Screening

Who needs it

How often

Type 2 diabetes or prediabetes

All adults starting at age 35 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 adults

At routine exams

Blood pressure

All adults

Yearly checkup if your blood pressure is normal.

Normal blood pressure is less than 120/80 mmHg.

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

 Breast cancer

All women

Yearly mammogram should be done until age 54. At age 55, switch to mammograms every other year. Or you may choose to continue yearly mammograms.

Cervical cancer

All women, except those who have had a hysterectomy with removal of the cervix for reasons not related to cervical cancer and have no history of cervical cancer or serious precancer

Pap test every 3 years or Pap test with human papillomavirus (HPV) test every 5 years or primary HPV testing every 5 years, or Pap test with reflex HPV test every 3 years

Chlamydia

Women at a higher risk for infection

At routine exams if at risk

Colorectal cancer

All women of average risk in this age group

According to the American Cancer Society:

For tests that find polyps and cancer:

• Colonoscopy every 10 years (recommended) or .

• Flexible sigmoidoscopy every 5 years, or

• CT colonography (virtual colonoscopy) every 5 years

For tests that primarily find cancer:

• Yearly fecal occult blood test, or

• Yearly fecal immunochemical test every year, or

• Stool fecal immunochemical test with DNA test, every 3 years

You will need a follow-up colonoscopy if you choose any test other than a colonoscopy and you have an abnormal result. Screening recommendations vary among expert groups. Talk with your provider about which test is best for you.

Some people should be screened using a different schedule because of their personal or family history. Talk with your provider about your health history and what colorectal cancer screening schedule is best for you.

Depression

All adults in clinical practices that have staff and systems in place to assure accurate diagnosis, effective treatment, and follow-up

At routine exams

Gonorrhea

Sexually active women at a higher risk for infection

At routine exams if at risk

Hepatitis C

Adults at a higher risk; 1 time for those born between 1945 and 1965

At routine exams if at risk

HIV

All women

At routine exams if at risk

High cholesterol and triglycerides

All women ages 45 and older at a higher risk for coronary artery disease

At least every 5 years

Obesity

All adults

At routine exams

Lung cancer

Women between the ages of 50 and 80 who are in fairly good health, are at higher risk for lung cancer, and who:

• Currently smoke or have quit smoking and

• Have a 20-pack year history of smoking (1 pack/day for 20 years or 2 packs/day for 10 years)

Yearly lung cancer screening with a low-dose CT scan (LDCT); talk with your healthcare provider about your risk and situation

Osteoporosis, postmenopausal women

Women at age 65 or older or women age 50 to 64 who are at a higher risk for fractures caused by osteoporosis

Check with your healthcare provider

Syphilis

Adults at a higher risk for infection

At routine exams if at risk

Tuberculosis

Adults at a higher risk for infection

Check with your healthcare provider.

Vision

All adults

Check with your healthcare provider for exam frequency. A baseline eye exam screening is recommended at age 40.

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 a higher risk

When risk is identified

Diet and exercise

Women who are overweight or obese

When diagnosed

Sexually transmitted disease prevention

Adults at a higher risk for infection

At routine exams

Tobacco use and tobacco-related disease

All adults

Every exam

Alcohol use and alcohol-related disease

All adults

Every exam