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southern new mexico surgery center
 
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    Prevention Guidelines

    Health Screening Guidelines for Women 18 to 39

    Screening tests and health counseling are an important part of managing your health. A screening test is done to find diseases in people who don't have any symptoms. The goal is to find a disease early so lifestyle changes and checkups can reduce the risk of disease. Or the goal may be to find it early to treat it most effectively. Screening tests are not used to diagnose a disease. But they are used to see if more testing is needed. Below are guidelines for these, for women ages 18 to 39. Talk with your healthcare provider to make sure you’re up to date on what you need.

    Screening

    Who needs it

    How often

    Alcohol misuse

    All adults

    At routine exams

    Blood pressure

    All adults

    Yearly checkup if your blood pressure is normal*

    Normal blood pressure is less than 120/80 mm Hg*

    If your blood pressure is higher than normal, follow the advice of your healthcare provider.

    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. HPV testing is not advised.

    Women between ages 30 and 65 should have a Pap test plus a high-risk human papillomavirus (hrHPV) test every 5 years or a Pap test alone every 3 years, or every 5 years with hrHPV testing in combination with cytology (co-testing).

    Chlamydia

    Sexually active women, including those who are pregnant and who are:

    • 24 years and younger

    • 25 years and older at increased risk for infection

     

    At routine yearly exams or as advised during pregnancy

    Depression

    All women in this age group

    At routine exams, including during and after pregnancy

    Diabetes mellitus, type 2

    Adults age 35 and over with no symptoms or who are overweight or obese and have one or more extra risk factors for diabetes (such as having a close relative with diabetes or having had diabetes in a previous pregnancy)

    At least every 3 years (annual testing if blood sugar has begun to rise) Blood sugar should be tested for gestational diabetes around week 24 of pregnancy.

    Gonorrhea

    Sexually active women, including those who are pregnant and who are:

    • 24 years and younger

    • 25 years and older at increased risk for infection

     

    At routine yearly exams or as advised during pregnancy

    Hepatitis C

    Anyone at increased risk for infection

    At routine exams (once between age 18 and 79)

    HIV

    All women

    At routine exams, including during pregnancy. Pre-exposure prophylaxis should be offered to those at high risk of HIV infection.

    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 group 1

    Every 5 to 10 years if no risk factors for eye disease

    Health Counseling

    Who needs it

    How often

    Breast cancer, chemoprevention

    Women at high risk

    When risk is noted. Chemoprevention may be recommended after age 35.

    BRCA mutation testing for breast and ovarian cancer susceptibility

    Women with increased risk

    When risk is noted. Genetic counseling is recommended and genetic testing if indicated.

    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

    * American College of Cardiology and the American Heart Association Task Force on Clinical Practice Guidelines

    1 From the American Academy of Ophthalmology

    Other guidelines are from the USPSTF.

    Online Medical Reviewer: Heather M Trevino BSN RNC
    Online Medical Reviewer: L Renee Watson MSN RN
    Online Medical Reviewer: Rita Sather RN
    Date Last Reviewed: 1/1/2024
    © 2000-2024 The StayWell Company, LLC. 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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