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HealthSheets™

Prevention Guidelines, Women Ages 40 to 49

Screening tests and vaccines are an important part of managing your health. A screening test is done to find possible disorders or diseases in people who don't have any symptoms. The goal is to find a disease early so lifestyle changes can be made and you can be watched more closely to reduce the risk of disease, or to detect it early enough to treat it most effectively. Screening tests are not considered diagnostic, but are used to determine if more testing is needed. 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 women beginning at age 45 and women without symptoms at any age who are overweight or obese and have 1 or more additional risk factors for diabetes

At least every 3 years1

Type 2 diabetes or prediabetes

All women diagnosed with gestational diabetes

Lifelong testing every 3 years

Type 2 diabetes

All women with prediabetes

Every year

Alcohol misuse

All women in this age group

At routine exams

Blood pressure

All women in this age group

Yearly checkup if your blood pressure is normal

Normal blood pressure is less than 120/80 mm Hg

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

Breast cancer

All women at average risk in this age group

Screening with a mammogram can start at age 40.2 Talk with your healthcare provider to help you decide when to start screening. At age 45 start yearly mammograms.

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. Those with risk factors for HIV should be tested at least annually.

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 College of Obstetricians and Gynecologists 

3American Cancer Society

4American Academy of Ophthalmology

© 2000-2017 The StayWell Company, LLC. 800 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.