Ages 19-39 Years: Evaluation and Counseling

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Ages 19-39 Years
     Laboratory and other tests

Sexuality and Reproductive Planning

□ Contraceptive options for prevention of unwanted pregnancy, including emergency contraception
□ Discussion of a reproductive health plan
□ High-risk behaviors
□ Preconception and genetic counseling
□ Sexual function
□ Sexually transmitted infections—barrier protection

Fitness and Nutrition

□ Physical activity
□ Dietary/nutrition assessment (including eating disorders and obesity)
□ Folic acid supplementation
□ Calcium intake

Psychosocial Evaluation

□ Interpersonal/family relationships
□ Intimate partner violence
□ Acquaintance rape prevention
□ Work satisfaction
□ Lifestyle/stress
□ Sleep disorders

Cardiovascular Risk Factors

□ Family history
□ Hypertension
□ Dyslipidemia
□ Obesity
□ Diabetes mellitus
□ Personal history of preeclampsia, gestational diabetes, or pregnancy-induced hypertension
□ Lifestyle

Health/Risk Assessment

□ Breast self-awareness (may include breast self-examination)
□ Chemoprophylaxis for breast cancer (for high-risk women aged 35 years or older)
□ Hygiene (including dental)
□ Injury prevention
     Exercise and sports involvement
     Occupational hazards
     Recreational hazards
     Safe driving practices (seat belt use, no distracted driving or driving while under the influence of substances)
□ Skin exposure to ultraviolet rays
□ Suicide: depressive symptoms
□ Tobacco, alcohol, other drug use

American Congress of Obstetricians and Gynecologists
409 12th Street SW, Washington, DC  20024-2188 | Mailing Address: PO Box 70620, Washington, DC 20024-9998