Screening | Who needs it | How often |
Type 2 diabetes or prediabetes | All adults starting 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 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. 1 If your blood pressure reading is higher than normal, follow the advice of your healthcare provider. |
Breast cancer | All women 2 | 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. 2 |
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 |
Chlamydia | Women at a higher risk for infection | At routine exams |
Colorectal cancer | All women of average risk in this age group | According to the American Cancer Society (ACS): For tests that find polyps and cancer: Flexible sigmoidoscopy every 5 years, or Colonoscopy every 10 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 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 doctor 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 doctor 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 | Adults age 55 to 74 who in fairly good health and are at higher risk for lung cancer defined as current smokers or persons who have quit within past 15 years, and have a 30-pack-year smoking history (Eligibility criteria may vary across major organizations; Age limit may extend to age 80.) Talk with your healthcare provider for more information. | Yearly lung cancer screening with a low-dose CT scan (LDCT) |
Osteoporosis, postmenopausal women | Women at age 60 who are at a higher risk for fractures caused by osteoporosis | Check with your health care 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 adults5 | Check with your healthcare provider for exam frequency. |
Counseling | Who needs it | How often |
Aspirin for prevention of cardiovascular problems | At-risk adults Recommended for women ages 55 to 79 years when the potential benefit of reducing strokes outweighs the potential harm of an increase in gastrointestinal bleeding | When risk is identified; talk with your healthcare provider before starting |
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 |
Immunization | Who needs it | How often |
Haemophilus influenzae B type | At risk adults | 1 to 3 doses |
Tetanus/diphtheria/pertussis (Td/Tdap) booster) | All adults | One-time Tdap booster, then Td every 10 years |
Measles, mumps, rubella (MMR) | Adults in this age group through their late 50s who have no previous infection or documented vaccinations 6 | 1 to 2 doses |
Chickenpox (varicella) | Adults ages 50 to 64 who have no previous infection or documented vaccinations 6 | 2 doses; the second dose should be given at least 4 weeks after the first dose. |
Flu vaccine (seasonal) | All adults | Yearly, when the vaccine becomes available in the community |
Hepatitis A vaccine | People at risk7 | 2 doses given at least 6 months apart |
Hepatitis B vaccine | High risk adults | 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 risk 6 | 1 or more doses |
Pneumococcal (PCV13) Pneumococcal (PPSV23) | People at risk 7 | 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) |
Zoster | All women ages 60 and older 6 | 1 dose |