What screenings do I need at 40?
Last updated September 3, 2026.
At 40 the list grows. Women: mammograms begin - the USPSTF recommends every 2 years from 40 to 74 at average risk; strong family history moves the conversation earlier. Everyone: colorectal screening starts at 45 - pick the type now (home stool tests vs colonoscopy). And the continuing core: blood pressure, cholesterol, blood sugar screening (type 2 diabetes clusters in this decade), women's cervical screening on its schedule. Plus the quiet ones: an eye exam (vision shifts in the forties; glaucoma screening with family history), dental, skin checks, and vaccine maintenance - flu yearly, Tdap/Td booster, COVID current, per the CDC. Pymander is a free AI doctor, 24/7 by text, and can build your personal list.
What to do
- Women: book the first mammogram: every 2 years, 40 to 74.
- Everyone: plan colorectal screening for 45: choose the test type now.
- Keep BP, cholesterol, and sugar on a cycle: this decade sets the trajectory.
- Add the eye exam: the forgotten forty-something screening.
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