Ages 19-39 Years: Evaluation and Counseling

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
Sleep disorders

Cardiovascular Risk Factors

Family history
Diabetes mellitus
Personal history of preeclampsia, gestational diabetes, or pregnancy-induced hypertension

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