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:
Screening
Who needs it
How often
Alcohol misuse
All adults
At routine exams
Anemia
All pregnant women
At first prenatal visit
Bacteriuria
At 12-16 weeks' gestation
Blood pressure
At least every two years
Cervical Cancer
All sexually active women and all women older than 21 years who have a cervix
Pap smear every 1-3 years
Cholesterol
All women age 45 and older at increased risk for coronary artery disease
At least every five years
Depression
Diabetes, type 2
Adults who are overweight or have other risk factors such as hypertension, hyperlipidemia, or family history of diabetes
Gonorrhea
All sexually active women
Hepatitis B virus
HIV
Anyone at increased risk
At routine checkups
Obesity
Preeclampsia
Rh (D) Incompatibility
Rubella
Syphilis
Tuberculosis
Check with your healthcare provider
Counseling
Aspirin for prevention of cardiovascular events
At-risk adults
When risk is identified
Breast cancer, chemoprevention
Women with high risk
BRCA mutation testing for breast and ovarian cancer susceptibility
Women with increased risk
Breastfeeding
Before delivery
Diet, behavioral counseling
Adults with hyperlipidemia and other known risk factors for cardiovascular and diet-related chronic disease
When diagnosed
Tobacco use
All users
Every visit
Immunization
Tetanus/diphtheria/pertussis (Td/Tdap) booster
Td: Every 10 years.
Tdap: Once after age 18
Chickenpox (varicella)
All adults ages 19 to 49 who lack prior infection or documented vaccinations
Two doses over 8 weeks.
Measles, mumps, rubella (MMR)
Once or twice.
Flu vaccine
People at risk
Yearly.
Hepatitis A vaccine
Twice over 12-18 months.
Hepatitis B vaccine
Three doses over six months.
Meningococcal
One or more times.
Pneumococcal (polysaccharide)
One or two times.
Guidelines from the U.S. Preventive Services Task Force
Immunization schedule from the Centers for Disease Control and Prevention (CDC)