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    Maryland Department of Health
    Maternal and Child Health

    MCH HOTLINE
    1-800-456-8900

     

    ​SCREENING AND IMMUNIZATION

    GUIDELINES FROM TEENS TO 60 AND BEYOND

    These charts are a starting point for a discussion with your health care provider about what you can do to prevent certain diseases and keep healthy. Depending on your personal medical and family history, you can decide which activities and tests are right for you.  
        
     

    Recommended Screening Tests And Immunizations for Women Ages 13-19

     
    Stay Healthy Tips for Women
    Teen Years
    To Do
    How Often
    General Health
    Checkup with pelvic exam
    Discuss with health care provider
    Blood pressure, weight/height
    Discuss with health care provider
    Dental checkup
    1 to 2 times per year
    Mole exam
    Monthly self exam
    Hearing test
    Age 18, then every 10 years
    Mental health screening
    Discuss with health care provider
    Reproductive Health
    Gyn visit  
    Discuss with health care provider
    Preconception and
    Pregnancy care
    See obstetric provider for checkup before pregnancy
    See obstetric provider as soon as pregnancy is confirmed
    Chlamydia test
    Every year, if sexually active
    Sexually transmitted infections (STI) tests, e.g. syphilis, HIV
    Know HIV test result regardless of risk.
    Both partners should get tested for STIs, before initiating sexual intercourse
    Every year if you have multiple partners or partner with STI
    Immunizations
    Influenza (seasonal flu)
    Yearly
    Measles, Mumps, Rubella (MMR),
    Varicella (chickenpox),
    Hepatitis A, B
    Discuss with health care provider
    Tetanus-Diphtheria (Td) booster
    Tetanus, diphtheria, pertussis,
    Td 10 years
    Discuss Tdap with health care provider
    Human papilloma virus (HPV)
    Three doses within six months (age 9-26)
    Meningococcal
    Discuss with health care provider, if attending college
     
    Adapted from:
    1) American College of Obstetricians and Gynecologists
    2) Centers for Disease Control and Prevention. Recommended Adult Immunization Schedule
    3) U.S. Department of Health and Human Services, Office on Women’s Health. General Screenings and Immunizations for Women
    4) U.S. Preventive Services Task Force, The Guide to Clinical Preventive Services
     
     
     
     
     

    Recommended Screening Tests And Immunizations for Women Ages 20-29

      
    This chart is a guideline only.  Talk to your provider to personalize your health program.
    Stay Healthy Tips for Women in Their 20’s
     
    To Do
    How Often
    General Health
    Checkup with pelvic exam
    Discuss with health care provider
    Blood pressure, height/weight
    Discuss with health care provider
    Cholesterol/lipid screen
    Discuss with health care provider
    Dental checkup
    1 to 2 times per year
    Mole exam
    Every 3 years by health care provider, monthly self exam
    Eye and vision test
    At least 1 exam
    Hearing test
    Every 10 years
    Mental health screening
    Discuss with health care provider
    Reproductive Health
    Cervical cancer screen (Pap)
    Every three years starting at age 21
    Preconception and
    Pregnancy care
    See obstetric provider for checkup before pregnancy
    See obstetric provider as soon as pregnancy is confirmed
    Chlamydia test
    Every year until age 25, if sexually active
    Sexually transmitted infections (STI) tests, e.g. syphilis, HIV
    Know HIV test result regardless of risk.
    Both partners should get tested for STIs, before initiating sexual intercourse
    Every year if you have multiple partners or partner with STI
    Immunizations
    Measles, Mumps, Rubella (MMR),
    Varicella (Chickenpox),
    Hepatitis A,  B
    Discuss with health care provider
    Tetanus-Diphtheria (Td) booster
    Tetanus, diphtheria, pertussis (Tdap)
    Every 10 years
    Discuss Tdap with health care provider
    Human papilloma virus (HPV)
    Three doses within six months, ages 9-26
    Meningococcal
    Discuss with health care provider, if attending college
    Influenza (seasonal flu)
    Yearly
     
     
    Adapted from:
    1) American College of Obstetricians and Gynecologists
    2) Centers for Disease Control and Prevention. Recommended Adult Immunization Schedule
    3) U.S. Department of Health and Human Services, Office on Women’s Health. General Screenings and Immunizations for Women
    4) U.S. Preventive Services Task Force, The Guide to Clinical Preventive Services
     
     
     

    Recommended Screening Tests And Immunizations for Women Ages 30-39

     
    This chart is a guideline only.  Talk to your provider to personalize your health program.
    Stay Healthy Tips for Women in Their 30’s
     
    To Do
    How Often
    General Health
    Checkup with pelvic exam
    Discuss with health care provider
    Blood pressure, height/weight
    Discuss with health care provider
    Cholesterol/lipid screen
    Discuss with health care provider
    Thyroid test (TSH)
    Age 35, then every 5 years
    Dental checkup
    1 to 2 times per year
    Mole exam
    Every 3 years by health care provider, monthly self exam
    Eye and vision test
    At least 2 exams
    Hearing test
    Every 10 years
    Mental health screening
    Discuss with health care provider
    Reproductive Health
    Cervical cancer screen (Pap)
    Every 3 years, or every 5 years with HPV testing
    Preconception health and
    Pregnancy care
    See obstetric provider for checkup before pregnancy
    See obstetric provider as soon as pregnancy is confirmed
    HIV
    Sexually transmitted infections (STI) e.g. Chlamydia, gonorrhea, syphilis
    Know HIV test result regardless of risk.
    Both partners should get tested for STIs, before initiating sexual intercourse
    Every year if you have multiple partners or partner with STI
    Immunizations
    Measles, Mumps, Rubella (MMR),
    Varicella (Chickenpox),  
    Hepatitis A, B
    Discuss with health care provider
    Tetanus-Diphtheria (Td) booster
    Tetanus, diphtheria, pertussis (Tdap)
    Every 10 years, Td
    Discuss Tdap with health care provider
    Influenza (seasonal flu)
    Yearly
     
     
    Adapted from:
    1) American College of Obstetricians and Gynecologists. Clinical Updates in Women’s Health Care
    2) Centers for Disease Control and Prevention. Recommended Adult Immunization Schedule
    3) U.S. Department of Health and Human Services, Office on Women’s Health. General Screenings and Immunizations for Women
    4) U.S. Preventive Services Task Force, The Guide to Clinical Preventive Services
     
     
     
     
     
     

    Recommended Screening Tests And Immunizations for Women Ages 40-49

     
    This chart is a guideline only.  Talk to your provider to personalize your health program.
    Stay Healthy Tips for Women in Their 40’s
     
    To Do
    How Often
    General Health
    Checkup with pelvic exam
    Discuss with health care provider
    Blood pressure, height/weight
    Discuss with health care provider
    Cholesterol/lipid screen
    Every 5 years
    Blood glucose test for diabetes
    Age 45, then every 3 years
    Thyroid test (TSH)
    Age 35, then every 5 years
    Dental checkup
    1 to 2 times per year
    Mole exam
    Every year by health care provider, monthly self exam
    Eye and vision test
    Every 2-4 years
    Hearing test
    Every 10 years
    Mammography
    Discuss with health care provider
    Bone mineral density test
    Discuss with health care provider
    Mental health screening
    Discuss with health care provider
    Reproductive Health
    Cervical cancer screen (Pap)
    Every 3 years, or every 5 years with HPV testing
    Preconception health and
    Pregnancy care
    See obstetric provider for checkup before pregnancy
    See obstetric provider as soon as pregnancy is confirmed
    HIV
    Sexually transmitted infections (STI) e.g. Chlamydia, gonorrhea, syphilis
    Know HIV test result regardless of risk.
    Both partners should get tested for STIs, before initiating sexual intercourse
    Every year if you have multiple partners or partner with STI
    Immunizations
    Influenza (seasonal flu)
    Yearly
    Measles, Mumps, Rubella (MMR),
    Varicella (Chickenpox),  
    Hepatitis A, B
    Discuss with health care provider
    Tetanus-Diphtheria (Td) booster
    Tetanus, diphtheria, pertussis (Tdap)
    Every 10 years
    Discuss Tdap with health care provider
     
    Adapted from:
    1) American College of Obstetricians and Gynecologists
    2) Centers for Disease Control and Prevention. Recommended Adult Immunization Schedule
    3) U.S. Department of Health and Human Services, Office on Women’s Health. General Screenings and Immunizations for Women
    4) U.S. Preventive Services Task Force, The Guide to Clinical Preventive Services
     
     
     
    Recommended Screening Tests And Immunizations for Women Ages 50-59
     
    This chart is a guideline only.  Talk to your provider to personalize your health program.
    Stay Healthy Tips for Women in Their 50’s
     
    To Do
    How Often
    General Health
    Checkup with pelvic exam
    Discuss with health care provider
    Blood pressure, height/weight
    At least every 1-2 years
    Cholesterol/lipid screen
    Every 5 years
    Blood glucose test for diabetes
    Every 3 years
    Thyroid test (TSH)
    Every 5 years
    Dental checkup
    1 to 2 times per year
    Mole exam
    Every year by health care provider, monthly self exam
    Eye and vision test
    Every 2-4 years
    Hearing test
    Every 3 years
    Mammography
    Every 1-2 years, discuss with health care provider
    Bone mineral density test
    Discuss with health care provider
    Mental health screening
    Discuss with health care provider
    Colorectal cancer screen:
      Fecal occult blood test
      Flexible sigmoidoscopy OR
      Double contrast barium enema OR
      Colonoscopy
      Rectal exam
     
    Every year
    Every 5 years
    Every 5-10 years
    Every 10 years
    Every 5-10 years, with each screen
    Gynecologic Health
    Cervical cancer screen (Pap)
    Every 3 years, or every 5 years with HPV testing
    HIV
    Sexually transmitted infections (STI) e.g. chlamydia, gonorrhea, syphilis
    Know HIV test result, regardless of risk factors
    Both partners should get tested for STIs, before initiating sexual intercourse
    Every year if you have multiple partners or partner with STI
    Immunizations
    Influenza (flu)
    Every year
    Tetanus-Diphtheria (Td) booster
    Tetanus, diphtheria, pertussis (Tdap)
    Every 10 years
    Discuss Tdap with health care provider
     
    Adapted from:
    1) American College of Obstetricians and Gynecologists. Clinical Updates in Women’s Health Care
    2) Centers for Disease Control and Prevention. Recommended Adult Immunization Schedule
    3) U.S. Department of Health and Human Services, Office on Women’s Health. General Screenings and Immunizations for Women
    4) U.S. Preventive Services Task Force, The Guide to Clinical Preventive Services
     
     

     
     
     
    Recommended Screening Tests And Immunizations for Women Ages 60+

     
    This chart is a guideline only.  Talk to your provider to personalize your health program.
    Stay Healthy Tips for Women in Their 60’s and Beyond
     
    To Do
    How Often
    General Health
    Checkup with pelvic exam
    Discuss with health care provider
    Blood pressure, height/weight
    At least every 2 years
    Cholesterol/lipid screen
    Every 5 years
    Blood glucose test for diabetes
    Every 3 years
    Thyroid test (TSH)
    Every 5 years
    Dental checkup
    1 to 2 times per year
    Mole exam
    Every year by health care provider, monthly self exam
    Eye and vision test
    Every 1-2 years
    Hearing test
    Every 3 years
    Mammography
    Every 1-2 years, up to age 75,  discuss
    Bone mineral density test
    Discuss with health care provider
    Mental health screening
    Discuss with health care provider
    Colorectal cancer screen:
      Fecal occult blood test
      Flexible sigmoidoscopy OR
      Double contrast barium enema OR
      Colonoscopy
      Rectal exam
    Up to age 75
    Every year
    Every 5 years
    Every 5-10 years
    Every 10 years
    Every 5-10 years, with each screen
    Gynecologic Health
    Cervical cancer screen (Pap)
    Every 3 years, or every 5 years with HPV testing, until age 65
    HIV
    Sexually transmitted infections (STI) e.g. Chlamydia, gonorrhea, syphilis
    Know HIV test result, regardless of risk.
    Both partners should get tested for STIs, before initiating sexual intercourse
    Every year if you have multiple partners or partner with STI
    Immunizations
    Influenza (flu)
    Every year
    Herpes zoster (shingles)
    Discuss with health care provider, one time
    Pneumococcal
    One time only at age 65
    Tetanus-Diphtheria (Td) booster
    Tetanus, diphtheria, pertussis (Tdap)
    Every 10 years
    Discuss Tdap with health care provider
     
    Adapted from:
    1) American College of Obstetricians and Gynecologists. Clinical Updates in Women’s Health Care
    2) Centers for Disease Control and Prevention. Recommended Adult Immunization Schedule
    3) U.S. Department of Health and Human Services, Office on Women’s Health. General Screenings and Immunizations for Women
    4) U.S. Preventive Services Task Force, The Guide to Clinical Preventive Services