Recommended Screenings, Tests, and Immunizations for Women with High-Risk Factors (Part 4 of 4)

This chart lists screenings, tests, or exams you might need more often or earlier because of having high-risk factors or things in your life that increase your chances of developing a condition or disease.

if it applies	Do you have or have you had?	Then ask your doctor or nurse if you need the following screenings, tests, exams, or vaccines more often or at a younger age:
	Chronic lung disease	Influenza vaccine, pneumococcal vaccine^118-121
	Chronic liver disease	Hepatitis A, B vaccines^122,123
	Thyroid disease	Thyroid test, influenza vaccine, pneumococcal vaccine, bone mineral density test (if hyperthyroid)^124-126
	Gum (periodontal) disease	Oral exam¹²⁷
	Colon polyps; Inflammatory bowel disease	Colonoscopy^128,129
	Colon cancer	Endometrial cancer screening, colon cancer screening tests^130,131
	A developmental delay	Vision exam, hearing test¹³²
	Eye injury or disease	Vision exam^133-136
	Ear injury or prolonged exposure to loud noise	Hearing test^137,138
	HIV/AIDS	Oral exam; vision exam; Pap test; pelvic exam; TB test; thyroid test; STD tests; influenza vaccine; pneumococcal vaccine; hepatitis screening; hepatitis A, B vaccines^139-142
	A blood transfusion or solid organ transplant before 1992	Hepatitis C test¹⁴³
	Received clotting factor concentrates made before 1987	Hepatitis C test¹⁴⁴
	A blood transfusion before 1985	HIV test¹⁴⁵
	Multiple sex partners (or a partner who has or had multiple sex partners)	STD tests, HIV test, hepatitis B vaccine, Pap test, pelvic exam, human papillomavirus (HPV) vaccine^146-150
	Alcoholism	Pneumococcal vaccine, TB test, psychological screening, liver tests^151-155
	Injection drug use (IDU) or addiction	Hepatitis A, B vaccines; hepatitis C test; TB test; STD tests; HIV test; psychological screening^156-159
	A sexually transmitted disease (STD)	STD tests, HIV test, Pap test, pelvic exam, hepatitis B vaccine, human papillomavirus (HPV) vaccine^160-164
	Lived or worked with someone exposed to tuberculosis (TB)	TB test¹⁶⁵
	A serious injury (cut or laceration)	Tetanus-diphtheria booster vaccine¹⁶⁶
	A baby recently (within the last few weeks or months)	Postpartum depression screening¹⁶⁷