Prevention Guidelines for Women 40-49
Here are the screening tests and immunizations that most women age 40-49 need. Although you and your healthcare provider may decide that a different schedule is best for you, this plan can guide your discussion. Click to see prevention plans for men and women in different age groups and learn more about each screening:
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Screening
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Who needs it
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How often
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Alcohol misuse
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Everyone
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At routine exams
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Anemia
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All pregnant women
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At first prenatal visit
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Bacteriuria
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All pregnant women
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At 12-16 weeks' gestation
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Blood pressure
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All adults
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At least every two years
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Cervical Cancer
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All sexually active women and all women older than 21 years.
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Pap smear every 1-3 years
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Colorectal cancer
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Everyone
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Periodically.
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Depression
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Everyone
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At routine exams
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Diabetes, type 2
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Adults who are overweight or have other risk factors such as hypertension, hyperlipidemia, or family history of diabetes
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At routine exams
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Gonorrhea
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All sexually active women
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At routine exams
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Hepatitis B virus
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All prgenant women
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At first prenatal visit
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HIV
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Anyone at increased risk
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At routine checkups
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Obesity
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Everyone.
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At routine checkups
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Preeclampsia
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All pregnant women
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At routine checkups
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Rh (D) Incompatibility
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All pregnant women
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At routine checkups
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Rubella
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All pregnant women
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At routine checkups
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Syphilis
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Anyone at increased risk
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At routine exams
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Tuberculosis
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Anyone at increased risk
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Check with your healthcare provider
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Counseling
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Who needs it
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How often
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Aspirin for prevention of cardiovascular events
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At-risk adults
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When risk is identified
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Breast cancer, chemoprevention
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Women with high risk
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When risk is identified
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BRCA mutation testing for breast and ovarian cancer susceptibility
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Women with increased risk
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When risk is identified
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Breastfeeding
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All pregnant women
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Before delivery
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Diet, behavorial counseling
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Adults with hyperlipidemia and other known risk factors for cardiovascular and diet-related chronic disease
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When diagnosed
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Tobacco use
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> All users
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Every visit
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Immunization
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Who needs it
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How often
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Human papillomavirus
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All females age 9 to age 26 and women who have Pap smear abnormalities
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Three doses
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Tetanus/diphtheria/pertussis (Td/Tdap) booster
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All adults
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Td: Every 10 years.
Tdap: Once after age 18
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Chickenpox (varicella)
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All with no history of chickenpox
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Two doses over 8 weeks.
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Measles, mumps, rubella (MMR) vaccine
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All adults
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Once or twice.
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Flu vaccine
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People at risk
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Yearly.
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Hepatitis A vaccine
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People at risk
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Twice over 12-18 months.
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Hepatitis B vaccine
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People at risk
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Three doses over six months.
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Meningococcal
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People at risk
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One or more times.
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Pneumococcal
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People at risk
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One or two times.
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Guidelines from the U.S. Preventive Services Task Force
Immunization schedule from the CDC
Online Medical Reviewer:
Oken, Emily MD
Date Last Reviewed:
7/18/2007
Date Last Modified:
7/17/2007