care provider |
|
Dental checkup |
1 to 2 times per year |
|
Mole exam |
Monthly self exam |
|
Hearing test |
Age 18, then every 10 years |
|
Mental health screening |
Discuss with health care provider |
|
Reproductive Health |
|
Gyn visit |
Discuss with health care provider |
|
Preconception and
Pregnancy care |
See obstetric provider for checkup before pregnancy
See obstetric provider as soon as pregnancy is confirmed |
|
Chlamydia test |
Every year, if sexually active |
|
Sexually transmitted infections (STI) tests, e.g. syphilis, HIV |
Know HIV test result regardless of risk.
Both partners should get tested for STIs, before initiating sexual intercourse
Every year if you have multiple partners or partner with STI |
|
Immunizations |
|
Influenza (seasonal flu) |
Yearly |
|
Measles, Mumps, Rubella (MMR),
Varicella (chickenpox),
Hepatitis A, B |
Discuss with health care provider |
|
Tetanus-Diphtheria (Td) booster
Tetanus, diphtheria, pertussis, |
Td 10 years
Discuss Tdap with health care provider |
|
Human papilloma virus (HPV) |
Three doses within six months (age 9-26) |
|
Meningococcal |
Discuss with health care provider, if attending college |
Adapted from:
1) American College of Obstetricians and Gynecologists
2) Centers for Disease Control and Prevention. Recommended Adult Immunization Schedule
3) U.S. Department of Health and Human Services, Office on Women’s Health. General Screenings and Immunizations for Women
4) U.S. Preventive Services Task Force, The Guide to Clinical Preventive Services
Recommended Screening Tests And Immunizations for Women Ages 20-29
This chart is a guideline only. Talk to your provider to personalize your health program.
|
Stay Healthy Tips for Women in Their 20’s
|
|
To Do |
How Often |
|
General Health |
|
Checkup with pelvic exam |
Discuss with health care provider |
|
Blood pressure, height/weight |
Discuss with health care provider |
|
Cholesterol/lipid screen |
Discuss with health care provider |
|
Dental checkup |
1 to 2 times per year |
|
Mole exam |
Every 3 years by health care provider, monthly self exam |
|
Eye and vision test |
At least 1 exam |
|
Hearing test |
Every 10 years |
|
Mental health screening |
Discuss with health care provider |
|
Reproductive Health |
|
Cervical cancer screen (Pap) |
Every three years starting at age 21 |
|
Preconception and
Pregnancy care |
See obstetric provider for checkup before pregnancy
See obstetric provider as soon as pregnancy is confirmed |
|
Chlamydia test |
Every year until age 25, if sexually active |
|
Sexually transmitted infections (STI) tests, e.g. syphilis, HIV |
Know HIV test result regardless of risk.
Both partners should get tested for STIs, before initiating sexual intercourse
Every year if you have multiple partners or partner with STI |
|
Immunizations |
|
Measles, Mumps, Rubella (MMR),
Varicella (Chickenpox),
Hepatitis A, B |
Discuss with health care provider |
|
Tetanus-Diphtheria (Td) booster
Tetanus, diphtheria, pertussis (Tdap) |
Every 10 years
Discuss Tdap with health care provider |
|
Human papilloma virus (HPV) |
Three doses within six months, ages 9-26 |
|
Meningococcal |
Discuss with health care provider, if attending college |
|
Influenza (seasonal flu) |
Yearly |
Adapted from:
1) American College of Obstetricians and Gynecologists
2) Centers for Disease Control and Prevention. Recommended Adult Immunization Schedule
3) U.S. Department of Health and Human Services, Office on Women’s Health. General Screenings and Immunizations for Women
4) U.S. Preventive Services Task Force, The Guide to Clinical Preventive Services
Recommended Screening Tests And Immunizations for Women Ages 30-39
This chart is a guideline only. Talk to your provider to personalize your health program.
|
Stay Healthy Tips for Women in Their 30’s
|
|
To Do |
How Often |
|
General Health |
|
Checkup with pelvic exam |
Discuss with health care provider |
|
Blood pressure, height/weight |
Discuss with health care provider |
|
Cholesterol/lipid screen |
Discuss with health care provider |
|
Thyroid test (TSH) |
Age 35, then every 5 years |
|
Dental checkup |
1 to 2 times per year |
|
Mole exam |
Every 3 years by health care provider, monthly self exam |
|
Eye and vision test |
At least 2 exams |
|
Hearing test |
Every 10 years |
|
Mental health screening |
Discuss with health care provider |
|
Reproductive Health |
|
Cervical cancer screen (Pap) |
Every 3 years, or every 5 years with HPV testing |
|
Preconception health and
Pregnancy care |
See obstetric provider for checkup before pregnancy
See obstetric provider as soon as pregnancy is confirmed |
|
HIV
Sexually transmitted infections (STI) e.g. Chlamydia, gonorrhea, syphilis |
Know HIV test result regardless of risk.
Both partners should get tested for STIs, before initiating sexual intercourse
Every year if you have multiple partners or partner with STI |
|
Immunizations |
|
Measles, Mumps, Rubella (MMR),
Varicella (Chickenpox),
Hepatitis A, B |
Discuss with health care provider |
|
Tetanus-Diphtheria (Td) booster
Tetanus, diphtheria, pertussis (Tdap) |
Every 10 years, Td
Discuss Tdap with health care provider |
|
Influenza (seasonal flu) |
Yearly |
Adapted from:
1) American College of Obstetricians and Gynecologists. Clinical Updates in Women’s Health Care
2) Centers for Disease Control and Prevention. Recommended Adult Immunization Schedule
3) U.S. Department of Health and Human Services, Office on Women’s Health. General Screenings and Immunizations for Women
4) U.S. Preventive Services Task Force, The Guide to Clinical Preventive Services
Recommended Screening Tests And Immunizations for Women Ages 40-49
This chart is a guideline only. Talk to your provider to personalize your health program.
|
Stay Healthy Tips for Women in Their 40’s
|
|
To Do |
How Often |
|
General Health |
|
Checkup with pelvic exam |
Discuss with health care provider |
|
Blood pressure, height/weight |
Discuss with health care provider |
|
Cholesterol/lipid screen |
Every 5 years |
|
Blood glucose test for diabetes |
Age 45, then every 3 years |
|
Thyroid test (TSH) |
Age 35, then every 5 years |
|
Dental checkup |
1 to 2 times per year |
|
Mole exam |
Every year by health care provider, monthly self exam |
|
Eye and vision test |
Every 2-4 years |
|
Hearing test |
Every 10 years |
|
Mammography |
Discuss with health care provider |
|
Bone mineral density test |
Discuss with health care provider |
|
Mental health screening |
Discuss with health care provider |
|
Reproductive Health |
|
Cervical cancer screen (Pap) |
Every 3 years, or every 5 years with HPV testing |
|
Preconception health and
Pregnancy care |
See obstetric provider for checkup before pregnancy
See obstetric provider as soon as pregnancy is confirmed |
|
HIV
Sexually transmitted infections (STI) e.g. Chlamydia, gonorrhea, syphilis |
Know HIV test result regardless of risk.
Both partners should get tested for STIs, before initiating sexual intercourse
Every year if you have multiple partners or partner with STI |
|
Immunizations |
|
Influenza (seasonal flu) |
Yearly |
|
Measles, Mumps, Rubella (MMR),
Varicella (Chickenpox),
Hepatitis A, B |
Discuss with health care provider |
|
Tetanus-Diphtheria (Td) booster
Tetanus, diphtheria, pertussis (Tdap) |
Every 10 years
Discuss Tdap with health care provider |
Adapted from:
1) American College of Obstetricians and Gynecologists
2) Centers for Disease Control and Prevention. Recommended Adult Immunization Schedule
3) U.S. Department of Health and Human Services, Office on Women’s Health. General Screenings and Immunizations for Women
4) U.S. Preventive Services Task Force, The Guide to Clinical Preventive Services
Recommended Screening Tests And Immunizations for Women Ages 50-59
This chart is a guideline only. Talk to your provider to personalize your health program.
|
Stay Healthy Tips for Women in Their 50’s
|
|
To Do |
How Often |
|
General Health |
|
Checkup with pelvic exam |
Discuss with health care provider |
|
Blood pressure, height/weight |
At least every 1-2 years |
|
Cholesterol/lipid screen |
Every 5 years |
|
Blood glucose test for diabetes |
Every 3 years |
|
Thyroid test (TSH) |
Every 5 years |
|
Dental checkup |
1 to 2 times per year |
|
Mole exam |
Every year by health care provider, monthly self exam |
|
Eye and vision test |
Every 2-4 years |
|
Hearing test |
Every 3 years |
|
Mammography |
Every 1-2 years, discuss with health care provider |
|
Bone mineral density test |
Discuss with health care provider |
|
Mental health screening |
Discuss with health care provider |
|
Colorectal cancer screen:
Fecal occult blood test
Flexible sigmoidoscopy OR
Double contrast barium enema OR
Colonoscopy
Rectal exam |
Every year
Every 5 years
Every 5-10 years
Every 10 years
Every 5-10 years, with each screen |
|
Gynecologic Health |
|
Cervical cancer screen (Pap) |
Every 3 years, or every 5 years with HPV testing |
|
HIV
Sexually transmitted infections (STI) e.g. chlamydia, gonorrhea, syphilis |
Know HIV test result, regardless of risk factors
Both partners should get tested for STIs, before initiating sexual intercourse
Every year if you have multiple partners or partner with STI |
|
Immunizations |
|
Influenza (flu) |
Every year |
|
Tetanus-Diphtheria (Td) booster
Tetanus, diphtheria, pertussis (Tdap) |
Every 10 years
Discuss Tdap with health care provider |
Adapted from:
1) American College of Obstetricians and Gynecologists. Clinical Updates in Women’s Health Care
2) Centers for Disease Control and Prevention. Recommended Adult Immunization Schedule
3) U.S. Department of Health and Human Services, Office on Women’s Health. General Screenings and Immunizations for Women
4) U.S. Preventive Services Task Force, The Guide to Clinical Preventive Services
Recommended Screening Tests And Immunizations for Women Ages 60+
This chart is a guideline only. Talk to your provider to personalize your health program.
|
Stay Healthy Tips for Women in Their 60’s and Beyond
|
|
To Do |
How Often |
|
General Health |
|
Checkup with pelvic exam |
Discuss with health care provider |
|
Blood pressure, height/weight |
At least every 2 years |
|
Cholesterol/lipid screen |
Every 5 years |
|
Blood glucose test for diabetes |
Every 3 years |
|
Thyroid test (TSH) |
Every 5 years |
|
Dental checkup |
1 to 2 times per year |
|
Mole exam |
Every year by health care provider, monthly self exam |
|
Eye and vision test |
Every 1-2 years |
|
Hearing test |
Every 3 years |
|
Mammography |
Every 1-2 years, up to age 75, discuss |
|
Bone mineral density test |
Discuss with health care provider |
|
Mental health screening |
Discuss with health care provider |
|
Colorectal cancer screen:
Fecal occult blood test
Flexible sigmoidoscopy OR
Double contrast barium enema OR
Colonoscopy
Rectal exam |
Up to age 75
Every year
Every 5 years
Every 5-10 years
Every 10 years
Every 5-10 years, with each screen |
|
Gynecologic Health |
|
Cervical cancer screen (Pap) |
Every 3 years, or every 5 years with HPV testing, until age 65 |
|
HIV
Sexually transmitted infections (STI) e.g. Chlamydia, gonorrhea, syphilis |
Know HIV test result, regardless of risk.
Both partners should get tested for STIs, before initiating sexual intercourse
Every year if you have multiple partners or partner with STI |
|
Immunizations |
|
Influenza (flu) |
Every year |
|
Herpes zoster (shingles) |
Discuss with health care provider, one time |
|
Pneumococcal |
One time only at age 65 |
|
Tetanus-Diphtheria (Td) booster
Tetanus, diphtheria, pertussis (Tdap) |
Every 10 years
Discuss Tdap with health care provider |
Adapted from:
1) American College of Obstetricians and Gynecologists. Clinical Updates in Women’s Health Care
2) Centers for Disease Control and Prevention. Recommended Adult Immunization Schedule
3) U.S. Department of Health and Human Services, Office on Women’s Health. General Screenings and Immunizations for Women
4) U.S. Preventive Services Task Force, The Guide to Clinical Preventive Services
