Health Maintenance Guidelines

These guidelines apply to healthy women in the general population. The right plan for your care may differ based on your medical history, family history, personal preferences and lifestyle. Contact University Hospitals Women's Health Institute to help you find a physician who will develop a specific preventive health screening plan for you by calling 440-720-3262.

Cholesterol

18-39 40-64 65 and Up
Should be screened if have higher risk for heart disease. Women over age 44 checked every five years. If normal, have rechecked every three to five years.

Clinical Breast Exam

18-39 40-64 65 and Up
Consider clinical breast exam performed by a provider. Breast self awareness encouraged. Clinical breast exam performed by a provider at annual exam. Breast self awareness encouraged. Clinical breast exam performed by a provider at annual exam. Breast self awareness encouraged.

Colon

18-39 40-64 65 and Up
Colonoscopy ordered by provider if deemed medically necessary. Individuals with first degree relative(s) with colon cancer, initial colonoscopy to be performed 10 years prior to onset. With no prior family history: African-Americans at age 45, and non-African-Americans at age 50. Follow-up colonoscopy dependent on results of screening may be one, three, five or 10 years.
Follow-up colonoscopy dependent on results of screening may be one, three, five or 10 years.

Dental Exam

18-39 40-64 65 and Up
Prophylactic exam every six months. Prophylactic exam every six months. Prophylactic exam every six months.

Diabetes

18-39 40-64 65 and Up
If BP is above 135/80, blood sugar levels should be tested. If BP is above 135/80, blood sugar levels should be tested. If BP is above 135/80, blood sugar levels should be tested.

Eye Exam

18-39 40-64 65 and Up
If vision problems, eye exam every two years. Eye exam every two years. At 45, check for glaucoma. Eye exam every two years. Check for glaucoma.

Immunizations

18-39 40-64 65 and Up
Flu vaccine once yearly. After age 19, one Tdap vaccine as one of the every 10-year Td boosters.

HPV vaccine may be given between the ages of 9-26 in a series of three doses.
Flu vaccine once yearly. Shingles vaccine (Zostavax) given once after age 50. Prevnar 13 given once after age 50. After age 19, one Tdap vaccine as one of the every 10-year Td boosters. Flu vaccine once yearly. Prevnar 13 at age 65, if not already given. Pneumovax 23 one year after Prevnar. After age 19, one Tdap vaccine as one of the every 10-year Td boosters.

Mammogram

18-39 40-64 65 and Up
Ordered by provider if deemed medically necessary. Mammogram every year starting at age 40. Mammogram every year through age 74. Decision of health care provider for mammogram at age 75 and up.

Osteoporosis

18-39 40-64 65 and Up
Discuss risk. Discuss risk. DEXA scan for postmenopausal women with fractures. DEXA scan at least once from age 65 and up for postmenopausal women.

Pelvic Exam | PAP | HPV

18-39 40-64 65 and Up
Beginning at age 21, pelvic exam and PAP test every three years. Ages 30 to 65, PAP test and HPV (co-testing) every five years (preferred) or PAP test alone every three years. Ages 65 and up may discontinue screening if you have had two negative HPV tests or three negative PAP tests in the past 10 years and no history of any precancerous cervical conditions in the past 20 years.

Physical Exam

18-39 40-64 65 and Up
Two physical exams in the 20s. Height, weight, BMI and BP checked at every exam. Ask about depression, diet, exercise, alcohol, tobacco use, domestic violence and safety (seat belts, smoke detectors). Physical exam every one to five years. Height, weight, BMI and BP checked at every exam. Ask about depression, diet, exercise, alcohol, tobacco use, domestic violence and safety (seat belts, smoke detectors). Yearly physical exam. Height, weight, BMI and BP checked at every exam. Ask about depression, diet, exercise, alcohol, tobacco use, domestic violence and safety (seat belts, smoke detectors).

Skin

18-39 40-64 65 and Up
Discuss risk factors. Self skin exam starting at age 18. Discuss risk factors and perform regular self skin exam. Discuss risk factors and perform regular self skin exam.

STI Screening | Chlamydia | Gonorrhea

18-39 40-64 65 and Up
If sexually active, test yearly through age 25 and up for new or multiple sex partners. All sexually active individuals should consider testing for HIV and other STIs before starting sexual activity with a new partner. All sexually active individuals should consider testing for HIV and other STIs before starting sexual activity with a new partner. All sexually active individuals should consider testing for HIV and other STIs before starting sexual activity with a new partner.

Source: American College of Obstetricians and Gynecologists, American Cancer Society, US Preventative Services Task Force, National Library of Medicine & Medline Plus

More Information

To learn more about UH Women’s Health Institute, or to speak to a navigator, please call 440-720-3262.

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