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ANNUAL GYNECOLOGIC EXAMS...
are an important part of healthcare for women. These yearly visits allow screening for diseases processes, as well as continued health maintenance. The parts of a yearly exam vary based on a women’s age, but all include breast and pelvic exams, as well as a Pap test. Your healthcare provider will ask questions about personal and family health history; gynecologic history; sexual habits; medications; allergies; use of tobacco, alcohol and drugs; and exercise. Additional testing may be recommended including screening for sexually transmitted disease, breast cancer, colon cancer, diabetes, thyroid disease and elevated cholesterol. Immunizations, or vaccines, should also be reviewed and updated if necessary. An annual exam is a good time to ask questions or discuss issues of concern with your healthcare provider.
 

 
   
 Women ages 13-18:*
Pap test
-
yearly, beginning within 3 years of sexual activity
STD screening
-
Chlamydia and gonorrhea testing, yearly in women age 25 or less
Breast exam
 
Immunizations
-
 
Gardasil, vaccine for human papilloma virus (HPV) ( 3 shot series, ages 9-26)
Meningococcal vaccine, one shot, before entry to high ( school or before at age 11-12)
Hepatitis B, if not previously immunized
Tetanus-pertussis-diphtheria booster (TDap), once every 10 years ( age 11-16)
 
 
 Women ages 19-39:*
Pap test
-
yearly, at age 21, or within 3 years of sexual activity
STD screening
-
Chlamydia and gonorrhea testing, yearly in women age 25 or less
Breast exam
 
Immunizations
 
Gardasil, if not previously given, women age 26 or less
Tetanus-diphtheria booster, (TDap if not previously given), once every 10 years
Influenza if pregnant, healthcare worker, or high risk
 
 Women ages 40-64:*
Pap test
-
yearly
STD screening
-
Chlamydia and gonorrhea testing, yearly
Breast exam
 
Mammogram
  every 1-2 years ages 40-50, yearly after 50
Lipid profile
  at age 45 as screening for high cholesterol, then every 5 years
Colonoscopy
  at age 50 as screening for colon cancer, then every 10 years
Fasting glucose
  at age 45 as screening for diabetes, then every 3 years
TSH
  at age 50 as screening for thyroid disease, then every 5 years
DEXA/bone density
  for women with risk factors for osteoporosis, every 2 years
Immunizations
   
Influenza yearly at age 50
     
 Women ages 65 and older:*
Pap test
-
yearly
STD screening
-
Chlamydia and gonorrhea testing, yearly
Breast exam
 
Mammogram
  every 1-2 years ages 40-50, yearly after 50
Lipid profile
  at age 45 as screening for high cholesterol, then every 5 years
Colonoscopy
  at age 50 as screening for colon cancer, then every 10 years
Fasting glucose
  at age 45 as screening for diabetes, then every 3 years
TSH
  at age 50 as screening for thyroid disease, then every 5 years
DEXA/bone density
  as screening for osteoporosis, beginning at age 65, every 2 years
Urinalysis (UA)
  yearly
Immunizations
   
Pneumococcal vaccine, once
Herpes Zoster (Shingles) vaccine, once
Influenza yearly at age 50

 
   
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