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Women's health

  • Gynecology
  • Pregnancy and baby
  • Breast health
  • Women's screenings
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Women's health

Screening for mature women

Here are the screening tests and immunizations that most mature women need. Although you and your healthcare provider may decide that a different schedule is best for you, this plan can guide your discussion.

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Cancer screenings

Who: All women

When: Yearly mammogram and clinical breast exam. However, our system has a more stringent recommendation. Please see our mammography screening guidelines.

Note: According to American Cancer Society guidelines

Who: According to the American Cancer Society (ACS), women older than 65 who have had regular screening with normal results should not be screened for cervical cancer. Once screening is stopped, it should not be started again.

When: Discuss with your healthcare provider

Note: The American Congress of Obstetricians and Gynecologists currently recommends that women ages 30 and older get a Pap test once every three years and that women with certain risk factors (or with increased risk) may need more frequent screening. It's reasonable to discontinue screening after three or more consecutive negative Pap tests and no abnormal results within the last 10 years once a woman turns 65 or 70.

Who: Adults age 55 to 80 who have smoked

When: Yearly screening in smokers with 30 packs per year history of smoking or who quit within 15 years.

Who: All adults ages 50 and older

When: For tests that find polyps and cancer:

  • Flexible sigmoidoscopy or double-contrast barium enema every 5 years, followed by a colonoscopy if positive, or
  • Colonoscopy every 10 years, or
  • CT colonography (virtual colonoscopy) every five years

For tests that primarily find cancer:

  • Yearly fecal occult blood test or fecal immunochemical test (Multiple stool take-home test should be used; one test at done by the doctor in the office is not adequate. A colonoscopy should be done if the test is positive), or
  • Stool DNA test, every three years

The tests that are designed to find both early cancer and polyps are preferred if these tests are available to you and you are willing to have one of these more invasive tests. Talk with your doctor about which test is best for you.

Some people should be screened using a different schedule because of their personal history or family history. Talk with your doctor about your history and what colorectal cancer screening schedule is best for you.

Other screenings

Who: All adults beginning at age 45 and adults without symptoms at any age who are overweight or obese and have one or more additional risk factors for diabetes

When: At least every three years

Who: All adults

When: At routine exams

Who: All adults

When: Every two years if your blood pressure reading is less than 120/80 mm Hg. Yearly if your systolic blood pressure reading is 120 to 139 mm Hg or your diastolic blood pressure reading is 80 to 89 mm Hg.

Who: Women at increased risk for infection; talk to your healthcare provider

When: At routine exams if at risk

Who: All adults in clinical practices that have staff and systems in place to assure accurate diagnosis, effective treatment, and follow-up

When: At routine exams

Who: All women ages 20 and older at increased risk for coronary artery disease

When: At least every five years, or more frequently if recommended by your healthcare provider

Note: Recommendation from ACOG

Who: All adults

When: At routine exams

Who: All women ages 65 and older

When: Bone density test at age 65, then follow-up as recommended by healthcare provider

Note: Recommendation by the USPSTF

Who: Anyone at increased risk for infection

When: Check with your healthcare provider

Who: All adults

When: Every one to two years; if you have a chronic disease, check with your healthcare provider for exam frequency

Note: Recommendation from the American Academy of Ophthalmology

Who: Women ages 55 to 79 when the potential benefits from reducing ischemic strokes outweigh the potential harm from an increase in gastrointestinal hemorrhage

When: Discuss with your healthcare provider

Who: Anyone at increased risk; One time for those born between 1945 and 1965

When: At routine exams

Sexual health screenings

Who: Sexually active women who are at increased risk for infection

When: At routine exams if at risk

Who: Anyone at increased risk for infection

When: At routine exams if at risk

Who: All women

When: At routine exams if at risk

Counseling

Who: All women in this age group

When: At routine exams

Who: Adults who are overweight or obese

When: When diagnosed and at routine exams



Who: All adults

When: Every exam

Vaccinations

Who: All adults

When: Td: Every 10 years. Tdap is recommended if you are in contact with a child 12 months or younger. Either Td or Tdap can be used if you have no contact with infants.

Who: Adults ages 50 to 64 who have no previous infection or documented vaccinations.

When: Two doses; second dose should be given at least 4 weeks after the first dose

Note: Exceptions may exist; discuss with your healthcare provider

Who: All adults

When: Yearly, when the vaccine becomes available in the community

Who: People at risk

When: Two doses given six months apart

Note: For complete list, see the CDC website.



Who: People at risk

When: Three doses; second dose should be given one month after the first dose; the third dose should be given at least two months after the second dose (and at least four months after the first dose)

Note: For complete list, see the CDC website



Who: Women at increased risk for infection, talk with your healthcare provider

What: One to three doses

Who: All adults age 65 and older

What: One dose of each vaccine

Who: All women ages 60 and older

What: One dose

Other guidelines are from the USPSTF

Immunization schedule from the CDC

Guidelines for other age groups