Informations | DR JKT

Preventive check-ups/early detection for adults

Age	Gender	Examination/ Where?	How often?
from 18 – 35 years	women and men	Health check-up at the GP practice	1x between the ages of 18-34
20 years and older	women	Cancer screening: genital examination (Pap smear) for early detection by gynaecologists	once a year
30 years and older	women	In addition to cancer screening: Breast and skin examination by gynaecologists as well as self-examination of the breast, gynaecologists show how to do it	once a year
up to 25 years	women	Test for an infection with chlamydia at the gynaecologist	once a year
35 years and older	women	Screening: Cytological examination and HPV test at the gynaecologist	every 3 years
35 years and older	women and men	Health check-up for early detection of, for example, kidney, cardiovascular diseases and diabetes in the GP practice. Screening for hepatitis B and hepatitis C infection	every 3 years once within the 3 years
35 years and older	women and men	Skin cancer screening of the entire body Please note: Only by doctors who have a licence and approval from the Association of Statutory Health Insurance Physicians (Kassenärztlichen Vereinigungen KV) = list of the KV responsible for the region	every 2 years
45 years and older	men	Genital and prostate cancer screening at the urologist	once a year

50 years and older	women	Early detection of bowel cancer for blood in the stool by general practitioners, gynaecologists or internal medicine doctors	once a year
50 years and older	men	Early detection of bowel cancer at the age of 50 – 54 as a test for blood in the stool by general practitioners, urologists or doctors of internal medicine or 2 colonoscopies in a gastroenterology practice	once a year at least every 10 years
from 50 – 75 years old	women	Women receive an invitation to mammography screening for the early detection of breast cancer	every 2 years
55 years and older	women	Early detection of bowel cancer as a test for blood in the stool or 2 colonoscopies in gastroenterology practice	every 2 years at least every 10 years
65 years and older	men	Ultrasound examination for the early detection of aneurysms of the abdominal aorta at certain GP practices, urologists, internists and surgeons with corresponding authorisation from the Association of Statutory Health Insurance Physicians (Kassenärztlichen Vereinigung KV)	1x at age 65 +

Preventive check-ups/early detection for children

Booster vaccinations for adults

Vaccination	Who?	How often?
Tetanus and Diphtheria	everyone	every 10 years
Whooping cough (pertussis)	everyone	1x between the ages of 18 and 60
Measles	Anyone who was born after 1970, is older than 18 and does not know exactly whether they have already been vaccinated or were only vaccinated once in childhood.	1x if vaccination status is not known (see column Who?)
Pneumococci		1x at the age of 60 and over
Flu (influenza)		Once a year from the age of 60 for chronically ill people, pregnant women, people and people with an increased risk of infection.
Shingles (herpes zoster)		from the age of 60 from the age of 50, with diabetes or asthma
TBE (tick-borne tick-borne encephalitis)	Anyone who spends time in risk areas within Germany and may come into contact with ticks.
RSV (respiratory syncytial virus)	People with serious underlying diseases of the respiratory organs, kidneys or cardiovascular system as well as residents in care facilities are at risk.	1x from the age of 75 1x for risk groups aged 60 and over (see Who? column)

General examinations and vaccinations for children

After the birth, parents receive a booklet containing all the important examinations.

In the first 6 years of life, there are ten preventive medical check-ups (U-examinations).

These are called U1 to U9, including U7a.

The organs of the body are examined, for example sensory organs, respiration, digestion, skeleton, musculature and metabolism. It is also checked whether the child is developing and behaving normally.

During the examinations, children are vaccinated against diphtheria, tetanus, whooping cough, polio, measles, mumps and rubella, for example.

The Standing Committee on Vaccination (STIKO) recommends that girls and boys between the ages of 9 and 14 should be vaccinated against human papillomavirus (HPV).

These viruses can cause cervical cancer in girls and women.

In boys and men, these viruses can cause malignant tumours in the genital area.

Young people who have not yet been vaccinated against HPV by the age of 15 should do so.

Young people between the ages of 12 and 15 can go to the doctor regularly for a check-up (youth health examination/J1).

Dental check-ups for children

Between the age of 6 months and 6 years, there are 6 examinations to recognise dental, oral and jaw diseases at an early stage.

Children and young people between the ages of 6 and 18 go to the dentist once a year. There they are examined so that dental diseases can be recognised at an early stage (individual prophylaxis).