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Health tips for every stage of your life

Click below on the age range that applies to you or a loved one. You will discover a table of health screenings and prevention steps recommended for girls or women in that phase of life.

Below is a summary of preventive service recommendations for healthy children with normal risk. Talk with your doctor to find out what preventive services are right for your children and when they should have them. Routine childhood and adolescent vaccines should be completed by this age. A catch-up vaccine schedule is also available on the Centers for Disease Control and Prevention (CDC) for children who have fallen behind or started late.

See the vaccine catch-up schedule from the CDC

The following screening and preventive steps should be followed in consultation with your physician:

Test/vaccine schedule

Test 1/Vaccine 2

How Often

Blood Pressure

Every 2 years — 18 years of age and older

Type 1 Diabetes

Routinely — An A1C goal of <7.5% is recommended across all pediatric age groups 3

Body Mass Index (BMI)

Periodically — 6-18 years of age

Chlamydia

Routinely — 24 years of age and younger and sexually active

Depression

Routinely – 12 years of age and older

Alcohol misuse

Routinely — 18 years of age and older

Tobacco use

Routinely — school-aged children and adolescents

Meningococcal

One dose – 16 years of age

Influenza

Every flu season – beginning 6 months of age

Type 2 Diabetes and prediabetes

Should be considered in children and adolescents who are overweight and who have two or more additional risk factors for diabetes.

Human immunodeficiency virus (HIV)

Once, 15-18 years of age.  Talk with your doctor about when screening should be repeated.

Intimate partner violence screening

Routinely — women of childbearing age

Test 1/Vaccine 2

Blood Pressure

How Often

Every 2 years — 18 years of age and older

Test 1/Vaccine 2

Type 1 Diabetes

How Often

Routinely — An A1C goal of <7.5% is recommended across all pediatric age groups 3

Test 1/Vaccine 2

Body Mass Index (BMI)

How Often

Periodically — 6-18 years of age

Test 1/Vaccine 2

Chlamydia

How Often

Routinely — 24 years of age and younger and sexually active

Test 1/Vaccine 2

Depression

How Often

Routinely – 12 years of age and older

Test 1/Vaccine 2

Alcohol misuse

How Often

Routinely — 18 years of age and older

Test 1/Vaccine 2

Tobacco use

How Often

Routinely — school-aged children and adolescents

Test 1/Vaccine 2

Meningococcal

How Often

One dose – 16 years of age

Test 1/Vaccine 2

Influenza

How Often

Every flu season – beginning 6 months of age

Test 1/Vaccine 2

Type 2 Diabetes and prediabetes

How Often

Should be considered in children and adolescents who are overweight and who have two or more additional risk factors for diabetes.

Test 1/Vaccine 2

Human immunodeficiency virus (HIV)

How Often

Once, 15-18 years of age.  Talk with your doctor about when screening should be repeated.

Test 1/Vaccine 2

Intimate partner violence screening

How Often

Routinely — women of childbearing age

Perinatal screening tests

Perinatal Screening Tests*

Recommendation

Bacteriuria

Urine culture – 12-16 weeks' gestation or first prenatal visit, whichever is first

Hepatitis B virus (HBV)

First prenatal visit

Rh (D) antibody

First prenatal visit – repeat at 24-28 weeks' gestation for all unsensitized Rh (D)-negative women, unless the biological father is known to be Rh (D)-negative

HIV

During pregnancy

Syphilis

During pregnancy

Iron deficiency anemia

During pregnancy

Preeclampsia

Throughout pregnancy, with blood pressure measurements

Breastfeeding

During and after pregnancy – promote and support breastfeeding

Tobacco use

During pregnancy – ask about tobacco use, advise cessation, and provide behavioral interventions

Ophthalmology exam

Women with type 1 or type 2 diabetes – baseline exam in the first trimester and then monitoring every trimester as indicated by degree of retinopathy3

Gestational diabetes mellitus

During pregnancy – after 24 weeks3

Perinatal Screening Tests*

Bacteriuria

Recommendation

Urine culture – 12-16 weeks' gestation or first prenatal visit, whichever is first

Perinatal Screening Tests*

Hepatitis B virus (HBV)

Recommendation

First prenatal visit

Perinatal Screening Tests*

Rh (D) antibody

Recommendation

First prenatal visit – repeat at 24-28 weeks' gestation for all unsensitized Rh (D)-negative women, unless the biological father is known to be Rh (D)-negative

Perinatal Screening Tests*

HIV

Recommendation

During pregnancy

Perinatal Screening Tests*

Syphilis

Recommendation

During pregnancy

Perinatal Screening Tests*

Iron deficiency anemia

Recommendation

During pregnancy

Perinatal Screening Tests*

Preeclampsia

Recommendation

Throughout pregnancy, with blood pressure measurements

Perinatal Screening Tests*

Breastfeeding

Recommendation

During and after pregnancy – promote and support breastfeeding

Perinatal Screening Tests*

Tobacco use

Recommendation

During pregnancy – ask about tobacco use, advise cessation, and provide behavioral interventions

Perinatal Screening Tests*

Ophthalmology exam

Recommendation

Women with type 1 or type 2 diabetes – baseline exam in the first trimester and then monitoring every trimester as indicated by degree of retinopathy3

Perinatal Screening Tests*

Gestational diabetes mellitus

Recommendation

During pregnancy – after 24 weeks3

Perinatal vaccine

Perinatal vaccines*

Recommendation

Tetanus-diphtheria-pertussis (Tdap)

One dose during each pregnancy

Perinatal vaccines*

Tetanus-diphtheria-pertussis (Tdap)

Recommendation

One dose during each pregnancy

It's easy to get distracted from a healthy lifestyle as work and family responsibilities become more time consuming. If you have gained weight or if your blood pressure, cholesterol or blood sugar is high, work with your doctor to develop a plan of action. And be sure to pay close attention to the following:

 

If you are thinking about pregnancy, talk to your doctor to learn the best way to manage any likely problems, such as gestational diabetes. Your risk of birth defects increases with a pregnancy after age 35. You should see your doctor for prenatal care as soon as you know or think you are pregnant, even if you are not a first-time mom.
 

It's also important to keep aware of the risk of sexually transmitted diseases, which can affect not only your fertility but also your and your partner's health.
 

If you smoke, this is the time to quit. Smoking can lead to lung cancer, the leading cause of cancer deaths in women.
 

The U.S. Preventive Services Task Force does not recommend aspirin for stroke prevention in women younger than 55 years or for preventing heart attacks (myocardial infarction).

 

The following screening and preventive steps should be followed in consultation with your health care professional:

Preventive steps schedule

Test 1/Vaccine 2

How Often

Blood Pressure

Every two years — 18 years of age and older

Body Mass Index (BMI)

Periodically — 18 years of age and older

Cervical

Every 3 years — Pap smear for women 21-65 years of age. Women 30-65 years of age may have a Pap smear AND human papillomavirus (HPV) testing every 5 years. Talk with your doctor to discuss the method of screening that is right for you.

Chlamydia

Routinely — sexually active women 24 years of age and younger, and older women at increased risk of infection

Depression

Routinely — 18 years of age and older

Alcohol misuse

Routinely — 18 years of age and older

Tobacco use

Routinely — 18 years of age and older

Tetanus-diphtheria-pertussis (Tdap)

One dose of Td every 10 years; substitute a single dose of Td with Tdap vaccine — 19 years of age and older

Influenza

Every flu season

Human immunodeficiency virus (HIV) screening

Once — talk with your doctor about when to repeat screenings

Intimate partner violence screening

Routinely — women of child-bearing age

Test 1/Vaccine 2

Blood Pressure

How Often

Every two years — 18 years of age and older

Test 1/Vaccine 2

Body Mass Index (BMI)

How Often

Periodically — 18 years of age and older

Test 1/Vaccine 2

Cervical

How Often

Every 3 years — Pap smear for women 21-65 years of age. Women 30-65 years of age may have a Pap smear AND human papillomavirus (HPV) testing every 5 years. Talk with your doctor to discuss the method of screening that is right for you.

Test 1/Vaccine 2

Chlamydia

How Often

Routinely — sexually active women 24 years of age and younger, and older women at increased risk of infection

Test 1/Vaccine 2

Depression

How Often

Routinely — 18 years of age and older

Test 1/Vaccine 2

Alcohol misuse

How Often

Routinely — 18 years of age and older

Test 1/Vaccine 2

Tobacco use

How Often

Routinely — 18 years of age and older

Test 1/Vaccine 2

Tetanus-diphtheria-pertussis (Tdap)

How Often

One dose of Td every 10 years; substitute a single dose of Td with Tdap vaccine — 19 years of age and older

Test 1/Vaccine 2

Influenza

How Often

Every flu season

Test 1/Vaccine 2

Human immunodeficiency virus (HIV) screening

How Often

Once — talk with your doctor about when to repeat screenings

Test 1/Vaccine 2

Intimate partner violence screening

How Often

Routinely — women of child-bearing age

Perinatal screening tests schedule

Perinatal Screening Tests*

Recommendation

Bacteriuria

Urine culture – 12-16 weeks' gestation or first prenatal visit, whichever is first

Hepatitis B virus (HBV)

First prenatal visit

Rh (D) antibody

First prenatal visit – repeat at 24-28 weeks' gestation for all unsensitized Rh (D)-negative women, unless the biological father is known to be Rh (D)-negative

HIV

During pregnancy

Syphilis

During pregnancy

Iron deficiency anemia

During pregnancy

Preeclampsia

Throughout pregnancy, with blood pressure measurements

Breastfeeding

During and after pregnancy – promote and support breastfeeding

Tobacco use

During pregnancy – ask about tobacco use, advise cessation, and provide behavioral interventions

Ophthalmology exam

Women with type 1 or type 2 diabetes – baseline exam in the first trimester and then monitoring every trimester as indicated by degree of retinopathy3

Gestational diabetes mellitus

During pregnancy – after 24 weeks3

Perinatal Screening Tests*

Bacteriuria

Recommendation

Urine culture – 12-16 weeks' gestation or first prenatal visit, whichever is first

Perinatal Screening Tests*

Hepatitis B virus (HBV)

Recommendation

First prenatal visit

Perinatal Screening Tests*

Rh (D) antibody

Recommendation

First prenatal visit – repeat at 24-28 weeks' gestation for all unsensitized Rh (D)-negative women, unless the biological father is known to be Rh (D)-negative

Perinatal Screening Tests*

HIV

Recommendation

During pregnancy

Perinatal Screening Tests*

Syphilis

Recommendation

During pregnancy

Perinatal Screening Tests*

Iron deficiency anemia

Recommendation

During pregnancy

Perinatal Screening Tests*

Preeclampsia

Recommendation

Throughout pregnancy, with blood pressure measurements

Perinatal Screening Tests*

Breastfeeding

Recommendation

During and after pregnancy – promote and support breastfeeding

Perinatal Screening Tests*

Tobacco use

Recommendation

During pregnancy – ask about tobacco use, advise cessation, and provide behavioral interventions

Perinatal Screening Tests*

Ophthalmology exam

Recommendation

Women with type 1 or type 2 diabetes – baseline exam in the first trimester and then monitoring every trimester as indicated by degree of retinopathy3

Perinatal Screening Tests*

Gestational diabetes mellitus

Recommendation

During pregnancy – after 24 weeks3

Perinatal vaccine

Perinatal vaccines *

Recommendation

Tetanus-diphtheria-pertussis (Tdap)

One dose during each pregnancy

Perinatal vaccines *

Tetanus-diphtheria-pertussis (Tdap)

Recommendation

One dose during each pregnancy

Maintaining healthy eating habits and a regular exercise regimen is very important as your reproductive life shifts from a focus on the ability to become pregnant to menopause. Other conditions — diabetes, high cholesterol, high blood pressure, breast cancer and heart disease — are concerns for women in your age group as weight gain becomes more difficult to control. Other factors to keep in mind:

 

If you smoke, this is the time to quit. Smoking can lead to lung cancer, the leading cause of cancer deaths in women.
 

Ask your health care professional if you should be taking a multivitamin for extra folic acid and iron. Folic acid has been linked to lower birth defects, an increased risk for women who become pregnant in their 40s. You should see your doctor for prenatal care as soon as you know or think you are pregnant, even if you are not a first-time mom.
 

The U.S. Preventive Services Task Force does not recommend aspirin for stroke prevention in women younger than 55 years or for preventing heart attacks (myocardial infarction).
 

The following screening and preventive steps should be followed in consultation with your health care professional:

Test/vaccine schedule

Test 1/Vaccine 2

How Often

Blood Pressure

Every two years — 18 years of age and older

Body Mass Index (BMI)

Periodically — 18 years of age and older

Mammogram

Every 2 years in women ages 50 to 74

Cervical

Every 3 years — Pap smear for women 21-65 years of age. Women 30-65 years of age may have a Pap smear AND human papillomavirus (HPV) testing every 5 years. Talk with your doctor to discuss the method of screening that is right for you.

Colorectal

Beginning at 50 years of age to 75 years of age — yearly screening with high-sensitivity stool test for blood, OR sigmoidoscopy every 5 years with high-sensitivity stool test for blood every 3 years, OR colonoscopy every 10 years.

Osteoporosis (bone density test)

Routinely — women younger than 65 who have a risk of osteoporosis equal to that of a 65-year-old white woman with no other risk factors

Depression

Routinely — 18 years of age and older

Alcohol misuse

Routinely — 18 years of age and older

Tobacco use

Routinely — 18 years of age and older

Tetanus-diphtheria-pertussis (Tdap)

One dose of Td every 10 years; substitute a single dose of Td with Tdap vaccine — 19 years of age and older

Influenza

Every flu season

Zoster

Once — talk with your doctor about when to repeat screenings

Hepatitis C

Once — adults born between 1945 and 1965. People at high risk for infection should also be screened.

Human immunodeficiency virus (HIV) screening

Once — talk with your doctor about when to repeat screenings

Intimate partner violence screening

Routinely — women of child-bearing age

Test 1/Vaccine 2

Blood Pressure

How Often

Every two years — 18 years of age and older

Test 1/Vaccine 2

Body Mass Index (BMI)

How Often

Periodically — 18 years of age and older

Test 1/Vaccine 2

Mammogram

How Often

Every 2 years in women ages 50 to 74

Test 1/Vaccine 2

Cervical

How Often

Every 3 years — Pap smear for women 21-65 years of age. Women 30-65 years of age may have a Pap smear AND human papillomavirus (HPV) testing every 5 years. Talk with your doctor to discuss the method of screening that is right for you.

Test 1/Vaccine 2

Colorectal

How Often

Beginning at 50 years of age to 75 years of age — yearly screening with high-sensitivity stool test for blood, OR sigmoidoscopy every 5 years with high-sensitivity stool test for blood every 3 years, OR colonoscopy every 10 years.

Test 1/Vaccine 2

Osteoporosis (bone density test)

How Often

Routinely — women younger than 65 who have a risk of osteoporosis equal to that of a 65-year-old white woman with no other risk factors

Test 1/Vaccine 2

Depression

How Often

Routinely — 18 years of age and older

Test 1/Vaccine 2

Alcohol misuse

How Often

Routinely — 18 years of age and older

Test 1/Vaccine 2

Tobacco use

How Often

Routinely — 18 years of age and older

Test 1/Vaccine 2

Tetanus-diphtheria-pertussis (Tdap)

How Often

One dose of Td every 10 years; substitute a single dose of Td with Tdap vaccine — 19 years of age and older

Test 1/Vaccine 2

Influenza

How Often

Every flu season

Test 1/Vaccine 2

Zoster

How Often

Once — talk with your doctor about when to repeat screenings

Test 1/Vaccine 2

Hepatitis C

How Often

Once — adults born between 1945 and 1965. People at high risk for infection should also be screened.

Test 1/Vaccine 2

Human immunodeficiency virus (HIV) screening

How Often

Once — talk with your doctor about when to repeat screenings

Test 1/Vaccine 2

Intimate partner violence screening

How Often

Routinely — women of child-bearing age

Perinatal screening tests schedule

Perinatal Screening Tests*

Recommendation

Bacteriuria

Urine culture – 12-16 weeks' gestation or first prenatal visit, whichever is first

Hepatitis B virus (HBV)

First prenatal visit

Rh (D) antibody

First prenatal visit – repeat at 24-28 weeks' gestation for all unsensitized Rh (D)-negative women, unless the biological father is known to be Rh (D)-negative

HIV

During pregnancy

Syphilis

During pregnancy

Iron deficiency anemia

During pregnancy

Preeclampsia

Throughout pregnancy, with blood pressure measurements

Breastfeeding

During and after pregnancy – promote and support breastfeeding

Tobacco use

During pregnancy – ask about tobacco use, advise cessation, and provide behavioral interventions

Ophthalmology exam

Women with type 1 or type 2 diabetes – baseline exam in the first trimester and then monitoring every trimester as indicated by degree of retinopathy

Gestational diabetes mellitus

During pregnancy – after 24 weeks

Perinatal Screening Tests*

Bacteriuria

Recommendation

Urine culture – 12-16 weeks' gestation or first prenatal visit, whichever is first

Perinatal Screening Tests*

Hepatitis B virus (HBV)

Recommendation

First prenatal visit

Perinatal Screening Tests*

Rh (D) antibody

Recommendation

First prenatal visit – repeat at 24-28 weeks' gestation for all unsensitized Rh (D)-negative women, unless the biological father is known to be Rh (D)-negative

Perinatal Screening Tests*

HIV

Recommendation

During pregnancy

Perinatal Screening Tests*

Syphilis

Recommendation

During pregnancy

Perinatal Screening Tests*

Iron deficiency anemia

Recommendation

During pregnancy

Perinatal Screening Tests*

Preeclampsia

Recommendation

Throughout pregnancy, with blood pressure measurements

Perinatal Screening Tests*

Breastfeeding

Recommendation

During and after pregnancy – promote and support breastfeeding

Perinatal Screening Tests*

Tobacco use

Recommendation

During pregnancy – ask about tobacco use, advise cessation, and provide behavioral interventions

Perinatal Screening Tests*

Ophthalmology exam

Recommendation

Women with type 1 or type 2 diabetes – baseline exam in the first trimester and then monitoring every trimester as indicated by degree of retinopathy

Perinatal Screening Tests*

Gestational diabetes mellitus

Recommendation

During pregnancy – after 24 weeks

Perinatal vaccines schedule

Perinatal vaccines *

Recommendation

Tetanus-diphtheria-pertussis (Tdap)

One dose during each pregnancy

Perinatal vaccines *

Tetanus-diphtheria-pertussis (Tdap)

Recommendation

One dose during each pregnancy

This "settling down" age is a great time to continue your healthy habits. If you adopt a routine of eating well and staying fit, you can reduce the chances that disease will threaten your health during this time.

 

Maintaining mobility is even more important now, so establish a moderate exercise routine, with your health care professional's approval.
 

Sleep patterns change as we age. However, disturbed sleep and waking up tired every day is not part of normal aging and may be a sign of emotional or physical disorders.
 

If you smoke, this is the time to quit. Smoking can lead to lung cancer, the leading cause of cancer deaths in women.
 

Monitoring your heart health is vital at this time. Each year, about 314,000 women age 65 and older have a heart attack, and the average age for women to have a first heart attack is about 70.
 

Although your eating habits have likely changed, your body still has basic nutritional needs. Ask your doctor about what makes up a healthy diet for you.
 

Aspirin is recommended for women ages 55 to 79 when the potential to prevent an ischemic stroke outweighs the potential increased risk of gastrointestinal bleeding. There is insufficient evidence at this time regarding the risks and benefits of aspirin to prevent cardiovascular disease in men and women 80 years and older.
 

The following screening and preventive steps should be followed in consultation with your health care professional:

Test/vaccine schedule

Test 1/Vaccine 2

How Often

Blood Pressure

Every two years — 18 years of age and older

Body Mass Index (BMI)

Periodically — 18 years of age and older

Mammogram

Every 2 years in women ages 50 to 74

Colorectal

Beginning at 50 years of age to 75 years of age — yearly screening with high-sensitivity stool test for blood, OR sigmoidoscopy every 5 years with high- sensitivity stool test for blood every 3 years, OR colonoscopy every 10 years. Talk with your doctor about what type of screening is right for you and any benefits of screening over 75 years of age.

Osteoporosis (bone density test)

Routinely — women age 65 and older

Depression

Routinely — 18 years of age and older

Alcohol misuse

Routinely — 18 years of age and older

Tobacco use

Routinely — 18 years of age and older

Tetanus-diphtheria-pertussis (Tdap)

One dose of Td every 10 years; substitute a single dose of Td with Tdap vaccine — 19 years of age and older

 Influenza

Every flu season

Zoster

One dose — 60 years of age and older

Pneumococcal

Once — adults born between 1945 and 1965. People at high risk for infection should also be screened.

Hepatitis C

Once — talk with your doctor about when to repeat screenings

Test 1/Vaccine 2

Blood Pressure

How Often

Every two years — 18 years of age and older

Test 1/Vaccine 2

Body Mass Index (BMI)

How Often

Periodically — 18 years of age and older

Test 1/Vaccine 2

Mammogram

How Often

Every 2 years in women ages 50 to 74

Test 1/Vaccine 2

Colorectal

How Often

Beginning at 50 years of age to 75 years of age — yearly screening with high-sensitivity stool test for blood, OR sigmoidoscopy every 5 years with high- sensitivity stool test for blood every 3 years, OR colonoscopy every 10 years. Talk with your doctor about what type of screening is right for you and any benefits of screening over 75 years of age.

Test 1/Vaccine 2

Osteoporosis (bone density test)

How Often

Routinely — women age 65 and older

Test 1/Vaccine 2

Depression

How Often

Routinely — 18 years of age and older

Test 1/Vaccine 2

Alcohol misuse

How Often

Routinely — 18 years of age and older

Test 1/Vaccine 2

Tobacco use

How Often

Routinely — 18 years of age and older

Test 1/Vaccine 2

Tetanus-diphtheria-pertussis (Tdap)

How Often

One dose of Td every 10 years; substitute a single dose of Td with Tdap vaccine — 19 years of age and older

Test 1/Vaccine 2

 Influenza

How Often

Every flu season

Test 1/Vaccine 2

Zoster

How Often

One dose — 60 years of age and older

Test 1/Vaccine 2

Pneumococcal

How Often

Once — adults born between 1945 and 1965. People at high risk for infection should also be screened.

Test 1/Vaccine 2

Hepatitis C

How Often

Once — talk with your doctor about when to repeat screenings

 

Women and heart disease


For years, heart disease was considered a man's disease. But postmenopausal women are just as likely to develop heart disease as men. When heart attack or stroke does occur, they are more likely to be fatal in women. Unfortunately, many women remain unaware of the extent of their risk. A 2012 survey by the American Heart Association found that 44% of women were unaware that heart disease is the leading cause of death among women.

 

Read more about women's heart health

 

1 The preventive health screenings are based on the recommendations of the U.S. Preventive Services Task Force, accessed February 26, 2018.

 

2 The vaccine recommendations are based on the Centers for Disease Control and Prevention (CDC) recommendations, accessed February 11, 2015.

 

3 American Diabetes Association, Standards of medical care in diabetes-2015, Diabetes Care 2015;38 (supplement 1), S1-S94.

 

*This information is a summary of perinatal services recommendations from the USPSTF and the CDC for healthy pregnant women with normal risk. Talk with your doctor to find out what services are right for you and when you should have them. Your doctor may have additional recommendations

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