Prevention Guidelines for Women 50-64

ScreeningWho needs itHow often
Type 2 diabetes or prediabetesAll 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 diabetesAt least every 3 years
Alcohol misuseAll adultsAt routine exams
Blood pressureAll adultsYearly 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 cancerAll womenYearly 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 cancerAll 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 precancerPap 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
ChlamydiaWomen at a higher risk for infectionAt routine exams if at risk
Colorectal cancerAll women of average risk in this age groupAccording 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.
DepressionAll adults in clinical practices that have staff and systems in place to assure accurate diagnosis, effective treatment, and follow-upAt routine exams
GonorrheaSexually active women at a higher risk for infectionAt routine exams if at risk
Hepatitis CAdults at a higher risk; 1 time for those born between 1945 and 1965At routine exams if at risk
HIVAll womenAt routine exams if at risk
High cholesterol and triglyceridesAll women ages 45 and older at a higher risk for coronary artery diseaseAt least every 5 years
ObesityAll adultsAt routine exams
Lung cancerWomen 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 womenWomen at age 60 who are at a higher risk for fractures caused by osteoporosisCheck with your health care provider
SyphilisAdults at a higher risk for infectionAt routine exams if at risk
TuberculosisAdults at a higher risk for infectionCheck with your healthcare provider.
VisionAll adultsCheck with your healthcare provider for exam frequency.
CounselingWho needs itHow often
Aspirin for prevention of cardiovascular problemsAt-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, chemopreventionWomen at high riskWhen risk is identified
BRCA mutation testing for breast and ovarian cancer susceptibilityWomen with a higher riskWhen risk is identified
Diet and exerciseWomen who are overweight or obeseWhen diagnosed
Sexually transmitted disease preventionAdults at a higher risk for infectionAt routine exams
Tobacco use and tobacco-related diseaseAll adultsEvery exam
Alcohol use and alcohol-related diseaseAll adultsEvery exam