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Women's health

  • Gynecology
  • Pregnancy and baby
  • Breast health
  • Women's screenings
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Women's health

Screening for adult women

Here are the screening tests and immunizations that most adult women need. This plan doesn't include recommendations for pregnancy. Your provider may recommend a different schedule, but this plan can guide your discussion.

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Cancer screenings

here is a short description

Who: All women

When: All women in this age group should talk with their healthcare providers about breast self-awareness. Screening with a mammogram every year is an option starting at age 40. At age 45 start yearly mammograms.

Our breast health task force has a more stringent recommendation. Please see our SCL Health mammography screening guidelines.

Who: All women, except those who had a hysterectomy (with removal of the cervix) for reasons not related to cervical cancer and no history of cervical cancer or serious precancer

When: Women between the ages of 30 and 65 should have a Pap test plus an HPV test (called "co-testing") every five years. This is the preferred approach, but it is also acceptable to continue to have Pap tests alone every three years.

Other screenings

Who: All adults beginning at age 45, and adults with no symptoms at any age who are overweight or obese and have one or more additional risk factors for diabetes

When: At least every three years

Who: All adults

When: At routine exams

Who: All adults

When: Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure recommends the following screening schedules:

  • Every two years if your blood pressure reading is less than 120/80 mm Hg, or
  • Yearly if systolic blood pressure reading of 120 to 139 mm Hg or diastolic blood pressure reading of 80 to 89 mm Hg

Who: Women at increased risk for infection

When: At routine exams if at risk

Who: All adults in clinical practices that have staff and systems in place to assure accurate diagnosis, effective treatment, and follow-up

When: At routine exams

Who: Sexually active women at increased risk for infection

When: At routine exams if at risk

Who: Anyone at increased risk; One time for those born between 1945 and 1965

When: At routine exams if at risk

Who: All women

When: At routine exams

Who: All women age 45 and older at increased risk for coronary artery disease

When: For women ages 19 to 44, screening should be based on risk factors; discuss with your healthcare provider

Note: Recommendation from the American Congress of Obstetricians and Gynecologists

Who: At least every five years

When: All adults

Who: Women at increased risk for infection

When: At routine checkups

Who: Anyone at increased risk for infection

When: Check with your healthcare provider

Counseling

Who: Women at high risk; ask your healthcare provider.

When: When risk is identified

Who: Women with increased risk

When: When risk is identified

Who: Adults who are overweight or obese

When: When diagnosed and at routine exams



Who: Women of child-bearing age

When: At routine exams


Who: All adults

When: Every exam

Vaccinations

Who: All adults

When: Td: every 10 years.

Tdap: substitute a one-time dose of Tdap for a Td booster after age 18, then boost with Td every 10 years

Who: All adults in this age group who have no record of previous infection or vaccinations

When: Two doses; the second dose should be given at least 4 weeks after the first dose


Who: All adults in this age group who have no record of previous infection or vaccinations

What: One or two doses

Who: All adults

When: Yearly, when the vaccine becomes available in the community

Who: People at risk; talk to your healthcare provider

What and when: Two doses given at least 6 months apart

Note: For complete list, see the CDC website.


Who: People at risk; talk to your healthcare provider

When: 3 doses; the 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)

Note: For complete list, see the CDC website

Who: People at risk; talk to your healthcare provider

When: 1 to 3 doses

Note: For complete list, see the CDC website

Who: People at risk; talk to your healthcare provider

When: One or two doses

Note: For complete list, see the CDC website

Who: People at risk; talk to your healthcare provider

When: One or two doses

Other guidelines are from the USPSTF

Immunization schedule from the CDC

Guidelines for other age groups