Preventive Screening Guidelines

EphNotes

for Healthy Adults

Screening Test

(and medical condition)

Who Needs Testing
Frequency of Testing
Breast Exam
(Breast Cancer)
Women Annual exam by clinician; monthly self-exam
Mammogram
(Breast Cancer)
Women, beginning at age 40 Every 1-2 years for women ages 40-49; every year for ages 50-69; and as recommended by physician for women 70 and older
Pap Smear
(Cervical Cancer)
Women, beginning at age 19 Every 1-3 years (consult your physician)
Testicular Exam
(Testicular Cancer)
Men Annual exam by clinician; monthly self-exam
Prostate Exam
(Prostate Cancer)
Men Beginning at age 50 (consult your physician)
Bone Mass Density Test
(Osteoporosis)
Women, age 65 and older, at onset of menopause, if at risk

Women of any age with long-standing amenorrhea

Men, age 40 and older if at risk

Upon physician recommendation
Blood Pressure
(Hypertension)
Adults, beginning at age 19 At least every 2 years
Chlamydia and other Sexually Transmitted Diseases Adults, beginning with the onset of sexual activity Annually under age 25; annually, for age 25 and older if at risk
Cholesterol Screening
(Heart Disease)
Adults, beginning at age 19 Every 5 years, or at physician’s discretion
Colorectal Tests
(Colorectal Cancer)

  • Colonoscopy
  • Fecal Occult Blood Test (FOBT)
  • Sigmoidoscopy
  • Double Contrast Barium Enema (DCBE)
Adults, beginning at age 50 (beginning sooner if at risk) Colonoscopy ever 10 years
or
FOBT, Sigmoidoscopy, or DCBE as recommended by your physician
Eye Exam
(Glaucoma)
Adults Ages 19-39, at least once. Ages 40-64, every 2-4 years. Age 65 and older, every 1-2 years.
Influenza Vaccine
(Flu)
Adults, beginning at age 50, and people with chronic illnesses Every year (September through March)
Pneumococcal Vaccine
(Pneumonia)
Adults, age 65 and older, if at risk Once. More often if recommended by physician
Tetanus Diptheria (Td) Booster Adults Booster every 10 years

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