Health Library Explorer
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z A-Z Listings Contact Us

Health Screening Guidelines, Women Ages 18 to 39

Screening tests and health counseling are a key part of managing your health. A screening test is done to find disorders or diseases in people who don't have any symptoms. Screening tests are not used to diagnose. They are used to find out if more testing is needed. The goal may be to find a disease early so it can be treated with more success. Or the goal may be to find a disease early so you can make lifestyle changes. You may need regular checkups to help you reduce your risk of disease.

Below are guidelines for women ages 18 to 39. Talk with your healthcare provider. Make sure you’re up-to-date on what you need.

We understand gender is a spectrum. We may use gendered terms to talk about anatomy and health risk. Please use this information in a way that works best for you and your provider as you talk about your care.

Screening

Who needs it

How often

Alcohol misuse

All women in this age group

At routine exams

Blood pressure

All women in this age group

Once a year if your blood pressure is normal. Normal blood pressure is less than 120/80 mm Hg. If your blood pressure is higher than this, follow the advice of your healthcare provider.

Breast cancer

All women in this age group should talk with their healthcare provider about a clinical breast exam (CBE).1

Clinical breast exam every 3 years

Cervical cancer

Women ages 21 and older

Women ages 21 to 29 should have a Pap test every 3 years. Women ages 30 to 65 should have a Pap test and an HPV test every 5 years.

Chlamydia

Women who are sexually active. This includes those who are pregnant or who are:

  • Age 24 or younger

  • Age 25 or older at higher risk for infection

 

At routine yearly exams

If pregnant, during early prenatal care visit. Repeat in 3rd trimester for women at higher risk.

Depression

All women in this age group

At routine exams

Diabetes mellitus, type 2

Women with no symptoms who are overweight or obese and have 1 or more other risk factors for diabetes

At least every 3 years. Testing in pregnancy after the 24th week. 

Gonorrhea

Women who are sexually active. This includes those who are pregnant or who are:

  • Age 24 or younger

  • Age 25 or older at higher risk for infection

 

At routine yearly exams

Test in pregnancy if age 25 or younger or if living in an area where gonorrhea is common

Hepatitis C

Anyone at higher risk

At routine exams

HIV

All women

At routine exams and in all pregnant people

Obesity

All women in this age group

At routine exams

Syphilis

Women who are at higher risk for infection. Talk with your healthcare provider.

At routine exams

Tuberculosis

Women who are at higher risk for infection. Talk with your healthcare provider.

Ask your healthcare provider

Vision

All women in this age group

At least 1 full exam in your 20s, and 2 in your 30s

Health counseling

Who needs it

How often

BRCA gene mutation testing for breast and ovarian cancer risk

Women at higher risk for a 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

All women in this age group

Every visit

Sexually transmitted infection (STI) prevention

Women who are sexually active

At routine exams

Skin cancer

Women with pale skin

At routine exams

Use of tobacco and the health effects it can cause

All women in this age group

Every visit

The ACS advises all women ages 20 to 39 to have a clinical breast exam (CBE) every 3 years. Breast self-exams are a choice for women age 20 and older. But the U.S. Preventive Services Task Force (USPSTF) does not advise CBE.

The USPSTF advises that people ages 15 to 65 years to be screened for HIV. They advise this test for younger or older people at higher risk. The CDC advises that all people ages 13 to 64 get tested for HIV at least 1 time.

Online Medical Reviewer: Marianne Fraser MSN RN
Online Medical Reviewer: Raymond Kent Turley BSN MSN RN
Online Medical Reviewer: Robert Hurd MD
Date Last Reviewed: 6/1/2021
© 2000-2022 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.
Powered by StayWell
About StayWell | StayWell Disclaimer