18 - 40 years

Statistically, women in this age group experience the greatest mortality in childbirth.  Routine health discussions should include information about contraception, sexually transmitted disease, and fertility. 

Healthy lifestyles include regular vigorous exercise, seatbelt wearing, avoidance of tobacco, and a diet including 5 fruits and vegetables daily.  Condoms can reduce the risk of AIDS.  Condoms do not provide HPV(sexually transmitted viruses) protection.  Limiting the number of sexual contacts can reduce the risk of AIDS and HPV.

 Examination includes weight, blood pressure, skin cancer screen, lymph node exam, breast exam, and pelvic exam.

 Testing- a cholesterol screen may be appropriate

 Cancer screening cervical cancer-PAP Smear

 Immunizations- tetanus booster every 10 yrs