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Screening
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Who needs it
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How often
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Type 2 diabetes or prediabetes
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All women ages 40 to 75 who are overweight or obese
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At least every 3 years
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Type 2 diabetes
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All women with prediabetes
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Every year
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Alcohol misuse
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All women in this age group
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At routine exams
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Blood pressure
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All women in this age group
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Yearly checkup if your blood pressure is normal*
Normal blood pressure is less than 120/80 mm Hg*
If your blood pressure reading is higher than normal, follow the advice of your healthcare provider
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Breast cancer
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All women of average risk
There are no guidelines for breast cancer screening for 75 years and older.
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Mammograms should be done every 1 or 2 years until age 75. At that point a woman should talk to her doctor about whether to continue screening. Talk to your doctor regarding your recommended frequency depending on your risk factors.
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Cervical cancer
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Only women who had abnormal screening results before age 65
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Talk with your healthcare provider
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Chlamydia
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Women at increased risk for infection
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At routine exams
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Colorectal cancer
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All women over the age of 50
This screening is advised against for women over 75 or if there is a life expectancy of less than 10 years.
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Multiple tests are available and are used at different times. Possible tests include: flexible sigmoidoscopy, colonoscopy, double-contrast barium enema, yearly fecal occult blood test, fecal immunochemical test, or stool DNA test as often as your healthcare provider advises. Talk with your healthcare provider about which tests are best for you.
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Depression
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All women in this age group
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At routine exams
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Gonorrhea
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Sexually active women at increased risk for infection
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At routine exams
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Hepatitis C
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Anyone at increased risk; 1 time for those born between 1945 and 1965
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At routine exams
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High cholesterol or triglycerides
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All women in this age group who are at risk for coronary artery disease
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At least every 5 years
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HIV
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Women at increased risk for infection–talk with your healthcare provider
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At routine exams
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Lung cancer
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Adults ages 55 to 74 who have smoked with a 30-pack-a-year history and have smoked within the past 15 years
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Annual low dose CT scan
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Obesity
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All women in this age group
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At routine exams
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Osteoporosis
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All women in this age group
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Bone density test at age 65, then follow-up as advised by your healthcare provider
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Syphilis
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Women at increased risk for infection–talk with your healthcare provider
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At routine exams
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Thyroid-Stimulating Hormone (TSH)
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All women in this age group with symptoms of thyroid dysfunction. There is not enough evidence to support TSH screening in women without symptoms.
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ACOG recommendation is every 5 years; American Academy of Family Physicians concludes there is not enough evidence to support routine screening in adults without symptoms.
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Tuberculosis
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Women at increased risk for infection–talk with your healthcare provider
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Ask your healthcare provider
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Vision
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All women in this age group
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Every 1 to 2 years; if you have a chronic health condition, ask your healthcare provider if you need exams more often
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Vaccine
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Who needs it
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How often
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Chickenpox (varicella)
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All women in this age group who have no record of this infection or vaccine
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2 doses; second dose should be given at least 4 weeks after the first dose
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Hepatitis A
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Women at increased risk for infection–talk with your healthcare provider
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2 doses given 6 months apart
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Hepatitis B
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Women at increased risk for infection–talk with your healthcare provider
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3 doses over 6 months; second dose should be given 1 month after the first dose; the third dose should be given at least 2 months after the second dose and at least 4 months after the first dose
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Haemophilus influenza Type B (HIB)
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Women at increased risk for infection–talk with your healthcare provider
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1 to 3 doses
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Influenza (flu)
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All women in this age group
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Once a year
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Pneumococcal conjugate vaccine (PCV13) and pneumococcal polysaccharide vaccine (PPSV23)
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All women in this age group
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1 dose of each vaccine
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Tetanus/diphtheria/pertussis (Td/Tdap) booster
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All women in this age group
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Td every 10 years, or a one-time dose of Tdap instead of a Td booster after age 18, then Td every 10 years
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Zoster
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All women in this age group
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1 dose
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Counseling
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Who needs it
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How often
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Diet and exercise
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Women who are overweight or obese
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When diagnosed, and then at routine exams
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Fall prevention (exercise and vitamin D supplements)
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All women in this age group
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At routine exams
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Sexually transmitted infection prevention
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Women at increased risk for infection–talk with your healthcare provider
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At routine exams
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Use of daily aspirin
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Talk to your healthcare provider about whether or not to start taking low-dose aspirin for the prevention of cardiovascular disease (CVD) and colorectal cancer in adults ages 60 to 69 who have at least a 10% risk of getting CVD within the next 10 years.
People who are not at increased risk for bleeding, have a life expectancy of at least 10 years, and are willing to take low-dose aspirin daily for at least 10 years are more likely to benefit. When the advantages of taking low-dose aspirin outweigh the risks, people may choose to start taking a low-dose aspirin.
There is not enough data to support the use of aspirin in people over the age of 70.
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When your risk is known
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Use of tobacco and the health effects it can cause
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All women in this age group
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Every exam
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