Chart of Recommended Preventive Sexual Health Services for People with a Vagina/Vulva
Sexual Health Service |
Adolescent
|
Adult
|
Cervical cancer screening |
Not recommended |
Those aged 21-29 every 3 years Those aged 30-65 every 3-5 years Not recommended for those age 66+ |
Chlamydia screening |
Those who are sexually active (screen annually) or pregnant |
Those aged 24 and under (screen annually) Those age 25 and over who are at risk* Those who are pregnant, if 24 and under, or pregnant and at-risk if 25+ |
Contraceptive counseling |
Those who are sexually active |
Those who are sexually active and/or of childbearing age |
Counseling to prevent sexually transmitted infections |
Those who are sexually active |
Those who are at risk* |
Gonorrhea screening |
Those who are sexually active or pregnant |
Those aged 24 and under (screen annually), including those who are pregnant Those age 25 and over who are at risk, including those who are pregnant |
Hepatitis A vaccine |
Those not vaccinated as children |
Those who are at risk* and are unvaccinated |
Hepatitis B vaccine |
Those not vaccinated as children |
Those who are at risk* and are unvaccinated Those born in a country where the hepatitis B virus is common |
Hepatitis B screening |
Those who are pregnant Those who are at risk and are unvaccinated Those born in a country where the hepatitis B virus is common |
Those who are pregnant Those who are at risk* and are unvaccinated Those born in a country where the hepatitis B virus is common |
Hepatitis C screening |
Those who are 18 Those who are pregnant |
Those aged 19-79 Those who are at risk* or pregnant |
Herpes |
Those who have been exposed or are symptomatic |
Those who have been exposed or are symptomatic |
HIV testing |
Those ages 13 and older (test at least once) Those who are pregnant |
Those who are ages 19-64 (test at least once) Those who are at risk* (test at least annually) Those who are pregnant |
HPV vaccine |
Those not vaccinated at age 11 or 12 |
Those not vaccinated through age 26 (and eligible adults ages 27-45) |
Syphilis screening |
Those who are pregnant or at risk* |
Those who are pregnant or at risk* |
Trichomoniasis |
Not recommended |
Those who are at risk or receiving care in high-risk settings (correctional facilities, STI clinics) |
*You’re at risk if you have had unprotected vaginal, anal, or oral sex (sex without a condom), have multiple partners, have an STI (including HIV), share injection drug equipment (including needles or syringes), exchange sex for drugs or money, are incarcerated, or have a partner who answers “yes” to any of these questions or whose health status you don’t know.