Prevention Guidelines for Women 18 to 39 – Med Center Health

Screening	Who needs it	How often
Alcohol misuse	All adults	At routine exams
Blood pressure	All adults	Yearly checkup if your blood pressure is normal* Normal blood pressure is less than 120/80 mm Hg* If your blood pressure is higher than normal, follow the advice of your healthcare provider.
Breast cancer	All women in this age group should talk with their healthcare providers about breast self-awareness	At routine exams
Cervical cancer	Women ages 21 and older	Women between ages 21 and 29 should have a Pap test every 3 years. HPV testing is not advised. Women between ages 30 and 65 should have a Pap test plus a high-risk human papillomavirus (hrHPV) test every 5 years or a Pap test alone every 3 years, or every 5 years with hrHPV testing in combination with cytology (cotesting).
Chlamydia	Sexually active women, including those who are pregnant and who are: 24 years and younger 25 years and older at increased risk for infection	At routine yearly exams or as advised during pregnancy
Depression	All women in this age group	At routine exams, including during and after pregnancy
Diabetes mellitus, type 2	Adults with no symptoms who are overweight or obese and have 1 or more extra risk factors for diabetes (such as having a close relative with diabetes or having had diabetes in a previous pregnancy)	At least every 3 years (annual testing if blood sugar has begun to rise) Blood sugar should be tested for gestational diabetes around week 24 of pregnancy.
Gonorrhea	Sexually active women, including those who are pregnant and who are: 24 years and younger 25 years and older at increased risk for infection	At routine yearly exams or as advised during pregnancy
Hepatitis C	Anyone at increased risk for infection	At routine exams (once between age 18 and 79)
HIV	All women	At routine exams, including during pregnancy. Preexposure prophylaxis should be offered to those at high risk of HIV infection.
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 healthcare provider
Vision	Women in this age group ¹	Every 5 to 10 years if no risk factors for eye disease

Health Counseling	Who needs it	How often
Breast cancer, chemoprevention	Women at high risk	When risk is noted. Chemoprevention may be recommended after age 35.
BRCA mutation testing for breast and ovarian cancer susceptibility	Women with increased risk	When risk is noted. Genetic counseling is recommended and genetic testing if indicated.
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

* American College of Cardiology and the American Heart Association Task Force on Clinical Practice Guidelines

1 From the American Academy of Ophthalmology

Other guidelines are from the USPSTF.