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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All adults
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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 who have a cervix
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Pap smear every 1-3 years
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Cholesterol
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All women age 45 and older at increased risk for coronary artery disease
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At least every five years
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Depression
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All adults
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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 pregnant 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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All adults
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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, behavioral 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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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 adults ages 19 to 49 who lack prior infection or documented vaccinations
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Two doses over 8 weeks.
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Measles, mumps, rubella (MMR)
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All adults ages 19 to 49 who lack prior infection or documented vaccinations
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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 (polysaccharide)
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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 Centers for Disease Control and Prevention (CDC)
Online Medical Reviewer:
Oken, Emily MD
Date Last Reviewed:
7/18/2007
Date Last Modified:
7/17/2007