40 to 64 years: Female
What to expect during your annual well-person exam
Your doctor may provide advice on:
- Dental health
- Vision health
- Diet, exercise, nutrition, physical activity and injury prevention
- Sun exposure
- Smoking cessation, substance abuse, alcohol misuse and tobacco consumption
- Sexual behavior, violence or abuse
- Nutrition and vitamin supplements for women that are or are planning to become pregnant.
If you are at increased risk for certain cancers, you should ask your doctor about screening schedules and possibly starting your screenings at an earlier age than general recommendations. A risk factor is anything that increases your chance of developing a condition. Examples of risk factors can include your age, gender, family history or lifestyle.
During your exam, you may receive immunizations (shots) and screenings, depending on your health and your doctor’s judgment. Select a link below to learn more about immunizations, screenings and therapies:
Immunizations (shots) can help keep you healthy. Learn about the immunizations you may need.
- Blood pressure measurement: Every two years for those with blood pressure less than 120/80 and yearly for those with blood pressure 120 to 139/80 to 90. Learn more about preventing high blood pressure.
- Bone mineral density (BMD) testing: In women younger than age 65, as your doctor advises.
- BRCA gene mutation: For women who have a family history of breast, ovarian, fallopian tube or peritoneal (the tissue that lines the walls of the abdomen) cancer. Speak with your doctor about genetic counseling and testing.
- Breast exam, clinical: Every year for women 40 and over. Learn more about breast self-exams.
- Breast mammogram: Yearly starting at age 40. Learn more about mammograms.
- Cholesterol blood test: Every five years; more frequently as your doctor advises. Learn more about cholesterol.
- Colon and rectal cancer: Starting at age 50 speak with your doctor about which of the following tests are right for you:
Learn more about cancer screening.
- Flexible sigmoidoscopy every five years.
- Yearly fecal occult blood test (FOBT).
- Fecal immunochemical test (FIT) every year.
- Colonoscopy every 10 years.
- Dental checkup: Twice a year or as your doctor advises. Pregnant women should see a dentist at least one time during pregnancy. Learn more about oral health:
- Depression screening: Periodic assessment. Learn more about depression.
- Diabetes, type 2 blood test: Starting at age 45 and repeated every three years. Learn more about diabetes.
- Gestational diabetes screening: For pregnant women, after 24 weeks of pregnancy.
- Hearing screening: Periodic assessment as your doctor advises. Learn more about hearing loss.
- Height and weight check: Yearly.
- Hepatitis B blood test: For those at high risk, including pregnant women at their first prenatal visit. Learn more about Hepatitis B.
- Hepatitis C blood test: For those at high risk for the infection. If you were born between 1945 and 1965, speak with your doctor about a one-time screening. Learn more about hepatitis C.
- HIV screening: All sexually active women should be screened for HIV to age 65, including all those who are pregnant, and as your doctor advises. Learn more about HIV:
- Lung cancer screening: Starting at age 55, speak with your doctor about having an annual low-dose chest CT scan if you have a history of smoking at least a pack a day for 30 years and are still smoking or quit within the last 15 years.
- Obesity screening: Use of body mass index (BMI) to identify adults at risk for disease and death due to being overweight (as defined by having a BMI at or above 25-29.9 kg/m2) and obese (as defined by having a BMI at or above 30 kg/m2). Learn more about preventing obesity.
- Pelvic exam, pap test and HPV testing: Learn more about these important tests:
- Pelvic exam: Every year.
- Pap and HPV testing: Women between 30 and 65 should have a Pap test every three years or a Pap test plus HPV testing every five years.
- Sexually transmitted diseases (STDs) screening: All sexually active women as well as older adults at risk, as part of a regular health care visit. Learn more about STDs.
- Skin cancer screening: Should be part of a routine cancer-related checkup. Check yourself once a month. Learn more about skin cancer prevention.
- Vision/glaucoma screening: Yearly, as needed or directed by your doctor. Check with your eye doctor for recommended frequency of a complete eye exam if there is a history of eye injury, diabetes, family history of eye problems and/or you are African American, older than 40. Learn more about common eye disorders.
- Aspirin therapy: As your doctor advises.
- Hormone replacement therapy: As your doctor advises.
- Medicines to reduce risk for breast cancer: For women at increased risk for breast cancer, speak with your doctor.