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HealthSheets™

Prevention Guidelines, Women Ages 40 to 49

Screening tests and vaccines are an important part of managing your health. Health counseling is essential, too. Below are guidelines for these, for women ages 40 to 49. Talk with your healthcare provider to make sure you’re up-to-date on what you need.

Screening

Who needs it

How often

Type 2 diabetes or prediabetes

All adults beginning at age 45 and adults without symptoms at any age who are overweight or obese and have 1 or more additional risk factors for diabetes

At least every 3 years

Alcohol misuse

All women in this age group

At routine exams

Blood pressure

All women in this age group

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

Yearly mammogram and clinical breast exam2

Each woman should make her own decision. If a woman decides to have mammograms before age 50, they should be done every 2 years.3

Cervical cancer

All women in this age group, except women who have had a complete hysterectomy

Pap test every 3 years or Pap test plus human papilloma virus (HPV) test every 5 years

Chlamydia

Women at increased risk for infection

At routine exams if you're at risk or have symptoms

Depression

All women in this age group

At routine exams

Gonorrhea

Sexually active women at increased risk for infection

At routine exams

Hepatitis C

Anyone at increased risk; 1 time for those born between 1945 and 1965

At routine exams

High cholesterol or triglycerides

All women ages 45 and older who are at risk for coronary artery disease; younger women, talk with your healthcare provider

At least every 5 years

HIV

All women

At routine exams

Obesity

All women in this age group

At routine exams

Syphilis

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

At routine exams

Tuberculosis

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

Ask your healthcare provider

Vision

All women in this age group

Complete exam at age 40 and eye exams every 2 to 4 years. If you have a chronic disease, ask your healthcare provider how often you should have your eyes examined.4

Vaccine

Who needs it

How often

Chickenpox (varicella)

All women in this age group who have no record of this infection or vaccine

2 doses; the second dose should be given at least 4 weeks after the first dose

Hepatitis A

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

2 doses given 6 months apart

Hepatitis B

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

3 doses over 6 months; 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

Haemophilus influenzae Type B (HIB)

Women at increased risk

1 to 3 doses

Influenza (flu)

All women in this age group

Once a year

Measles, mumps, rubella (MMR)

All women in this age group who have no record of these infections or vaccines

1 or 2 doses

Meningococcal

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

1 or more doses

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

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

1 or 2 doses

Tetanus/diphtheria/pertussis (Td/Tdap) booster

All women in this age group

A one-time dose of Tdap instead of a Td booster after age 18, then Td every 10 years

Counseling

Who needs it

How often

BRCA gene mutation testing for breast and ovarian cancer susceptibility

Women with increased risk for having gene mutation

When your risk is known

Breast cancer and chemoprevention

Women at high risk for breast cancer

When your risk is known

Diet and exercise

Women who are overweight or obese

When diagnosed, and then 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 at increased risk for infection – talk with your healthcare provider

At routine exams

Use of tobacco and the health effects it can cause

All women in this age group

Every exam

1American Diabetes Association

2American Cancer Society

3U.S. Preventive Services Task Force

4American Academy of Ophthalmology

© 2000-2017 The StayWell Company, LLC. 780 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.