Common Health Tests &
How Often to Have Them
Chapter 2. Medical Exams & Tests

AGES

20-29

30-39

40-49

50 and older

Physical Exam Every 2-3 years Every 2-3 years Every 2-3 years Every 1-2 years
Blood Pressure Every 1-2 years Every 1-2 years Every 1-2 years Every 1-2 years
Vision Every 3-5 years Every 3-5 years Every 3-5 years Every 2-3 years
Pap Test1 (Women) Every 2-3 years Every 2-3 years Every 2-3 years Every 2-3 years
Mammogram2 (Women)     Every 1-2 years Every 1-2 years
Breast Self-Exam* (Women)

Monthly

Monthly

Monthly

Monthly

Professional Breast Exam (Women)     Every year Every year
Testicular Self-Exam (Men)**

Monthly

Digital Rectal Exam    

Every Year

Stool Blood Test       Every year
Sigmoidoscopy       Every 3-5 years
Cholesterol Blood Test3 Every 3-5 years Every 3-5 years Every 3-5 years Every 3-5 years
Glaucoma Screening4       Every 2-3 years
Regular Dental Checkup Every year Every year Every year Every year
Diabetes Screening5     Every 3-5 years Every 3-5 years

Note: Recommendations for routine medical exams may vary. These apply only to healthy people who do not have symptoms of illnesses. If you have an increased risk of a particular illness, testing may need to be done sooner or more often. Extra tests may also need to be done. Follow your doctor's advice. Also, check with your insurance company to see if and when tests are covered.
1. Pap tests should start at age 18, or under age 18 if sexual activity has begun. They should be given every year until tests are normal 3 years in a row. Thereafter, pap tests should be given at least every 3 years. {
Note: The American College of Obstetricians and Gynecologists recommends an annual pap test.}
2. As recommended by the National Cancer Institute. Women who are at higher risk for breast cancer should seek expert medical advice about whether to begin mammography before age 40 and how often to get mammograms in their 40s.
3. The National Cholesterol Education Program (NCEP) recommends a blood cholesterol test at least once every 5 years, and that high-density lipoprotein (HDL) be part of the initial cholesterol testing.
4. Glaucoma screening is recommended earlier for African Americans. It should be done every 2-3 years between the ages of 40 and 49.
5. Diabetes screening should be done every 3 years starting at age 45.

* See How to Examine Your Breasts
** See Testicular Self-Exam (TSE)

HEALTH AT HOME - Your Complete Guide to Symptoms, Solutions, and Self-Care © 1999 by Don R. Powell. American Institute for Preventive Medicine. 

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Date updated 04/20/99