This chart is a guideline and in no way seeks to diagnose or treat illness or to replace professional medical care.  Please see your physician if you have a health problem.

TWENTIES

• Blood Pressure – At least every 2 years
• Breast Cancer – Breast Self Exam:  Every month
• Breast Cancer – Clinical Breast Exam:  Every three years
• Cervical Cancer – All women should begin cervical cancer screening at age 21.  Women should continue to have a Pap test every 3 years. They should not be tested for HPV unless it is needed after an abnormal Pap test result.
• Cholesterol – Every 5 years starting at age 20 (at discretion of healthcare provider if high risk or abnormal values)
• Hearing test – As early as age 18, then every 10 years
• Immunization – Seasonal influenza vaccine – Yearly
• Immunization – Tetanus, diphtheria, pertussis (Td/Tdap) vaccine – Every 10 years
• Mammogram (x-ray of breast) – (at discretion of healthcare provider if family history of breast cancer)
• Pap test – Every 2 years starting at age 21
• Pelvic exam – Yearly beginning at age 21 (or earlier if sexually active)

THIRTIES

• Blood Pressure – At least every 2 years 
• Breast Cancer – Breast Self Exam:  Every month
• Breast Cancer – Clinical Breast Exam:  Every three years
• Cervical Cancer –   Women between the ages of 30 and 65 should have both a Pap test and an HPV test every 5 years. This is the preferred approach, but it is also OK to have a Pap test alone every 3 years.
• Cholesterol – Every 5 years (at discretion of healthcare provider if high risk or abnormal values)
• Hearing test – Every 10 years 
• Immunization – Seasonal influenza vaccine – Yearly 
• Immunization – Tetanus, diphtheria, pertussis (Td/Tdap) vaccine – Every 10 years
• Mammogram (x-ray of breast) – (at discretion of healthcare provider if family history of breast cancer)
• Pap test – Every 3 years
• Pelvic exam – Yearly

FORTIES

• Blood Glucose or A1c test – Start at age 45, then every 3 years
• Blood Pressure – At least every 2 years 
• Breast Cancer – Breast Self Exam:  Every month
• Breast Cancer – Clinical Breast Exam:  Every year
• Cervical Cancer – Women between the ages of 30 and 65 should have both a Pap test and an HPV test every 5 years. This is the preferred approach, but it is also OK to have a Pap test alone every 3 years. 
• Women who have had their uterus and cervix removed in a hysterectomy and have no history of cervical cancer or pre-cancer should not be screened.
• Women who have had the HPV vaccine should still follow the screening recommendations for their age group.
• Women who are at high risk for cervical cancer may need to be screened more often. Women at high risk might include those with HIV infection, organ transplant, or exposure to the drug DES. They should talk with their doctor or nurse.
• Cholesterol – Every 5 years (at discretion of healthcare provider if high risk or abnormal values)
• Diabetes – Glucose – Every 3 years after age 45
• Eye exam – comprehensive – Get a baseline exam at age 40 then every 2-4 years (changes at age 55) 
• Hearing test – Every 10 years
• Immunization – Meningococcal  vaccine – (discuss with healthcare provider if in college or military)
  
• Immunization – Seasonal influenza vaccine – Yearly
• Immunization – Tetanus, diphtheria, pertussis (Td/Tdap) vaccine – Every 10 years
• Mammogram (x-ray of breast) – Every 1-2 years
• Pap test – Every 3 years
• Pelvic exam – Yearly

FIFTIES

• Blood Glucose or A1c test – Every 3 years
• Blood Pressure – At least every 2 years
• Breast Cancer – Breast Self Exam:  Every month
• Breast Cancer – Clinical Breast Exam:  Every year
• Cervical Cancer – Women between the ages of 30 and 65 should have both a Pap test and an HPV test every 5 years. This is the preferred approach, but it is also OK to have a Pap test alone every 3 years. 
• Women who have had their uterus and cervix removed in a hysterectomy and have no history of cervical cancer or pre-cancer should not be screened.
• Women who have had the HPV vaccine should still follow the screening recommendations for their age group.
• Women who are at high risk for cervical cancer may need to be screened more often. Women at high risk might include those with HIV infection, organ transplant, or exposure to the drug DES. They should talk with their doctor or nurse.
• Cholesterol – Every 5 years (at discretion of healthcare provider if high risk or abnormal values).
• Colon Cancer – Colonoscopy:  Every 10 years (dependent on family history)
• Diabetes – Glucose – Every 3 years
• Eye exam – comprehensive – Every 2-4 years until age 55, then every 1-3 years (changes at age 65) 
• Hearing test – Every 3 years
• Immunization – Seasonal influenza vaccine – Yearly 
• Immunization – Tetanus, diphtheria, pertussis (Td/Tdap) vaccine – Every 10 years
• Mammogram (x-ray of breast) – Every 1-2 years
• Pap test – Every 3 years
• Pelvic exam – Yearly
• Thyroid – Every 5 years

SIXTIES

• Blood Glucose or A1c test – Every 3 years 
• Blood Pressure – At least every 2 years 
• Bone Mineral Density – 65 and older
• Breast Cancer – Breast Self Exam:  Every month
• Breast Cancer – Clinical Breast Exam:  Every year
• Cervical Cancer – Women between the ages of 30 and 65 should have both a Pap test and an HPV test every 5 years. This is the preferred approach, but it is also OK to have a Pap test alone every 3 years.  Women over age 65 who have had regular screenings with normal results should not be screened for cervical cancer. Women who have been diagnosed with cervical pre-cancer should continue to be screened. 
• Women who have had their uterus and cervix removed in a hysterectomy and have no history of cervical cancer or pre-cancer should not be screened.
• Women who have had the HPV vaccine should still follow the screening recommendations for their age group.
• Women who are at high risk for cervical cancer may need to be screened more often. Women at high risk might include those with HIV infection, organ transplant, or exposure to the drug DES. They should talk with their doctor or nurse.
• Cholesterol – Every 5 years (at discretion of healthcare provider if high risk or abnormal values)
• Colon Cancer – Colonoscopy:  Every 10 years (dependent on family history)
• Diabetes – Glucose – Every 3 years
• Eye exam – comprehensive – Every 1-3 years until age 65, then 1-2 years age 65+
• Hearing test – Every 3 years
• Immunization – Herpes zoster vaccine (to prevent shingles) – Starting at age 60, one time only – ask your doctor if it is okay for you to receive it
• Immunization – Seasonal influenza vaccine – Yearly 
• Immunization – Tetanus, diphtheria, pertussis (Td/Tdap) vaccine – Every 10 years
• Pap test – Every 3 years
• Pelvic exam – Yearly
• Thyroid – Every 5 years