Recommendations apply to most women of normal risk. Additional tests and immunizations may be recommended based on specific risk factors. Visits are recommended every one–to–three years and should include the following based on age.

Health History and Lifestyle Assessment

Complete or update assessment, including family history; activity; tobacco, alcohol, and drug use; and sexual practices

Physical Exam

  • Height and weight (Body Mass Index)
  • Blood pressure

Tests

  • Screen for lipid disorders if at an increased risk for heart disease, age 20 and over
  • Cervical cancer screening by Pap test beginning at age 21 and at least every three years (women ages 30–65 may instead choose to have a Pap test with HPV test every five years)
  • Annual Chlamydia screening for sexually active women age 24 and younger and older women at risk
  • Rubella antibody screening once
  • Screen for Type 2 diabetes if blood pressure > 135/80

Immunizations

  • One-time dose Tetanus/Diphtheria/Pertussis; Tetanus/Diphtheria booster every 10 years
  • Flu vaccine annually
  • HPV vaccination of women ages 19–21 if not previously vaccinated
  • Varicella vaccine for those without evidence of prior infection
  • MMR vaccine for adults born  after 1957 without evidence of prior MMR vaccine

Counseling/Screening

  • Diet: discuss calcium and folic acid with your doctor if considering pregnancy
  • Exercise promotion
  • Smoking cessation
  • Alcohol/substance abuse prevention
  • Sexually transmitted diseases/HIV/sexual behavior
  • Family planning
  • Dental health
  • Sun exposure
  • Injury prevention (including seat belt, helmet use)
  • Life stage issues: family, child
  • Depression
  • Health Care Proxy/Advance Directives
  • Screen for HIV infection ages 15–65
  • Family violence

High-Risk Individuals

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