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    Prevention Guidelines

    Prevention Guidelines for Women 18 to 39

    Here are the screening tests and immunizations that most women ages 18 to 39 need. This plan does not include recommendations for pregnancy. Although you and your healthcare provider may decide that a different schedule is best for you, this plan can guide your discussion.

    Screening

    Who needs it

    How often

    Alcohol misuse

    All adults

    At routine exams

    Blood pressure

    All adults

    Every 2 years if your blood pressure is less than 120/80 mm Hg; yearly if your systolic blood pressure is 120 to 139 mm Hg, or your diastolic blood pressure reading is 80 to 89 mm Hg

    Breast cancer

    All women in this age group should talk with their healthcare providers about breast self-awareness

    At routine exams 

    Cervical cancer

    Women ages 21 and older

    Women between ages 21 and 29 should have a Pap test every 3 years; women between the ages 30 and 65 should have a Pap test plus an HPV test every 5 years.

    Chlamydia

    Sexually active women ages 24 and younger, and women at increased risk for infection

    Every 3 years if at risk or if you have symptoms

    Depression

    All women in this age group

    At routine exams

    Diabetes mellitus, type 2

    Adults with no symptoms who are overweight or obese and have 1 or more additional risk factors for diabetes

    At least every 3 years (annual testing if blood sugar has begun to rise)

    Gonorrhea

    Sexually active women at increased risk for infection

    At routine exams

    Hepatitis C

    Anyone at increased risk for infection

    At routine exams

    HIV

    All women

    At routine exams

    Obesity

    All adults

    At routine exams

    Syphilis

    Women at increased risk for infection

    At routine exams if at risk

    Tuberculosis

    Anyone at increased risk for infection

    Check with your healthcare provider

    Vision

    Women in this age group1

    Every 5 to 10 years if not risk factors for eye disease

    Counseling

    Who needs it

    How often

    Breast cancer, chemoprevention

    Women at high risk

    When risk is identified

    BRCA mutation testing for breast and ovarian cancer susceptibility

    Women with increased risk

    When risk is identified

    Diet and exercise

    Women who are overweight or obese

    When diagnosed and at routine exams

    Domestic violence

    Women at the age in which they are able to have children

    At routine exams

    Sexually transmitted infection prevention

    Women who are sexually active

    At routine exams

    Skin cancer

    Prevention of skin cancer in fair-skinned adults through age 24

    At routine exams

    Tobacco use and tobacco-related disease

    All adults

    Every exam

    Immunizations***

    Who needs it

    How often

    Human papillomavirus (HPV)

    All women in this age group up to age 26

    3 doses

    The second dose should be given 1 to 2 months after the first dose, and the third dose should be given 6 months after the first dose

    Tetanus/diphtheria/pertussis (Td/Tdap) booster

    All adults

    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

    Chickenpox (varicella)

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

    2 doses; the second dose should be given 4 to 8 weeks after the first dose

    Measles, mumps, rubella (MMR) vaccine

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

    1 or 2 doses

    Flu vaccine (seasonal)

    All adults

    Yearly, when the vaccine becomes available in the community

    Haemophilus influenzae Type B (HIB)

    Women at increased risk for infection – talk with your healthcare provider

    1 to 3 doses

    Hepatitis A vaccine

    People at risk2

    2 doses given at least 6 months apart

    Hepatitis B vaccine

    People at risk3

    3 doses; 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)

    Meningococcal

    People at risk4

    1 or more doses

    Pneumococcal conjugate vaccine (PCV13) and pneumococcal polysaccharide vaccine (PPSV23)

    People at risk5

    PCV13: 1 dose ages 19 to 65 (protects against 13 types of pneumococcal bacteria)

     

    PPSV23: 1 to 2 doses through age 64, or 1 dose at 65 or older (protects against 23 types of pneumococcal bacteria)

     

    **Exceptions may exist; please discuss with your healthcare provider

    1Recommendation from the American Academy of Ophthalmology

    2For complete list, see the CDC website

    3For complete list, see the CDC website

    4People ages 19 to 21 years and who are first-year college students or have one of several medical conditions

    5For complete list, see the CDC website

    ***Those who are 18 years of age, who are not up to date on their childhood immunizations, should receive all appropriate catch-up vaccines recommended by the CDC.

    Other guidelines are from the USPSTF

    Immunization schedule from the CDC

    Online Medical Reviewer: Hurd, Robert, MD
    Online Medical Reviewer: Taylor, Wanda, L., RN, PhD
    Date Last Reviewed: 3/1/2017
    © 2000-2017 The StayWell Company, LLC. 800 Township Line Road, Yardley, PA 19067. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.
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    Southern New Mexico
    Surgery Center

    2301 Indian Wells Rd. Suite B
    Alamogordo, NM 88310
    www.snmsc.org

    Phone: 575.437.0890
    Fax: 575.437.0905
    Email: info@snmsc.org

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