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    Prevention Guidelines

    Health Screening Guidelines for Women 50 to 64

    Here are the screening tests that most women ages 50 to 64 need. A screening test is done to find possible health problems or diseases in people who don't have any symptoms. The goal is to find a disease early so lifestyle changes can be made and you can be watched more closely to lower the risk of disease, or to find it early enough to treat it most effectively. Screening tests are not diagnostic. But they are used to find out if more testing is needed. Health counseling is vital, too. You and your healthcare provider may decide that a different schedule is best for you. But this plan can guide your discussion.

    Gender words are used here to talk about anatomy and health risk. Please use this information in a way that works best for you and your provider as you talk about your care

    Screening

    Who needs it

    How often

    Type 2 diabetes or prediabetes

    All adults starting 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

    Yearly checkup if your blood pressure is normal.

    Normal blood pressure is less than 120/80 mmHg.

    If your blood pressure reading is higher than normal, follow the advice of your healthcare provider.

     Breast cancer

    All women

    Yearly mammogram should be done until age 54. At age 55, switch to mammograms every other year. Or you 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 or primary HPV testing every 5 years, or Pap test with reflex HPV test every 3 years

    Chlamydia

    Women at a higher risk for infection

    At routine exams if at risk

    Colorectal cancer

    All women of average risk in this age group

    According to the American Cancer Society (ACS):

    For tests that find polyps and cancer:

    • Colonoscopy every 10 years (recommended) or .

    • Flexible sigmoidoscopy every 5 years, or

    • CT colonography (virtual colonoscopy) every 5 years

    For tests that primarily find cancer:

    • Yearly fecal occult blood test, or

    • Yearly fecal immunochemical test every year, or

    • Stool fecal immunochemical test with DNA test, every 3 years

    You will need a follow-up colonoscopy if you choose any test other than a colonoscopy and you have an abnormal result. Screening recommendations vary among expert groups. Talk with your provider about which test is best for you.

    Some people should be screened using a different schedule because of their personal or family history. Talk with your provider about your health history and what colorectal cancer screening schedule 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 a higher risk for infection

    At routine exams if at risk

    Hepatitis C

    Adults at a higher 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 a higher risk for coronary artery disease

    At least every 5 years

    Obesity

    All adults

    At routine exams

    Lung cancer

     

    Women between the ages of 50 and 80 who are in fairly good health, are at higher risk for lung cancer, and who:

    • Currently smoke or have quit within the past 15 years, and

    • Have a 20-pack year history of smoking (1 pack/day for 20 years or 2 packs/day for 10 years)

     

    Yearly lung cancer screening with a low-dose CT scan (LDCT); talk with your healthcare provider about your risk and situation

    Osteoporosis, postmenopausal women

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

    Check with your health care provider

    Syphilis

    Adults at a higher risk for infection

    At routine exams if at risk

    Tuberculosis

    Adults at a higher risk for infection

    Check with your healthcare provider.

    Vision

    All adults

    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; talk 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 a higher risk

    When risk is identified

    Diet and exercise

    Women who are overweight or obese

    When diagnosed

    Sexually transmitted disease prevention

    Adults at a higher risk for infection

    At routine exams

    Tobacco use and tobacco-related disease

     

    All adults

    Every exam

    Alcohol use and alcohol-related disease

    All adults

    Every exam

    Online Medical Reviewer: Marianne Fraser MSN RN
    Online Medical Reviewer: Maryann Foley RN BSN
    Online Medical Reviewer: Robert Hurd MD
    Date Last Reviewed: 1/1/2021
    © 2000-2023 The StayWell Company, LLC. 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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