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Health screening - women - over age 65

You should visit your health care provider from time to time, even if you are healthy. The purpose of these visits is to:

  • Screen for medical issues
  • Assess your risk for future medical problems
  • Encourage a healthy lifestyle
  • Update vaccinations
  • Help you get to know your provider in case of an illness

Information

Even if you feel fine, you should still see your provider for regular checkups. These visits can help you avoid problems in the future. For example, the only way to find out if you have high blood pressure is to have it checked regularly. High blood sugar and high cholesterol levels also may not have any symptoms in the early stages. A simple blood test can check for these conditions.

There are specific times when you should see your provider. Below are screening guidelines for women over age 65.

BLOOD PRESSURE SCREENING

  • Have your blood pressure checked every year.
  • If you have diabetes, heart disease, kidney problems, or certain other conditions, you may need to be checked more often.
  • If the top number (systolic number) is between 120 and 139 or the bottom number (diastolic number) is between 80 and 89 mm Hg or higher, have it checked every year.
  • If the top number is greater than 140, or the bottom number is greater than 90, schedule an appointment with your provider.

CHOLESTEROL SCREENING AND HEART DISEASE PREVENTION

  • If your cholesterol level is normal, have it rechecked at least every 5 years.
  • If you have diabetes, heart disease, kidney problems, or certain other conditions, you may need to be checked more often.

COLON CANCER SCREEN

Until age 75, you should be screened for colorectal cancer. There are several screening tests available. Some common screening tests include:

  • A fecal occult blood test every year
  • Flexible sigmoidoscopy every 5 years, along with a fecal occult blood test every 3 years
  • Colonoscopy every 10 years

You may need a colonoscopy more often if you have risk factors for colon cancer, including:

DENTAL EXAM

  • Go to the dentist once or twice every year for an exam and cleaning. Your dentist will evaluate if you have a need for more frequent visits.

DIABETES SCREENING

  • If you are age 65 or older and in good health, you should be screened for diabetes every 3 years.
  • If you are overweight and have other risk factors for diabetes, ask your provider if you should be screened more often.

EYE EXAM

  • Have an eye exam every 1 to 2 years.
  • Have an eye exam at least every year if you have diabetes.

HEARING TEST

  • Have your hearing tested if you have symptoms of hearing loss.

IMMUNIZATIONS

  • If you are over age 65, get a pneumococcal vaccine if you have never had one, or if you received one more than 5 years before you turned 65.
  • Get a flu shot every year.
  • Get a tetanus-diphtheria booster every 10 years.
  • You may get a shingles or herpes zoster vaccination once after age 60.

PHYSICAL EXAM

  • Have a yearly physical exam.
  • With each exam, your provider will check your height, weight, and body mass index (BMI).
  • Routine diagnostic tests are not recommended unless your provider finds a problem.

During the exam, your provider will ask questions about:

  • Your medicines and risk for interactions
  • Alcohol and tobacco use
  • Diet and exercise
  • Safety, such as seat belt use
  • Depression

BREAST EXAMS

  • Women may do a monthly breast self-exam. However, experts do not agree about the benefits of breast self-exams in finding breast cancer or saving lives. Talk to your provider about what is best for you.
  • Contact your provider right away if you notice a change in your breasts, whether or not you do self-exams.
  • Your provider may do a clinical breast exam during your preventive exam. Experts do not agree on the benefit of a breast examination.

MAMMOGRAM

  • Women up to age 75 should have a mammogram every 1 to 2 years, depending on their risk factors, to check for breast cancer.
  • Experts do not agree on the benefits of having a mammogram for women age 75 and older. Some do not recommend having mammograms after this age. Others recommend mammography for women in good health. Talk to your provider about what is best for you.

OSTEOPOROSIS SCREENING

PELVIC EXAM AND PAP SMEAR

  • After age 65, most women who have not been diagnosed with cervical cancer or precancer can stop having Pap smears as long as they have had 3 negative tests within the past 10 years.

LUNG CANCER SCREENING

The US Preventive Services Task Force recommends annual screening for lung cancer with low-dose computed tomography (LDCT) in adults until age 80 who:

  • Have a 30 pack-year smoking history AND
  • Currently smoke or have quit within the past 15 years

Alternative Names

Health maintenance visit - women - over age 65; Physical exam - women - over age 65; Yearly exam - women - over age 65; Checkup - women - over age 65; Women's health - over age 65; Preventive care exam - women - over age 65

References

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Review Date 5/22/2015

Updated by: Laura J. Martin, MD, MPH, ABIM Board Certified in Internal Medicine and Hospice and Palliative Medicine, Atlanta, GA. Internal review and update on 8/5/2016 by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.

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