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      COVID-2019 Alert

      Information about the 2019 Novel Coronavirus. Read the latest >

      Información sobre el coronavirus 2019 (COVID-19). Aprenda más >

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      Prevention Guidelines for Women 18 to 39

      Screening tests and vaccines are an important part of managing your health. A screening test is done to find diseases in people who don't have any symptoms. The goal is to find a disease early so lifestyle changes and checkups can reduce the risk of disease. Or the goal may be to find it early to treat it most effectively. Screening tests are not used to diagnose a disease. But they are used to see if more testing is needed. Health counseling is important, too. Below are guidelines for these, for women ages 18 to 39. Talk with your healthcare provider to make sure you’re up to date on what you need.

      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 the ages 30 and 65 should have a Pap test plus an HPV test every 5 years or a Pap test alone every 3 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 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)

      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 healthcare provider

      Vision

      Women in this age group1

      Every 5 to 10 years if no risk factors for eye disease

      Counseling

      Who needs it

      How often

      Breast cancer, chemoprevention

      Women at high risk

      When risk is noted

      BRCA mutation testing for breast and ovarian cancer susceptibility

      Women with increased risk

      When risk is noted

      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)

      All women in this age group up to age 26

      2-3 doses (depending on the age at which the vaccine series began). If 3 doses are advised, the second dose should be given at least 1 month after the first dose and the third dose should be given at least 5 months after the first dose.

      Tetanus/diphtheria/pertussis (Td/Tdap) booster

      All adults

      Td: every 10 years

      Tdap: Have a 1-time dose of Tdap instead of 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 vaccine

      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 vaccines

      1 or 2 doses

      Flu vaccine (seasonal)

      All adults

      Yearly, when the vaccine is available

      Haemophilus influenzae Type B (HIB)

      Women at increased risk for infection. Talk with your healthcare 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 3 doses depending on medical situation (protects against 23 types of pneumococcal bacteria)

      The type of vaccine used and the number of doses depends on age and medical situation. Talk with your healthcare provider about when and which type of vaccine is best for you.

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

      **There may be exceptions may exist. Talk with your healthcare provider.

      1 From the American Academy of Ophthalmology

      ***People who are 18 years old and not up to date on their childhood vaccines should get catch-up vaccines advised by the CDC.

      Other guidelines are from the USPSTF.

      Vaccine schedule from the CDC

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