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Ages and Stages: 18-39

Ages 18-39: Screening & Immunization Guidelines

Well Woman Checkup

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

  • Blood pressure -  Every 2 years if normal (120/80). Yearly, 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 - Starting at age 20, get regular testing if at risk for heart disease.

Pelvic Exam

Every year beginning age 21.

  • PAP test without HPV screen for Cancer - every 3 years, ages 21-30
  • PAP test with HPV screen for Cancer - Every 5 years, age 30+
  • 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 1-3 years, starting at age 21.

  • Share your Breast Self Exam Info - Become familiar with how your breasts look and feel throughout your menstrual cycle, if applicable, so you can identify changes and discuss with your provider.

HIV Screening

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

Recommended Immunizations

  • Human Papillomvirus (HPV) - Protects against Cervical Cancer, Ages 11-26, One sereis of 3 vaccinations
  • Seasonal Flu Vaccine - Every year
  • Tetanus, Diphtheria, Perutussis (TD/TDAP) - Every 10 years
  • Meningococcal Vaccine, Hepatitis A and Hepatitis B - Discuss with your provider

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