Are You Up To Date?

The list below shows the general guidelines that I use for my patients. Please keep in mind that they can vary depending on your personal risk factors, medical history and family history. There are different organizations that make recommendations for health care screening and they don't always agree. I discuss the different options with each patient, but make efforts to ensure that all patients are aware and current in their recommended screening.

For My Female Patients (click here for more info)

Annual Exam

Starting at earliest age and repeated every year

Bone Density

Starting within 2-3 years after menopause and repeated as needed every 2 years

Cholesterol

Should be checked at around age 20 and if normal can recheck after several years. May be done every 6 months if on cholesterol lowering medication or every 1-2 years if cholesterol is normal

Colonoscopy

Starting at age 50 and repeated every 5 to 10 years

Flu shot

Varies by risk factors and personal choice but recommended to start at age 65 if not already started and repeated every year

Gonorrhea + Chlamydia

Starting from age of first sexual intercourse and repeated every year if sexually active. Those in sexually monogamous relationships can defer further testing if negative

Hepatitis A Vaccine

Generally for travel to many areas outside of the United States

Hepatitis B Vaccine

Healthcare workers, diabetics, and for certain travel outside of the United States

Hepatitis C Test

Baby Boomers (those born between 1946 and 1964) should be screened once with any upcoming labs being done

HIV Test

Starting from age of first sexual intercourse and repeated every year if sexually active. Those in sexually monogamous relationships will likely defer testing once both parties known to be HIV negative

HPV Vaccine

Up to age 26 in females

Mammogram

Starting at age 40 and repeated every year

Pap Smear

Starting within 1 year after first sexual intercourse and repeated every year. Can be done every other year after 3 normal results if in monogamous relationship. May start at age 21 regardless if no prior

Pneumonia vaccine

Given at age 65 once. May be started earlier and repeated every 5-10 years depending on medical history

Shingles Vaccine

May be given at age 60 as single injection but not covered fully by many insurances. Guidelines for this are relatively new and may change

Tetanus

Repeated every 10 years from childhood. Tdap, which includes tetanus, diphtheria, and pertussis (whooping cough) should be given instead of Td at next vaccination if not given before

For My Male Patients (click here for more info)

Annual Exam

Starting at the earliest age and repeated every year

Bone Density

Starting at age 75 depending on personal history. May not need to be repeated if normal or every 2 years if abnormal

Cholesterol

Should be checked by age 20 and if normal can recheck after several years. May be done every 6 months if on cholesterol lowering medication or every 1-2 years if cholesterol is normal

Colonoscopy

Starting at age 50 and repeated every 5-10 years

Flu Shot

Varies by risk factors and personal choice but recommended to start at age 65 if not already started and repeated every year

Hepatitis A Vaccine

Generally for travel to many areas outside of United States

Hepatitis B Vaccine

Workers dealing with patient care, diabetics and men who are sexually active with other men and not previously vaccinated

Hepatitis C Test

Baby Boomers (those born between 1946 and 1964) should be screened once with any upcoming labs being done

HIV Test

Starting from age of first sexual intercourse and repeated every year if sexually active. Those in sexually monogamous relationships will likely defer testing once both parties known to be HIV negative. Gay men who are sexually active and not in monogamous relationships should be checked every year but may also defer testing if not sexually active or if in a sexually monogamous relationship

HPV Vaccine

2012 guidelines suggest for boys up to 21 years of age and for men who have sex with men up to age 26

Pneumonia vaccine

Given at age 65 once. May be started earlier and repeated every 5-10 years depending on medical history

Prostate Exam+PSA

Starting at age 40 and repeated every year

Shingles Vaccine

May be given at age 60 as single injection but not fully covered by many insurances. Guidelines for this are relatively new and may change in the future

Syphilis Test

Starting from age of first sexual activity for gay men and every year with same recommendations as HIV testing

Tetanus Shot

Repeated every 10 years from childhood. Tdap, which includes tetanus, diphtheria, and pertussis (whooping cough) should replace next Td if not given in past

Additional Exams for My Patients with Diabetes (click here for more info)

Dilated Eye Exam

Every 1-2 years

Podiatry

Every 1-2 years

HbA1C

Every 3 months

Urine Microalbumin

Every year

Additional Exams For My Patients Who Are HIV+ (click here for more info)

Lymphocytes
(CD4 count)

Every 3-6 months but may vary

Viral Load

Every 3-6 months but may vary

Toxoplasmosis Antibodies

Once but may vary

CMV Antibodies

Once but may vary

Anal Pap Smear

If prior known or suspected HPV infection

Copyright © 2013 Doctor Zekser