Health screenings for women ages 40 to 64
Health maintenance visit - women - ages 40 to 64; Physical exam - women - ages 40 to 64; Yearly exam - women - ages 40 to 64; Checkup - women - ages 40 to 64; Women's health - ages 40 to 64; Preventive care - women - ages 40 to 64You 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 and other preventive care services
- 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.
High blood pressure
Blood pressure is a measurement of the force exerted against the walls of your arteries as your heart pumps blood to your body. Hypertension is the ...

High cholesterol
Cholesterol is a fat (also called a lipid) that your body needs to work properly. Too much bad cholesterol in your blood can increase your chance of...

There are specific times when you should see your provider or receive specific health screenings. The US Preventive Services Task Force publishes a list of recommended screenings. Below are screening guidelines for women ages 40 to 64.
BLOOD PRESSURE SCREENING
Have your blood pressure checked at least once every year. Watch for blood pressure screenings in your area. Ask your provider if you can stop in to have your blood pressure checked.
Blood pressure
Blood pressure is a measurement of the force on the walls of your arteries as your heart pumps blood through your body. You can measure your blood pr...

Ask your provider if you need your blood pressure checked more often if:
- You have diabetes, heart disease, kidney problems, or are overweight or have certain other health conditions
Heart disease
Coronary heart disease is a narrowing of the small blood vessels that supply blood and oxygen to the heart. Coronary heart disease (CHD) is also cal...
ImageRead Article Now Book Mark ArticleKidney problems
Chronic kidney disease is the slow loss of kidney function over time. The main job of the kidneys is to remove wastes and excess water from the body...
ImageRead Article Now Book Mark Article - You have a first-degree relative with high blood pressure
- You are Black
- Your blood pressure top number is from 120 to 129 mm Hg, or the bottom number is from 70 to 79 mm Hg
- You had high blood pressure during a pregnancy
If the top number is 130 mm Hg or greater or the bottom number is 80 mm Hg or greater, this is considered stage 1 hypertension. Schedule an appointment with your provider to learn how you can reduce your blood pressure.
BREAST CANCER SCREENING
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.
Screening mammogram is recommended for:
Mammogram
A mammogram is an x-ray picture of the breasts. It is used to evaluate some breast symptoms and to find breast cancer in women with no symptoms....

- Women ages 40 to 49 every 1 to 2 years. However, not all experts agree about the benefits of having a mammogram when women are in their 40s. Talk to your provider about what is best for you.
- Women ages 50 to 75 every 1 to 2 years, depending on their risk factors, to check for breast cancer.
Breast cancer
Breast cancer is cancer that starts in the tissues of the breast. There are two main types of breast cancer:Ductal carcinoma starts in the tubes (du...
ImageRead Article Now Book Mark Article - Women with a mother or sister who had breast cancer at a younger age should consider yearly mammograms. They should begin screening earlier than the age at which their youngest family member was diagnosed.
If you have other risk factors for breast cancer, your provider may recommend a MRI scan for screening.
MRI scan
A breast MRI (magnetic resonance imaging) scan is an imaging test that uses powerful magnets and radio waves to create pictures of the breast and sur...
Read Article Now Book Mark ArticleCERVICAL CANCER SCREENING
After starting cervical cancer screening:
Cervical cancer screening
Cervical cancer is a cancer that starts in the cervix. The cervix is the lower part of the uterus (womb) that opens at the top of the vagina. There ...

- Women ages 30 through 65 should be screened with either a Pap test every 3 years or the HPV test every 5 years or both tests every 5 years (called “cotesting”).
Pap test
The Pap test mainly checks for changes that may turn into cervical cancer. Cells scraped from the opening of the cervix are examined under a microsc...
ImageRead Article Now Book Mark ArticleHPV test
The HPV test is used to check for infection with HPV types associated with cervical cancer. Typically, the test looks for 14 different HPV types. H...
Read Article Now Book Mark Article - Women who have been treated for precancer (cervical dysplasia) should continue to have Pap tests for 20 years after treatment or until age 65, whichever is longer.
If you have had your uterus and cervix removed (total hysterectomy), and you have not been diagnosed with cervical cancer or precancer (high grade cervcial neoplasia), you do not need cervical cancer screening.
Hysterectomy
Hysterectomy is surgery to remove a woman's womb (uterus). The uterus is a hollow muscular organ that nourishes the developing baby during pregnancy...

CHOLESTEROL SCREENING
Cholesterol screening should begin at:
Cholesterol screening
Cholesterol is a soft, wax-like substance found in all parts of the body. Your body needs a little bit of cholesterol to work properly. But too muc...

- Age 45 for women with no known risk factors for coronary heart disease
Coronary heart disease
Coronary heart disease is a narrowing of the small blood vessels that supply blood and oxygen to the heart. Coronary heart disease (CHD) is also cal...
ImageRead Article Now Book Mark Article - Age 20 for women with known risk factors for coronary heart disease
Repeat cholesterol screening should take place:
- Every 5 years for women with normal cholesterol levels
- More often if changes occur in lifestyle (including weight gain and diet)
- More often if you have diabetes, heart disease, kidney problems, or certain other conditions
COLORECTAL CANCER SCREENING
If you are under age 45, talk to your provider about getting screened. You should be screened if you have a strong family history of colon cancer or polyps. Screening may also be considered if you have risk factors such as a history of inflammatory bowel disease or polyps.
Screening
Colon cancer screening can detect polyps and early cancers in the large intestine. This type of screening can find problems that can be treated befo...

If you are age 45 to 75, you should be screened for colorectal cancer. There are several screening tests available:
Colorectal cancer
Colorectal cancer is cancer that starts in the large intestine (colon) or the rectum (end of the colon). Other types of cancer can affect the colon. ...

- A stool-based fecal occult blood (gFOBT) or fecal immunochemical test (FIT) every year
FIT
The fecal immunochemical test (FIT) is used as a screening test for colon cancer. It tests for hidden blood in the stool, which can be an early sign...
Read Article Now Book Mark Article - A stool sDNA-FIT test every 1 to 3 years
- Flexible sigmoidoscopy every 5 years or every 10 years with stool testing with FIT done every year
Sigmoidoscopy
Sigmoidoscopy is a procedure used to see inside the sigmoid colon and rectum. The sigmoid colon is the area of the large intestine nearest to the re...
ImageRead Article Now Book Mark Article - CT colonography (virtual colonoscopy) every 5 years
Virtual colonoscopy
Virtual colonoscopy (VC) is an imaging or x-ray test that looks for cancer, polyps, or other disease in the large intestine (colon). The medical nam...
ImageRead Article Now Book Mark Article - Colonoscopy every 10 years
Colonoscopy
A colonoscopy is an exam that views the inside of the colon (large intestine) and rectum, using a tool called a colonoscope. The colonoscope has a sm...
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You may need a colonoscopy more often if you have risk factors for colorectal cancer, such as:
- Ulcerative colitis
Ulcerative colitis
Ulcerative colitis is a condition in which the lining of the large intestine (colon) and rectum become inflamed. It is a form of inflammatory bowel ...
ImageRead Article Now Book Mark Article - A personal or family history of colorectal cancer
- A history of growths in your colon called adenomatous polyps
Adenomatous polyps
A colorectal polyp is a growth on the lining of the colon or rectum.
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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
All adults who do not have risk factors for diabetes should be screened starting at age 35 and repeated every 3 years.
Diabetes
Diabetes is a long-term (chronic) disease in which the body cannot regulate the amount of sugar in the blood.

You should be tested more often if you have other risk factors for diabetes, such as:
- You a first-degree relative with diabetes
- You are overweight or have obesity, high blood pressure, prediabetes, or a history of heart disease
- If you are overweight and have other risk factors such as high blood pressure and are planning to become pregnant
EYE EXAM
- Have an eye exam every 2 to 4 years ages 40 to 54 and every 1 to 3 years ages 55 to 64. Your provider may recommend more frequent eye exams if you have vision problems or glaucoma risk.
Glaucoma
Glaucoma is a group of eye conditions that can damage the optic nerve. This nerve sends the images you see to your brain. Most often, optic nerve da...
ImageRead Article Now Book Mark Article - Have an eye exam that includes an examination of your retina (back of your eye) at least every year if you have diabetes.
IMMUNIZATIONS
Commonly needed vaccines include:
- Flu shot: get one every year.
Flu
The flu is an infection of the nose, throat, and lungs. It spreads easily from person to person. This article discusses influenza types A and B. A ...
ImageRead Article Now Book Mark Article - COVID-19 vaccine - ask your provider what is best for you
- Tetanus-diphtheria and acellular pertussis (Tdap) vaccine: have as one of your tetanus-diphtheria vaccines if you did not receive it as an adolescent.
- Tetanus-diphtheria: have a booster (or Tdap) every 10 years.
- Varicella vaccine: receive 2 doses if you never had chickenpox or the varicella vaccine and were born in 1980 or after.
- Hepatitis B vaccine: receive 2, 3, or 4 doses, depending on your exact circumstances, if you did not receive these as a child or adolescent, until age 59.
- Shingles (herpes zoster) vaccine: at or after age 50.
Ask your provider if you should receive other immunizations if you have certain health problems that increase your risk for some diseases such as pneumonia.
INFECTIOUS DISEASE SCREENING
Screening for hepatitis C:
Hepatitis C
Hepatitis C is a viral disease that leads to swelling (inflammation) of the liver. Other types of viral hepatitis include:Hepatitis AHepatitis BHepat...

- All adults ages 18 to 79 should get a one-time test for hepatitis C.
- Pregnant people should be screened at every pregnancy.
Screening for human immunodeficiency virus (HIV): all people ages 15 to 65 should get a one-time test.
HIV
Human immunodeficiency virus (HIV) is the virus that causes acquired immunodeficiency syndrome (AIDS). When a person becomes infected with HIV, the ...

Depending on your lifestyle and medical history, you may need to be screened for infections such as syphilis, chlamydia, and other infections.
LUNG CANCER SCREENING
You should have an annual screening for lung cancer with low-dose computed tomography (LDCT) if all of the following are present:
Lung cancer
Lung cancer is cancer that starts in the lungs. The lungs are located in the chest. When you breathe, air goes through your nose, down your windpipe...
Read Article Now Book Mark Article- You are age 50 to 80 years AND
- You have a 20 pack-year smoking history AND
- You currently smoke or have quit within the past 15 years
OSTEOPOROSIS SCREENING
If you are age 50 to 64 and have risk factors for osteoporosis, you should discuss screening with your provider.
Osteoporosis
Osteoporosis is a disease in which bones become fragile and more likely to break (fracture).

Risk factors can include long-term steroid use, low body weight, smoking, heavy alcohol use, having a fracture after age 50, or a family history of hip fracture or osteoporosis.
PHYSICAL EXAM
All adults should visit their provider from time to time, even if they are healthy. The purpose of these visits is to:
- Screen for diseases
- Assess risk of future medical problems
- Encourage a healthy lifestyle
- Update vaccinations and other preventive care services
- Maintain a relationship with a provider in case of an illness
Your height, weight, and body mass index (BMI) should be checked at each exam.
Body mass index (BMI)
A good way to decide if your weight is healthy for your height is to figure out your body mass index (BMI). You and your health care provider can us...

During your exam, your provider may ask you about:
- Depression and anxiety
Depression
Depression may be described as feeling sad, blue, unhappy, miserable, or down in the dumps. Most of us feel this way at one time or another for shor...
ImageRead Article Now Book Mark Article - Diet and exercise
- Alcohol and tobacco use
- Safety issues, such as using seat belts and smoke detectors and intimate partner violence
- Your medicines and risk for interactions
SKIN EXAM
- Your provider may check your skin for signs of skin cancer, especially if you're at high risk. People at high risk include those who have had skin cancer before, have close relatives with skin cancer, or have a weakened immune system.
Skin cancer
Squamous cell cancer is the second most common type of cancer in the United States. Other common types of skin cancer are:Basal cell cancerMelanoma...
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References
Advisory Committee on Immunization Practices. Adult immunization schedule by age. Recommendations for ages 19 years or older, United States, 2023. www.cdc.gov/vaccines/schedules/hcp/imz/adult.html. Updated April 27, 2023. Accessed July 30, 2023.
American Academy of Ophthalmology website. Comprehensive adult medical eye examination PPP 2020. www.aao.org/education/preferred-practice-pattern/comprehensive-adult-medical-eye-evaluation-ppp. Updated November 2020. Accessed July 30, 2023.
American Cancer Society website. Breast cancer early detection and diagnosis: American Cancer Society recommendations for the early detection of breast cancer. www.cancer.org/cancer/breast-cancer/screening-tests-and-early-detection/american-cancer-society-recommendations-for-the-early-detection-of-breast-cancer.html. Updated January 14, 2022. Accessed July 30, 2023.
American College of Obstetricians and Gynecologists (ACOG) website. FAQ178: Mammography and other screening tests for breast problems. www.acog.org/patient-resources/faqs/gynecologic-problems/mammography-and-other-screening-tests-for-breast-problems. Updated July 2022. Accessed July 30, 2023.
American College of Obstetricians and Gynecologists. FAQ163: Cervical cancer. www.acog.org/patient-resources/faqs/gynecologic-problems/cervical-cancer. Updated April 2021. Accessed July 30, 2023. American Dental Association website. Your top 9 questions about going to the dentist – answered! www.mouthhealthy.org/en/dental-care-concerns/questions-about-going-to-the-dentist. Accessed July 30, 2023.
American Diabetes Association Professional Practice Committee. 2. Classification and Diagnosis of Diabetes: Standards of Medical Care in Diabetes-2023. Diabetes Care. 2023 Jan 1;46(Suppl 1):S19-S30. PMID: 36507649. pubmed.ncbi.nlm.nih.gov/36507649/.
Atkins D, Barton M. The periodic health examination. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 12. Brown HL, Warner JJ, Gianos E, et al; American Heart Association and the American College of Obstetricians and Gynecologists. Promoting risk identification and reduction of cardiovascular disease in women through collaboration with obstetricians and gynecologists: a presidential advisory from the American Heart Association and the American College of Obstetricians and Gynecologists. Circulation. 2018;137(24):e843-e852. PMID: 29748185 pubmed.ncbi.nlm.nih.gov/29748185/.
Grundy SM, Stone NJ, Bailey AL, et al. 2018 AHA/ACC/AACVPR/AAPA/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the management of blood cholesterol: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines [published correction appears in J Am Coll Cardiol. 2019 Jun 25;73(24):3237-3241]. J Am Coll Cardiol. 2019;73(24):e285-e350. PMID: 30423393 pubmed.ncbi.nlm.nih.gov/30423393/.
Meschia JF, Bushnell C, Boden-Albala B; American Heart Association Stroke Council; et al. Guidelines for the primary prevention of stroke: a statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2014;45(12):3754-3832. PMID: 25355838 pubmed.ncbi.nlm.nih.gov/25355838/.
Mora S, Libby P, Ridker PM. Primary prevention of cardiovascular disease. In: Libby P, Bonow RO, Mann DL, Tomaselli GF, Bhatt DL, Solomon SD, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 12th ed. Philadelphia, PA: Elsevier; 2022:chap 25. National Cancer Institute website. Breast cancer screening (PDQ) - health professional version. www.cancer.gov/types/breast/hp/breast-screening-pdq. Updated June 7, 2023. Accessed July 30, 2023.
Studenski S, Van Swearingen J. Falls. In: Fillit HM, Rockwood K, Young J, eds. Brocklehurst's Textbook of Geriatric Medicine and Gerontology. 8th ed. Philadelphia, PA: Elsevier; 2017:chap 103. US Preventive Services Task Force website. A and B recommendations. www.uspreventiveservicestaskforce.org/uspstf/recommendation-topics/uspstf-a-and-b-recommendations. Accessed July 30, 2023.
US Preventive Services Task Force website. Final recommendation statement. Breast cancer: Medication use to reduce risk. www.uspreventiveservicestaskforce.org/uspstf/recommendation/breast-cancer-medications-for-risk-reduction. Updated September 3, 2019. Accessed July 30, 2023.
US Preventive Services Task Force website. Final recommendation statement. Breast cancer: Screening. www.uspreventiveservicestaskforce.org/uspstf/recommendation/breast-cancer-screening. Updated January 11, 2016. Accessed July 30, 2023.
US Preventive Services Task Force website. Final recommendation statement. Cervical cancer: Screening. www.uspreventiveservicestaskforce.org/uspstf/recommendation/cervical-cancer-screening. Published August 21, 2018. Accessed July 30, 2023.
US Preventive Services Task Force website. Final recommendation statement. Colorectal cancer: Screening. www.uspreventiveservicestaskforce.org/uspstf/recommendation/colorectal-cancer-screening. Published May 18, 2021. Accessed July 30, 2023.
US Preventive Services Task Force website. Falls prevention in community-dwelling older adults: Interventions. www.uspreventiveservicestaskforce.org/uspstf/recommendation/falls-prevention-in-older-adults-interventions. Published April 17, 2018. Accessed July 30, 2023.
US Preventive Services Task Force website. Final recommendation statement. Hepatitis C virus infection in adolescents and adults: Screening. www.uspreventiveservicestaskforce.org/uspstf/recommendation/hepatitis-c-screening. Published March 2, 2020. Accessed July 30, 2023.
US Preventive Services Task Force website. Final recommendation statement. Human immunodeficiency virus (HIV) infection: Screening. www.uspreventiveservicestaskforce.org/uspstf/recommendation/human-immunodeficiency-virus-hiv-infection-screening. Published June 11, 2019. Accessed July 30, 2023.
US Preventive Services Task Force website. Hypertension in adults: Screening. www.uspreventiveservicestaskforce.org/uspstf/recommendation/hypertension-in-adults-screening. Published April 27, 2021. Accessed July 30, 2023.
US Preventive Services Task Force website. Final recommendation statement: Lung cancer: Screening. www.uspreventiveservicestaskforce.org/uspstf/recommendation/lung-cancer-screening. Updated March 9, 2021. Accessed July 30, 2023.
US Preventive Services Task Force website. Final recommendation statement: Osteoporosis to prevent fractures: Screening. www.uspreventiveservicestaskforce.org/uspstf/recommendation/osteoporosis-screening. Updated June 26, 2018. Accessed July 30, 2023.
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Pap smear
Animation
Colon cancer screening
Animation
Mammogram - illustration
A mammogram is an x-ray picture of the breasts. It is used to find tumors and to help tell the difference between noncancerous (benign) and cancerous (malignant) disease. One breast at a time is rested on a flat surface that contains the x-ray plate. A device called a compressor is pressed firmly against the breast to help flatten out the breast tissue. Each breast is compressed horizontally,then obliquely and an x-ray is taken of each position.
Mammogram
illustration
Pap smear - illustration
A Pap test is a simple, relatively inexpensive procedure that can easily detect cancerous or precancerous conditions.
Pap smear
illustration
Effects of age on blood pressure - illustration
Blood vessels become less elastic with age. The average blood pressure increases from 120/70 to 150/90 and may persist slightly high even if treated. The blood vessels respond more slowly to a change in body position.
Effects of age on blood pressure
illustration
Osteoporosis - illustration
Osteoporosis is a condition characterized by progressive loss of bone density, thinning of bone tissue and increased vulnerability to fractures. Osteoporosis may result from disease, dietary or hormonal deficiency or advanced age. Regular exercise and vitamin and mineral supplements can reduce and even reverse loss of bone density.
Osteoporosis
illustration
Fecal occult blood test - illustration
A fecal occult blood test is a noninvasive test that detects the presence of hidden blood in the stool. Blood in the stool that is not visible is often the first, and in many cases the only, warning sign that a person has colorectal disease, including colon cancer.
Fecal occult blood test
illustration
Squamous cell cancer - illustration
Squamous cell cancer involves cancerous changes to the cells of the middle portion of the epidermal skin layer. It is a malignant tumor, and is more aggressive than basal cell cancer, but still may be relatively slow-growing. It is more likely than basal cell cancer to spread (metastasize) to other locations, including internal organs. Treatment usually involves surgical removal of the tumor along with some surrounding tissue.
Squamous cell cancer
illustration
Mammogram - illustration
A mammogram is an x-ray picture of the breasts. It is used to find tumors and to help tell the difference between noncancerous (benign) and cancerous (malignant) disease. One breast at a time is rested on a flat surface that contains the x-ray plate. A device called a compressor is pressed firmly against the breast to help flatten out the breast tissue. Each breast is compressed horizontally,then obliquely and an x-ray is taken of each position.
Mammogram
illustration
Pap smear - illustration
A Pap test is a simple, relatively inexpensive procedure that can easily detect cancerous or precancerous conditions.
Pap smear
illustration
Effects of age on blood pressure - illustration
Blood vessels become less elastic with age. The average blood pressure increases from 120/70 to 150/90 and may persist slightly high even if treated. The blood vessels respond more slowly to a change in body position.
Effects of age on blood pressure
illustration
Osteoporosis - illustration
Osteoporosis is a condition characterized by progressive loss of bone density, thinning of bone tissue and increased vulnerability to fractures. Osteoporosis may result from disease, dietary or hormonal deficiency or advanced age. Regular exercise and vitamin and mineral supplements can reduce and even reverse loss of bone density.
Osteoporosis
illustration
Fecal occult blood test - illustration
A fecal occult blood test is a noninvasive test that detects the presence of hidden blood in the stool. Blood in the stool that is not visible is often the first, and in many cases the only, warning sign that a person has colorectal disease, including colon cancer.
Fecal occult blood test
illustration
Squamous cell cancer - illustration
Squamous cell cancer involves cancerous changes to the cells of the middle portion of the epidermal skin layer. It is a malignant tumor, and is more aggressive than basal cell cancer, but still may be relatively slow-growing. It is more likely than basal cell cancer to spread (metastasize) to other locations, including internal organs. Treatment usually involves surgical removal of the tumor along with some surrounding tissue.
Squamous cell cancer
illustration
Review Date: 4/30/2022
Reviewed By: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team. Editorial update 04/18/2023. Internal review and update on 08/01/23.