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Adult Routine Tests and Immunizations

Women's Well-Care Schedules

Women aged 22 to 49

General Well-Care Schedule	Screening Schedule	Immunization Schedule
Well-care visit every 4 years (Fill out a questionnaire)	Pap test every 2-3 years Chlamydia test every year for sexually active women up to age 25* Mammogram every 1 or 2 years, based on risk factors or personal choice, beginning at age 40 Cholesterol check every 5 years, beginning at age 45 Blood pressure check every 2 years	Tetanus-diphtheria every 10 years Pneumococcal vaccine for high-risk groups Flu vaccine every year for high-risk groups* Hepatitis A and Hepatitis B vaccines for those at high risk of infection

Women aged 50 to 64

General Well-Care Schedule	Screening Schedule	Immunization Schedule
Well-care visit every 2 years (Fill out a questionnaire)	Cholesterol check every 5 years Blood pressure check every 2 years Colon cancer screening: talk with your doctor about the best method for you Pap test every 2-3 years Mammogram every 1-2 years, based on risk factors or personal choice Osteoporosis screening: women aged 60-64 with risk factors, discuss with your doctor	Tetanus-diphtheria every 10 years** Pneumococcal vaccine for high-risk groups Flu vaccine every year Hepatitis A and Hepatitis B vaccines for those at high risk of infection Shingles vaccine (PDF) once in a lifetime for ages 60 and older (not for persons who are immune suppressed)

Women aged 65 and older

General Well-Care Schedule	Screening Schedule	Immunization Schedule
Well-care visit every 2 years (Ask your doctor's office if you should fill out a health questionnaire)	Blood pressure check every 2 years Vision and hearing check every 2 years Colon cancer screening: talk with your doctor about the best method for you (Women aged 75 and older, discuss your screening schedule with your doctor) Mammogram every 1-2 years according to risk for breast cancer; women aged 75 and older, discuss screening schedule with your doctor Osteoporosis screening: recommended for women aged 65 and older	Tetanus-diphtheria every 10 years** Pneumococcal vaccine one time for ages 65 and older Flu vaccine every year Hepatitis A and Hepatitis B vaccines for those at high risk of infection Shingles vaccine (PDF) once in a lifetime for ages 60 and older (not for persons who are immune suppressed)

Men's Well-Care Schedules

Men aged 22 to 49

General Well-Care Schedule	Screening Schedule	Immunization Schedule
Well-care visit every 4 years (Fill out a questionnaire)	Blood pressure check every 2 years Cholesterol check every 5 years, beginning at age 35	Tetanus-diphtheria every 10 years Pneumococcal vaccine for high-risk groups Flu vaccine every year for high-risk groups* Hepatitis A and Hepatitis B vaccines for those at high risk of infection

Men aged 50 to 64

General Well-Care Schedule	Screening Schedule	Immunization Schedule
Well-care visit every 2 years (Fill out a questionnaire)	Cholesterol check every 5 years Blood pressure check every 2 years Colon cancer screening: talk with your doctor about the best method for you Discuss prostate cancer screening with your doctor	Tetanus-diphtheria every 10 years** Pneumococcal vaccine for high-risk groups Flu vaccine every year Hepatitis A and Hepatitis B vaccines for those at high risk of infection Shingles vaccine (PDF) once in a lifetime for ages 60 and older (not for persons who are immune suppressed)

Men aged 65 and older

General Well-Care Schedule	Screening Schedule	Immunization Schedule
Well-care visit every 2 years (Ask your doctor's office if you should fill out a health questionnaire)	Blood pressure check every 2 years Vision and hearing check every 2 years Colon cancer screening: talk with your doctor about the best method for you (Men aged 75 and older, discuss screening schedule with your doctor) Discuss prostate cancer screening with your doctor Abdominal aortic aneurysm screening: One-time screening for men aged 65-75 who have ever smoked cigarettes.	Tetanus-diphtheria every 10 years** Pneumococcal vaccine one time for ages 65 and older Flu vaccine every year Hepatitis A and Hepatitis B vaccines for those at high risk of infection Shingles vaccine (PDF) once in a lifetime for ages 60 and older (not for persons who are immune suppressed)

*Women aged 25 and older who are at high risk for having an sexually transmitted disease (STD) also should be screened. Ask your doctor what screening schedule is best for you. If you're pregnant, talk to your doctor about the need for chlamydia testing.

**Once in a lifetime, everyone should get a tetanus-diphtheria (Td) booster that contains pertussis (Tdap).

***High risk adults for whom an annual flu vaccination is recommended include women who will be pregnant during flu season; people with certain chronic medical conditions; residents in nursing homes and other long-term care facilities; and doctors, nurses, family members, or anyone else in close contact with people at risk of serious flu.

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Clinical review by Travis Abbott, MD
Group Health
Reviewed 11/02/2009