USPSTF screening guidelines by age and gender
Every adult screening the U.S. Preventive Services Task Force (USPSTF) rates grade A or B, by age and sex: a summary by age band first, then the full chart and tables. (USPSTF A and B list) Table reviewed 2026-10-25.
Summary by age band
| Age | Everyone | Women | Only with a risk factor |
|---|---|---|---|
| 18 to 39 | Blood pressure (18+); Hepatitis C (18 to 79); HIV (15 to 65); Depression (18+); Anxiety (18 to 64); Unhealthy alcohol use (18+); Unhealthy drug use (18+) | Cervical cancer (21 to 65) | Prediabetes and type 2 diabetes (35 to 70); Osteoporosis, postmenopausal under 65, women; BRCA risk assessment (18+), women; Chlamydia and gonorrhea (18 to 24), women; Chlamydia and gonorrhea (25 and older), women; Syphilis (18+); Hepatitis B (18+); Latent tuberculosis (18+) |
| 40 to 49 | Blood pressure (18+); Colorectal cancer (45 to 75); Hepatitis C (18 to 79); HIV (15 to 65); Depression (18+); Anxiety (18 to 64); Unhealthy alcohol use (18+); Unhealthy drug use (18+) | Cervical cancer (21 to 65); Breast cancer (40 to 74) | Prediabetes and type 2 diabetes (35 to 70); Osteoporosis, postmenopausal under 65, women; BRCA risk assessment (18+), women; Chlamydia and gonorrhea (25 and older), women; Syphilis (18+); Hepatitis B (18+); Latent tuberculosis (18+) |
| 50 to 64 | Blood pressure (18+); Colorectal cancer (45 to 75); Hepatitis C (18 to 79); HIV (15 to 65); Depression (18+); Anxiety (18 to 64); Unhealthy alcohol use (18+); Unhealthy drug use (18+) | Cervical cancer (21 to 65); Breast cancer (40 to 74) | Prediabetes and type 2 diabetes (35 to 70); Lung cancer (50 to 80); Osteoporosis, postmenopausal under 65, women; BRCA risk assessment (18+), women; Chlamydia and gonorrhea (25 and older), women; Syphilis (18+); Hepatitis B (18+); Latent tuberculosis (18+) |
| 65 to 74 | Blood pressure (18+); Colorectal cancer (45 to 75); Hepatitis C (18 to 79); HIV (15 to 65); Depression (18+); Unhealthy alcohol use (18+); Unhealthy drug use (18+) | Cervical cancer (21 to 65); Breast cancer (40 to 74); Osteoporosis (65+) | Prediabetes and type 2 diabetes (35 to 70); Lung cancer (50 to 80); Abdominal aortic aneurysm (65 to 75), men; BRCA risk assessment (18+), women; Chlamydia and gonorrhea (25 and older), women; Syphilis (18+); Hepatitis B (18+); Latent tuberculosis (18+) |
| 75 and older | Blood pressure (18+); Colorectal cancer (45 to 75); Hepatitis C (18 to 79); Depression (18+); Unhealthy alcohol use (18+); Unhealthy drug use (18+) | Osteoporosis (65+) | Lung cancer (50 to 80); Abdominal aortic aneurysm (65 to 75), men; BRCA risk assessment (18+), women; Chlamydia and gonorrhea (25 and older), women; Syphilis (18+); Hepatitis B (18+); Latent tuberculosis (18+) |
Ages in brackets are each recommendation's own range. Men have no grade A or B screening of their own without a risk factor; the aorta ultrasound is for men 65 to 75 who have ever smoked. Source for every row: (USPSTF A and B list); details and how often are in the chart below.
The chart
Average-risk adults. Age ranges from the USPSTF.
Swipe sideways to see ages 18 to 85
- Blood pressure : ages 18 and older
- Cervical cancer (women) : ages 21 to 65
- Prediabetes and type 2 diabetes, if a risk factor applies : ages 35 to 70, if you have overweight or obesity
- Breast cancer (women) : ages 40 to 74
- Colorectal cancer : ages 45 to 75
- Lung cancer, if a risk factor applies : ages 50 to 80, if you have a 20 pack-year history and smoke now or quit within 15 years
- Osteoporosis (women) : ages 65 and older
- Abdominal aortic aneurysm (men), if a risk factor applies : ages 65 to 75, if you have ever smoked
- Hepatitis C : ages 18 to 79
- HIV : ages 18 to 65
- Depression : ages 18 and older
- Anxiety : ages 18 to 64
- Unhealthy alcohol use : ages 18 and older
- Unhealthy drug use : ages 18 and older
- BRCA risk assessment (women), if a risk factor applies : ages 18 and older, if you or your family have had breast, ovarian, tubal or peritoneal cancer
- Chlamydia and gonorrhea (women), if a risk factor applies : ages 18 to 24, if you are sexually active
- Syphilis, if a risk factor applies : ages 18 and older, if you are at increased risk (for example HIV or another STI, men who have sex with men, drug use, or past incarceration)
- Hepatitis B, if a risk factor applies : ages 18 and older, if you are at increased risk (for example born where hepatitis B is common, HIV, injection drug use, or a household or sex partner with hepatitis B)
- Latent tuberculosis, if a risk factor applies : ages 18 and older, if you are at increased risk (born in or lived in a country where TB is common, or lived in a shelter or correctional facility)
Bars show the age range each recommendation covers, not how often to test. Open-ended ranges run to the edge of the chart. Tap a bar for the interval, test options and the USPSTF source.
Women
| Screening | Ages | How often | Grade | Source |
|---|---|---|---|---|
| Blood pressure | 18 and older | Every year from 40 or if at higher risk; every 3 to 5 years for adults 18 to 39 with normal readings and no added risk | A | USPSTF, 2021 |
| Cervical cancer | 21 to 65 | Every 3 years (Pap test) from 21; from 30, every 3 years (Pap) or every 5 years (HPV test or cotest) | A | USPSTF, 2018 |
| Prediabetes and type 2 diabetes Only if you have overweight or obesity | 35 to 70 | Every 3 years may be reasonable if results are normal | B | USPSTF, 2021 |
| Breast cancer | 40 to 74 | Every 2 years | B | USPSTF, 2024 |
| Colorectal cancer | 45 to 75 | Depends on the test: stool test every year, stool DNA-FIT every 1 to 3 years, CT colonography or flexible sigmoidoscopy every 5 years, colonoscopy every 10 years | A/B A at 50 to 75, B at 45 to 49 | USPSTF, 2021 |
| Lung cancer Only if you have a 20 pack-year history and smoke now or quit within 15 years | 50 to 80 | Every year | B | USPSTF, 2021 |
| Osteoporosis | 65 and older | Not set by the USPSTF; evidence on repeat intervals is limited | B | USPSTF, 2025 |
| Osteoporosis (before 65) Only if you are past menopause and at increased risk | 18 to 64 | Not set by the USPSTF; evidence on repeat intervals is limited | B | USPSTF, 2025 |
| Hepatitis C | 18 to 79 | Once for most adults; repeat if risk continues (for example, injection drug use) | B | USPSTF, 2020 |
| HIV | 18 to 65 | At least once; repeat testing is reasonable for people at increased risk | A | USPSTF, 2019 |
| Depression | 18 and older | No set interval; screen if not screened before, then use clinical judgment | B | USPSTF, 2023 |
| Anxiety | 18 to 64 | No set interval | B | USPSTF, 2023 |
| Unhealthy alcohol use | 18 and older | No set interval | B | USPSTF, 2018 |
| Unhealthy drug use | 18 and older | No set interval | B | USPSTF, 2020 |
| BRCA risk assessment Only if you or your family have had breast, ovarian, tubal or peritoneal cancer | 18 and older | Once, with genetic counseling if the risk tool is positive | B | USPSTF, 2019 |
| Chlamydia and gonorrhea Only if you are sexually active | 18 to 24 | No set interval; test again if new or ongoing risk factors since the last negative test | B | USPSTF, 2021 |
| Chlamydia and gonorrhea (25 and older) Only if you are sexually active and at increased risk (for example a new or more than one sex partner, or a past STI) | 25 and older | No set interval; test again if new or ongoing risk factors since the last negative test | B | USPSTF, 2021 |
| Syphilis Only if you are at increased risk (for example HIV or another STI, men who have sex with men, drug use, or past incarceration) | 18 and older | Evidence on intervals is limited; at least yearly, or every 3 to 6 months, for men who have sex with men or people with HIV who stay at high risk | A | USPSTF, 2022 |
| Hepatitis B Only if you are at increased risk (for example born where hepatitis B is common, HIV, injection drug use, or a household or sex partner with hepatitis B) | 18 and older | Periodically for people whose risk continues | B | USPSTF, 2020 |
| Latent tuberculosis Only if you are at increased risk (born in or lived in a country where TB is common, or lived in a shelter or correctional facility) | 18 and older | Once to yearly, depending on continued risk of exposure | B | USPSTF, 2023 |
Men
| Screening | Ages | How often | Grade | Source |
|---|---|---|---|---|
| Blood pressure | 18 and older | Every year from 40 or if at higher risk; every 3 to 5 years for adults 18 to 39 with normal readings and no added risk | A | USPSTF, 2021 |
| Prediabetes and type 2 diabetes Only if you have overweight or obesity | 35 to 70 | Every 3 years may be reasonable if results are normal | B | USPSTF, 2021 |
| Colorectal cancer | 45 to 75 | Depends on the test: stool test every year, stool DNA-FIT every 1 to 3 years, CT colonography or flexible sigmoidoscopy every 5 years, colonoscopy every 10 years | A/B A at 50 to 75, B at 45 to 49 | USPSTF, 2021 |
| Lung cancer Only if you have a 20 pack-year history and smoke now or quit within 15 years | 50 to 80 | Every year | B | USPSTF, 2021 |
| Abdominal aortic aneurysm Only if you have ever smoked | 65 to 75 | Once | B | USPSTF, 2019 |
| Hepatitis C | 18 to 79 | Once for most adults; repeat if risk continues (for example, injection drug use) | B | USPSTF, 2020 |
| HIV | 18 to 65 | At least once; repeat testing is reasonable for people at increased risk | A | USPSTF, 2019 |
| Depression | 18 and older | No set interval; screen if not screened before, then use clinical judgment | B | USPSTF, 2023 |
| Anxiety | 18 to 64 | No set interval | B | USPSTF, 2023 |
| Unhealthy alcohol use | 18 and older | No set interval | B | USPSTF, 2018 |
| Unhealthy drug use | 18 and older | No set interval | B | USPSTF, 2020 |
| Syphilis Only if you are at increased risk (for example HIV or another STI, men who have sex with men, drug use, or past incarceration) | 18 and older | Evidence on intervals is limited; at least yearly, or every 3 to 6 months, for men who have sex with men or people with HIV who stay at high risk | A | USPSTF, 2022 |
| Hepatitis B Only if you are at increased risk (for example born where hepatitis B is common, HIV, injection drug use, or a household or sex partner with hepatitis B) | 18 and older | Periodically for people whose risk continues | B | USPSTF, 2020 |
| Latent tuberculosis Only if you are at increased risk (born in or lived in a country where TB is common, or lived in a shelter or correctional facility) | 18 and older | Once to yearly, depending on continued risk of exposure | B | USPSTF, 2023 |
Grade A: high certainty that the net benefit is substantial. Grade B: high certainty that the net benefit is moderate, or moderate certainty that it is moderate to substantial. (USPSTF grade definitions) Pregnancy and childhood screenings are not shown.
By age
- Screenings at 18What applies at 18, and what changes.
- Screenings at 21What applies at 21, and what changes.
- Screenings at 25What applies at 25, and what changes.
- Screenings at 30What applies at 30, and what changes.
- Screenings at 35What applies at 35, and what changes.
- Screenings at 40What applies at 40, and what changes.
- Screenings at 45What applies at 45, and what changes.
- Screenings at 50What applies at 50, and what changes.
- Screenings at 55What applies at 55, and what changes.
- Screenings at 60What applies at 60, and what changes.
- Screenings at 65What applies at 65, and what changes.
- Screenings at 70What applies at 70, and what changes.
- Screenings at 75What applies at 75, and what changes.
- Screenings at 80What applies at 80, and what changes.
- Screenings at 85What applies at 85, and what changes.
By sex and age
- Screenings for women over 30What applies, what starts and what can stop.
- Screenings for women over 40What applies, what starts and what can stop.
- Screenings for women over 50What applies, what starts and what can stop.
- Screenings for women over 60What applies, what starts and what can stop.
- Screenings for women over 65What applies, what starts and what can stop.
- Screenings for women over 70What applies, what starts and what can stop.
- Screenings for women over 75What applies, what starts and what can stop.
- Screenings for men over 30What applies, what starts and what can stop.
- Screenings for men over 40What applies, what starts and what can stop.
- Screenings for men over 50What applies, what starts and what can stop.
- Screenings for men over 60What applies, what starts and what can stop.
- Screenings for men over 65What applies, what starts and what can stop.
- Screenings for men over 70What applies, what starts and what can stop.
- Screenings for men over 75What applies, what starts and what can stop.
- Tests a woman needs every yearWhich repeat yearly, every 2, 3 or 5 years, or once.
- Screenings for older adultsWhat continues after 65, and the age each one stops.
- My screening planYour own list, with calendar reminders.