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Prevention Guidelines for Women 18 to 39

Prevention Guidelines for Women 18 to 39

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

Screening

Who needs it

How often

Alcohol misuse

All adults

At routine exams

Blood pressure

All adults

Every 2 years if your blood pressure is less than 120/80 mm Hg; yearly if your systolic blood pressure is 120 to 139 mm Hg, or your diastolic blood pressure reading is 80 to 89 mm Hg

Breast cancer

All women in this age group should talk with their health care providers about the need for clinical breast exams (CBE)

Clinical breast exam every 3 years*

Cervical cancer

Women ages 21 and older

Women between ages 21 and 29 should have a Pap test every 3 years; women between the ages 30 and 65 should have a Pap test plus an HPV test every 5 years.

Chlamydia

Sexually active women ages 24 and younger, and women at increased risk for infection

Every 3 years if at risk or if you have symptoms

Depression

All women in this age group

At routine exams

Diabetes mellitus, type 2

Adults with no symptoms who have sustained blood pressure (either treated or untreated) greater than 135/80 mm Hg

At least every 3 years

Gonorrhea

Sexually active women at increased risk for infection

At routine exams

Hepatitis C

Anyone at increased risk for infection

At routine exams

HIV

All women

At routine exams

Obesity

All adults

At routine exams

Syphilis

Women at increased risk for infection

At routine exams if at risk

Tuberculosis

Anyone at increased risk for infection

Check with your health care provider

Vision

Women in this age group1

Every 5 to 10 years if not risk factors for eye disease

Counseling

Who needs it

How often

Breast cancer, chemoprevention

Women at high risk

When risk is identified

BRCA mutation testing for breast and ovarian cancer susceptibility

Women with increased risk

When risk is identified

Diet and exercise

Women who are overweight or obese

When diagnosed and at routine exams

Domestic violence

Women at the age in which they are able to have children

At routine exams

Sexually transmitted infection prevention

Women who are sexually active

At routine exams

Skin cancer

Prevention of skin cancer in fair-skinned adults through age 24

At routine exams

Tobacco use and tobacco-related disease

All adults

Every exam

Immunizations***

Who needs it

How often

Human papillomavirus (HPV)

Recommended for all females ages 11 to 26

3 doses

The second dose should be given 1 to 2 months after the first dose, and the third dose should be given 6 months after the first dose

Tetanus/diphtheria/pertussis (Td/Tdap) booster

All adults

Td: every 10 years

Tdap: substitute a one-time dose of Tdap for a Td booster after age 18, then boost with Td every 10 years

Chickenpox (varicella)

All adults in this age group who have no record of previous infection or vaccinations

2 doses; the second dose should be given 4 to 8 weeks after the first dose

Measles, mumps, rubella (MMR) vaccine

All adults in this age group who have no record of previous infection or vaccinations

1 or 2 doses

Flu vaccine (seasonal)

All adults

Yearly, when the vaccine becomes available in the community

Haemophilus influenzae Type B (HIB)

Women at increased risk for infection – talk with your health care provider

1 to 3 doses

Hepatitis A vaccine

People at risk2

2 doses given at least 6 months apart

Hepatitis B vaccine

People at risk3

3 doses; second dose should be given 1 month after the first dose; the third dose should be given at least 2 months after the second dose (and at least 4 months after the first dose)

Meningococcal

People at risk4

1 or more doses

Pneumococcal conjugate vaccine (PCV13) and pneumococcal polysaccharide vaccine (PPSV23)

People at risk5

PCV13: 1 dose ages 19 to 65 (protects against 13 types of pneumococcal bacteria)

 

PPSV23: 1 to 2 doses through age 64, or 1 dose at 65 or older (protects against 23 types of pneumococcal bacteria)

 

*According to the American Cancer Society, 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. The U.S. Preventive Services Task Force (USPSTF), however, does not recommend CBE.

**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

***Those who are 18 years of age, who are not up to date on their childhood immunizations, should receive all appropriate catch-up vaccines recommended by the CDC.

Other guidelines are from the USPSTF

Immunization schedule from the CDC

 

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