Routine health screenings are a critical component of preventive care. They allow for the early detection and management of potential health conditions, often before symptoms arise. While lifestyle choices such as regular exercise and a balanced diet are essential, they do not replace the need for medical evaluations that can identify underlying issues.
Below is a summary of recommended screenings and the age or circumstances under which they should be considered. Patients are encouraged to consult with their healthcare provider to determine the screenings most appropriate for their individual risk factors and medical history.
Recommended Screenings for All Adults
Blood Pressure
High blood pressure affects approximately one-third of adults in the United States. If blood pressure is within the normal range (less than 120/80 mmHg), it should be checked at least every two years. More frequent monitoring is recommended if levels are elevated.
Cholesterol
The American Heart Association advises that adults begin cholesterol screening at age 20, repeating every four to six years. After age 40, providers may calculate a 10-year cardiovascular risk to guide the frequency and type of follow-up testing.
Note: Cholesterol screening is also recommended once between ages 9–11 and again between 17–21.
Type 2 Diabetes
Screening is recommended every three years beginning at age 45. Individuals who are overweight or obese, have hypertension (≥135/80 mmHg), elevated cholesterol or a family history of diabetes may require earlier screening.
HIV and Sexually Transmitted Infections (STIs)
Routine screening is advised for sexually active individuals, particularly if they have new or multiple partners or engage in unprotected sex. Many STIs, including HIV, may be asymptomatic and are best identified through screening.
Skin Cancer
Patients are encouraged to monitor their skin for new or changing lesions, especially in sun-exposed areas. Any concerns should be evaluated by a healthcare provider, who can also perform full-body skin examinations if indicated.
Colorectal Cancer
Screening is recommended starting at age 45. Options include annual fecal occult blood testing or colonoscopy every 10 years, among others. Early detection significantly improves outcomes.
Lung Cancer
Annual low-dose CT scans are recommended for individuals aged 55–80 who have a 30 pack-year smoking history and currently smoke or have quit within the past 15 years.
Screenings Specific to Men
Prostate Cancer
Men should begin discussing the potential benefits and risks of prostate cancer screening with their provider around age 55. Earlier conversations may be appropriate for those with a family history, African American men, or those experiencing urinary symptoms.
Testicular Cancer
Self-examination should begin around age 15. Annual physical exams should include a testicular assessment, particularly for individuals with a personal or family history or an undescended testicle.
Screenings Specific to Women
Breast Cancer
Women aged 50 to 74 are advised to undergo a mammogram every two years. Women with a family history or other risk factors should consult their provider about earlier or more frequent screening.
Cervical Cancer
Pap testing should begin at age 21 and be repeated every three years until age 65. Testing intervals may vary depending on individual risk factors and results.
A Proactive Approach to Health
Timely screenings are an investment in long-term well-being. By detecting conditions early, patients and providers can implement treatment or lifestyle changes that may prevent more serious health complications.
To schedule an appointment with a UT Health East Texas Physicians provider, please call 903-596-DOCS. Your health is our priority.