G e n e r a l S c r e e n i n G S a n d i mmunizationS f o r W o m e n

These charts are guidelines only. Your doctor will personalize the timing of each test and immunization to meet your health care needs. Screening tests Ages 18–39 Ages 40–49 Ages 50–64 Ages 65 and older General health: Discuss with your Discuss with your Discuss with your Discuss with your Full checkup, includ- doctor or nurse. doctor or nurse. doctor or nurse. doctor or nurse. ing weight and height Thyroid test (TSH) Start at age 35, Every 5 years Every 5 years Every 5 years then every 5 years. HIV test Get this test at Get this test at Get this test at Discuss with your least once to least once to least once to doctor or nurse. womenshealth.gov find out your HIV find out your HIV find out your HIV status. status. status. 1-800-994-9662 Heart health: At least every 2 At least every 2 At least every 2 At least every 2 TDD: 1-888-220-5446 test years years years years Cholesterol test Start at age 20, Discuss with your Discuss with your Discuss with your discuss with your doctor or nurse. doctor or nurse. doctor or nurse. doctor or nurse. Bone health: Discuss with your Discuss with your Get a bone mineral Bone density screen doctor or nurse. doctor or nurse. density test at least once. Talk to your doctor or nurse about repeat testing. Diabetes: Discuss with your Start at age 45, Every 3 years Every 3 years Blood glucose test doctor or nurse. then every 3 years. Breast health: Every 1–2 years. Every 1–2 years. Every 1–2 years. Mammogram (x-ray Discuss with your Discuss with your Discuss with your of breast) doctor or nurse. doctor or nurse. doctor or nurse. Clinical breast exam At least every 3 Yearly Yearly Yearly years starting in your 20s. Reproductive Every 1–3 years Every 1–3 years Every 1–3 years Discuss with your health: if you have been doctor or nurse. sexually active or are older than 21. Pelvic Exam Yearly Yearly Yearly Yearly Chlamydia test Yearly until age 25 Get this test if Get this test if Get this test if if sexually active. you have new or you have new or you have new or Older than age 26, multiple partners. multiple partners. multiple partners. get this test if you have new or mul- tiple partners. Sexually Both partners Both partners Both partners Both partners transmitted infec- should get tested should get tested should get tested should get tested tion (STI) tests for STIs, includ- for STIs, includ- for STIs, includ- for STIs, including ing HIV, before ing HIV, before ing HIV, before HIV, before initiat- initiating sexual initiating sexual initiating sexual ing sexual inter- intercourse. intercourse. intercourse. course. Mental health Discuss with your Discuss with your Discuss with your Discuss with your page  screening doctor or nurse. doctor or nurse. doctor or nurse. doctor or nurse.

U.S. Department of Health and Human Services, Office on Women’s Health G e n e r a l S c r e e n i n G S a n d i mmunizationS f o r W o m e n

Screening tests Ages 18–39 Ages 40–49 Ages 50–64 Ages 65 and older Colorectal health: Yearly Yearly. Older than use 1 of these 3 age 75, discuss with methods: your doctor. Fecal occult blood test Flexible sigmoid- Every 5 years Every 5 years. Older oscopy (with fecal than age 75, discuss occult blood test) with your doctor. Colonoscopy Every 10 years Every 10 years. Older womenshealth.gov than age 75, discuss with your doctor. 1-800-994-9662 Eye and health: At least once Get an exam Every 2–4 years Every 1–2 years TDD: 1-888-220-5446 Complete eye exam between the ages at age 40, then or as your doctor 20-29, at least every 2-4 years advises you. twice between the or as your doctor ages 30-39, or any advises. time that you have a problem. test Starting at age Every 10 years Every 3 years Every 3 years 18, then every 10 years. Skin Health: Monthly mole self- Monthly mole self- Monthly mole self- Monthly mole self- Mole exam exam; by a doctor exam; by a doctor exam; by a doctor exam; by a doctor as part of a routine as part of a routine as part of a routine as part of a routine full checkup start- full checkup. full checkup. full checkup. ing at age 20. Oral health: Routinely; discuss Routinely; discuss Routinely; discuss Routinely; discuss Dental exam with your dentist. with your dentist. with your dentist. with your dentist. Immunizations: Discuss with your Discuss with your Yearly Yearly Influenza vaccine doctor or nurse. doctor or nurse. Pneumococcal One time only vaccine Tetanus-diphtheria Every 10 years Every 10 years Every 10 years Every 10 years booster vaccine Human papilloma- Up to age 26, if virus vaccine not already com- pleted vaccine series; discuss with your doctor or nurse. Meningococcal Discuss with your vaccine doctor or nurse if attending college. Herpes zoster vac- Starting at age 60, Starting at age 60, cine (to prevent one time only. Ask one time only. Ask shingles) your doctor if it your doctor if it is is okay for you to okay for you to get it. get it. page 

U.S. Department of Health and Human Services, Office on Women’s Health