Ages and Stages: 40-49

Ages 40-49: Screening and Immunization Guidelines

Well Woman Checkup

Every year — including weight, height.
This checkup also includes:

  • Blood Pressure - every 2 years if normal (<120/80)
  • Blood Pressure - every year or more often if higher than 120/80
  • Diabetes Blood Glucose - if your blood pressure is > 135/80 or if you take blood pressure medication
  • Cholesterol test - get regular testing if you are at risk for heart disease.

Pelvic Exam

Every year.

  • PAP test and HPV screen for cancer - every 5 years if you have a cervix
  • Chlamydia and Gonorrhea - get tested if you are sexually active and at increased risk (new or multiple partners) or are pregnant.
  • Syphilis - get tested if you are at increased risk or pregnant

Clinical breast exam

Every year.

  • Breast Self-Exam - become familiar with how your breasts look and feel throughout your menstrual cycle so you can identify any changes and discuss with your provider.
  • Mammogram - Discuss with your Provider. Recommendations vary depending on risk factors.

HIV Screening

All women should be offered a 1-time screening. Follow up testing should be done based on individual risk. All pregnant women need to be tested.

Recommended Immunizations

  • Seasonal Flu Vaccine - every year
  • Tetanus, diphtheria, Pertussis (Td/Tdap) - every 10 years

These are guidelines only. Your health care provider will personalize the timing and frequency of screening tests for you based on your personal health factors.