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Below is a preventive care plan for women ages 50-64. You and your health care provider may decide that a different schedule is best for you, this plan can guide your discussion.
Screening |
Who needs it |
How often |
| Alcohol misuse | All adults | At routine exams |
| Blood pressure | All adults | Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure recommends the following screening schedules:
|
| Breast cancer | All women | Yearly mammogram and clinical breast exam* |
| 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 | Women between the ages of 30 and 65 should have a Pap test plus an HPV test (called “co-testing”) every 5 years. This is the preferred approach, but it is also acceptable to continue to have Pap tests alone every 3 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:
For tests that primarily find cancer:
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 |
| Diabetes mellitus, type 2 | Adults who have no symptoms and have sustained blood pressure (either treated or untreated) greater than 135/80 mm Hg | At least every 3 years |
| Gonorrhea | Sexually active women at increased risk for infection | At routine exams if at risk |
| HIV | Anyone at increased risk for infection | At routine exams if at risk |
| Lipid disorders | All women ages 45 and older at increased risk for coronary artery disease | At least every 5 years |
| Obesity | All adults | At routine exams |
| 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 health care provider |
| Vision | All adults3 | Check with your health care 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 ischemic strokes outweighs the potential harm of an increase in gastrointestinal hemorrhage |
When risk is identified; discuss with your health care 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, behavioral counseling | Adults with hyperlipidemia and other known risk factors for cardiovascular and diet-related chronic disease | When diagnosed |
| Tobacco use and tobacco-related disease | All adults | Every visit |
Immunization |
Who needs it |
How often |
| Tetanus/diphtheria/pertussis (Td/Tdap) booster | All adults | Td: every 10 years
Tdap: substitute a one-time dose of Tdap for a Td booster after age 18, then boost with Td every 10 years |
| Measles, mumps, rubella (MMR) | All adults ages 50 to 64 who have no previous infection or documented vaccinations** | One dose |
| 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 | People at risk5 | 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 (polysaccharide) | People at risk6 | One or two doses |
| Zoster | All women ages 60 and older** | One dose |
*Recommendation from the ACS. Currently, the U.S. Preventive Services Task Force (USPSTF) recommends screening every 2 years for women ages 50 to 74. The ACS recommends yearly screening for all women ages 40 and older. Women should talk with their doctors about their personal risk factors before making a decision about when to start getting mammograms or how often they should get them. The ACS also recommends annual clinical breast exams (CBEs) for women ages 40 and older. The USPSTF, however, believes there is not enough evidence to assess the value of CBEs for women ages 40 and older. Women should talk with their doctors about their personal risk factors and make a decision about whether they should have a CBE.
**Exceptions may exist, please check with your health care 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