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Home > What Are Preventive Sexual Health Services? > Preventive Sexual Health Services for People with a Vagina/Vulva > Chart of Recommended Preventive Sexual Health Services for People with a Vagina/Vulva

Chart of Recommended Preventive Sexual Health Services for People with a Vagina/Vulva

Sexual Health Service
Adolescent
(13-18 years)
Adult
(19+)
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.

How Do I Know if I’m at Risk?

Your sexual health is at risk if you answer “yes” to any of the following questions:

  • Have you had unprotected vaginal, anal, or oral sex (sex without a condom)?
  • Do you have multiple partners?
  • Do you have an STI, including HIV?
  • Have you shared injection drug equipment, including needles or syringes?
  • Do you exchange sex for drugs or money?
  • Do you have a partner who answers “yes” to any of these questions or whose health status you don’t know?