AND IMMUNIZATIONS GUIDE MEN WOMEN ALL ADULTS CHILDREN
MEN PROSTATE CANCER Testicular exam Age 18+ PSA test Ages 50-75, based on risk WOMEN BREAST CANCER Self breast exam Monthly Clinical breast exam Annually Mammogram Every two years, from ages 50-74 (earlier, based on risk) CERVICAL CANCER Pap smear Every two years, ages 21-29 Every three years, ages 30-65, based on risk Age 65+, ask your doctor HUMAN PAPILLOMA VIRUS (HPV) Pap smear Every five years, ages 30-65 ENDOMETRIAL (UTERINE) CANCER Endometrial biopsy Yearly, at the time of menopause, based on risk OSTEOPOROSIS/ARTHRITIS Bone Density Test Postmenopausal women under age 65 All women after age 65, sooner based on risk 2 metrohealth.org
ALL ADULTS COLORECTAL CANCER Colonoscopy Every ten years at age 50+ HYPOTHYROIDISM Thyroid Stimulating Hormone Test Beginning at age 35, every few years after that, based on risk SKIN CANCER Total body examination Every three years, ages 20-39 (annually, age 40+) Mole exam Monthly self exam Every three years, by a doctor LUNG CANCER Low-dose Computed Tomography (CT or LDCT scan) 55 to 74 years of age, if at risk HYPERTENSION Check your blood pressure at a doctor s office, at a pharmacy, or at home Annually (blood pressure should be taken regularly if known to be at risk for hypertension) HIGH CHOLESTEROL Blood test (lipoprotein profile) Every five years STDs Laboratory testing through a doctor Annually, if sexually active TUBERCULOSIS Tuberculin skin test (also called the Mantoux tuberculin skin test) Every 1-2 years for individuals at risk 3 metrohealth.org
ALL ADULTS DEPRESSION Doctor or self-assessment of emotional health issues including factors such as sleep, appetite disturbance, weight loss and general agitation Annually GLAUCOMA OR VISUAL-RELATED PROBLEMS Eye examination Based on need AUDIOLOGY-RELATED ISSUES Audiology evaluations Based on need ORAL HEALTH Dental exam 1-2 times a year 4 metrohealth.org
ALL ADULTS HPV (WOMEN) HPV vaccine Three doses for unvaccinated adults, ages 9-26 DIPHTHERIA, TETANUS, AND WHOOPING COUGH (PERTUSSIS) (DTAP) DTaP vaccine One dose, routinely given at age 11 or 12 Pregnant women should get a dose of DTaP during every pregnancy TD booster Every ten years ZOSTER (SHINGLES) Zostavax Once for ages 60 years or older INFLUENZA Inactivated influenza vaccine Annually, age 21 years or older PNEUMONIA Pneumococcal conjugate vaccine (PCV13) All adults 65 years or older People six years or older with certain risk factors ANNUAL HEALTH IMMUNIZATIONS HEPATITIS A Hepatitis A Vaccine For those at risk, the Hepatitis A vaccine series may be started whenever a person wishes to be protected or is at risk of infection. For travelers, it is best to start the vaccine series at least one month before traveling. (Some protection may still result if the vaccine is given on or closer to the travel date.) HEPATITIS B Hepatitis B Vaccine Three-dose series, given to those with certain medical, occupational, lifestyle or other indications Reevaluate every five years 5 metrohealth.org
ANNUAL HEALTH IMMUNIZATIONS CHILDREN BIRTH Hepatitis B (HepB) (dose 1) 1-2 MONTHS Hepatitis B (HepB) (dose 2) 2 MONTHS Rotavirus (RV) (dose 1) Diphtheria, tetanus, and whooping cough (pertussis3) (DTaP) (dose 1) Haemophilus influenzae type b (Hib) (dose 1) Pneumococcal conjugate (PCV13) (dose 1) Inactivated poliovirus (IPV) (dose 1) 4 MONTHS Rotavirus (RV) (dose 2) Diphtheria, tetanus, and whooping cough (pertussis3) (DTaP) (dose 2) Haemophilus influenzae type b (Hib) (dose 2) Pneumococcal conjugate (PCV13) (dose 2) Inactivated poliovirus (IPV) (dose 2) 6 MONTHS Hepatitis B (HepB) (dose 3) Diphtheria, tetanus, and whooping cough (pertussis3) (DTaP) (dose 3) Pneumococcal conjugate (PCV13) (dose 3) Inactivated poliovirus (IPV) (dose 3) Influenza (IIV) (annually, starting at 6 months) 12 MONTHS Haemophilus influenzae type b (Hib) (dose 3) Pneumococcal conjugate (PCV13) (dose 4) Measles, Mumps, Rubella (MMR) (dose 1) Varicella (VAR) (dose 1) Hepatitis A (HepA) (dose 1 and 2, in series) 6 metrohealth.org
ANNUAL HEALTH IMMUNIZATIONS 15 MONTHS Diphtheria, tetanus, and whooping cough (pertussis3) (DTaP) (dose 4) 4-6 YEARS Diphtheria, tetanus, and whooping cough (pertussis3) (DTaP) (dose 5) Inactivated poliovirus (IPV) (dose 4) Measles, Mumps, Rubella (MMR) (dose 2) Varicella (VAR) (dose 2) 11-12 YEARS Tetanus, diphtheria, and whooping cough (pertussis4) (Tdap) (dose 1) Meningococcal (MCV) (dose 1) Human Papillomavirus (HPV) (3-dose series) 16-18 YEARS Meningococcal (MCV) (dose 2) 7 metrohealth.org