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Mills-Peninsula Women's Center -- Preventive Health Guidelines

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Guidelines for Women:
50 to 70 Years Old

Common Health Maintenance Screenings and Tests

  • Blood pressure (A)
  • Weight and height to calculate body mass index (BMI) (B)
  • Risk factors
  • Fecal Occult Blood Test (FOBT)1 -- Annually (A)
  • Sigmoidoscopy/Colonoscopy -- At age 50, then every 5-10 years until age 702 (A)


Women's Health
  • Thin Prep Pap -- Every 3 years until age 65
    Not routinely indicated above age 65 (A)
  • Mammogram -- Every 1-2 years (B)
  • Bone Density Test -- Recommended at age 65 (B)


Laboratory Testing
  • Lipid Screen -- Every 5 years until age 70 (A)



Immunizations/Vaccinations
  • Diphtheria-Tetanus -- Booster every 10 years (A)
  • Influenza -- Optional annually to age 65, then annually (B)
  • Pneumococcal Vaccine -- At age 65 (B)

Notes:
1 If colonoscopy has been performed within the last ten years, fecal occult blood test (FOBT) is not indicated.

2 At age indicated, studies to confirm benefit have not been performed. Patient and clinician should discuss risks and benefits.

3 Optional recommendations have not been confirmed to be beneficial in long-term controlled studies but are recommended by at least one professional organization.


These guidelines may not pertain to patients on chronic medications or patients with personal or family health risks. In addition to the specific tests and immunizations listed here, health maintenance also includes regular monitoring of blood pressure, weight, height, vision, hearing, and risk factor screening for coronary artery disease, depression, diabetes, hypertension, memory change, sexually transmitted diseases, and for tobacco, alcohol and dietary concerns.
Women's Health
Grade of Recommendation
United States Preventive Services Task Force (USPSTF)
(A): Good evidence to support the recommendation from at least one properly randomized controlled trial, when applicable.
(B): Fair evidence to support recommendation
(I): Insufficient evidence to decide for or against the recommendation
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Underweight: Below 18.5
Normal: 18.25 t0 24.9
Overweight: 25 to 29.9
Obesity: 30 and above
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