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    Health Library Explorer
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    Prevention Guidelines

    Prevention Guidelines for Women 50–64

    Here are the screening tests and immunizations that most women ages 50 to 64 need. Although you and your healthcare provider may decide that a different schedule is best for you, this plan can guide your discussion.

    Screening

    Who needs it

    How often

    Type 2 diabetes or prediabetes

    All adults beginning at age 45 and adults without symptoms at any age who are overweight or obese and have 1 or more additional risk factors for diabetes

    At least every 3 years

    Alcohol misuse

    All adults

    At routine exams

    Blood pressure

    All adults

    Guidelines recommend the following screening schedules:

    • Every 2 years if your blood pressure reading is less than 120/80 mm Hg, or

    • Yearly if systolic blood pressure reading of 120 to 139 mm Hg or diastolic blood pressure reading of 80 to 89 mm Hg

    Breast cancer

    All women*

    Yearly mammogram should be done until age 54. At age 55 switch to mammograms every other year or may choose to continue yearly mammograms.*

    Cervical cancer

    All women, except those who have had a hysterectomy with removal of the cervix for reasons not related to cervical cancer and have no history of cervical cancer or serious precancer

    Pap test every 3 years or Pap test with human papillomavirus (HPV) test every 5 years

    Chlamydia

    Women at increased risk for infection

    At routine exams

    Colorectal cancer

    All adults starting at age 50

    According to the American Cancer Society (ACS):

    For tests that find polyps and cancer:

    • Flexible sigmoidoscopy every 5 years1, or

    • Colonoscopy every 10 years, or

    • Double-contrast barium enema every 5 years1

    For tests that primarily find cancer:

    • Yearly fecal occult blood test2, or

    • Yearly fecal immunochemical test every year2, or

    • Stool DNA test, every 3 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

    Depression

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

    At routine exams

    Gonorrhea

    Sexually active women at increased risk for infection

    At routine exams if at risk

    Hepatitis C

    Anyone at increased risk; 1 time for those born between 1945 and 1965

    At routine exams if at risk

    HIV

    All women

    At routine exams if at risk

    High cholesterol and triglycerides

    All women ages 45 and older at increased risk for coronary artery disease

    At least every 5 years

    Obesity

    All adults

    At routine exams

    Lung cancer

    Adults age 55 to 80 who have smoked

    Yearly screening in smokers with 30 pack year history of smoking or who quits within 15 years

    Osteoporosis, postmenopausal women

    Women at age 60 who are at increased risk for fractures caused by osteoporosis

    Check with your health care provider

    Syphilis

    Anyone at increased risk for infection

    At routine exams if at risk

    Tuberculosis

    Anyone at increased risk for infection

    Check with your healthcare provider

    Vision

    All adults3

    Check with your healthcare provider for exam frequency

    Counseling

    Who needs it

    How often

    Aspirin for prevention of cardiovascular problems

    At-risk adults

    Recommended for women ages 55 to 79 years when the potential benefit of reducing strokes outweighs the potential harm of an increase in gastrointestinal bleeding

    When risk is identified; discuss with your healthcare provider before starting

    Breast cancer, chemoprevention

    Women at high risk

    When risk is identified

    BRCA mutation testing for breast and ovarian cancer susceptibility

    Women with increased risk

    When risk is identified

    Diet and exercise

    Women who are overweight or obese

    When diagnosed

    Sexually transmitted disease prevention

    Anyone at increased risk for infection

    At routine exams

    Tobacco use and tobacco-related disease

    All adults

    Every exam

    Immunization

    Who needs it

    How often

    Haemophilus influenzae B type

    At risk adults

    1 to 3 doses

    Tetanus/diphtheria/
    pertussis (Td/Tdap) booster)

    All adults

    One-time Tdap booster, then Td every 10 years

    Measles, mumps, rubella (MMR)

    Adults in this age group through their late 50s who have no previous infection or documented vaccinations**

    1 to 2 doses

    Chickenpox (varicella)

    Adults ages 50 to 64 who have no previous infection or documented vaccinations**

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

    Flu vaccine (seasonal)

    All adults

    Yearly, when the vaccine becomes available in the community

    Hepatitis A vaccine

    People at risk4

    Two doses given at least 6 months apart

    Hepatitis B vaccine

    High risk adults

    Three doses; 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)

    Meningococcal

    People at risk**

    One or more doses

    Pneumococcal (PCV13)

    Pneumococcal (PPSV23)

    People at risk6

    PCV13: 1 dose ages 19 to 65 (protects against 13 types of pneumococcal bacteria)

    PPSV23: 1 to 2 doses through age 64, or 1 dose at 65 or older (protects against 23 types of pneumococcal bacteria)

    Zoster

    All women ages 60 and older**

    One dose

    *American Cancer Society

    **Exceptions may exist, please check with your healthcare provider

    1If the test is positive, a colonoscopy should be done

    2The multiple stool take-home test should be used. One test done by the doctor in the office is not adequate for testing. A colonoscopy should be done if the test is positive.

    3Recommendation from the American Academy of Ophthalmology

    4For complete list, see the CDC website

    5For complete list, see the CDC website

    6For complete list, see the CDC website

    Other guidelines are from the USPSTF

    Immunization schedule from the CDC

    Online Medical Reviewer: Cunningham, Louise, RN
    Online Medical Reviewer: Godsey, Cynthia, MSN, APRN, MSHE, FNP-BC
    Online Medical Reviewer: Stump-Sutliff, Kim, RN, MSN, AOCNS
    Online Medical Reviewer: Turley, Ray, BSN, MSN
    Date Last Reviewed: 11/5/2015
    © 2000-2017 The StayWell Company, LLC. 780 Township Line Road, Yardley, PA 19067. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.
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    Southern New Mexico
    Surgery Center

    2301 Indian Wells Rd. Suite B
    Alamogordo, NM 88310
    www.snmsc.org

    Phone: 575.437.0890
    Fax: 575.437.0905
    Email: info@snmsc.org

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