Prevention Guidelines for Women, Age 50-64

Here are the screening tests and immunizations that most women age 50-64 need. Although you and your healthcare provider may decide that a different schedule is best for you, this plan can guide your discussion. Click to see prevention plans for men and women in different age groups and learn more about each screening:

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:

Every 2 years - blood pressure reading < 120/80 mm Hg, and

Yearly - systolic blood pressure reading of 120 to 139 mm Hg or diastolic blood pressure of 80 to 89 mm Hg

Breast cancer

All women

Yearly mammogram and clinical breast exam*

Cervical cancer

An update to this recommendation is currently in progress and being reviewed by the USPSTF. The recommendation below may contain information that is out of date. Please consult your healthcare provider.

Women who have been sexually active and have a cervix

Please discuss with your healthcare provider.

The American Cancer Society (ACS) recommends a pap test every 2 years.

The American Congress of Obstetricians and Gynecologists (ACOG) currently recommends that women ages 30 and older get a pap tests once every 3 years, and women with certain risk factors (or at increased risk) may need more frequent screening.**

Chlamydia

Women at increased risk for infection

At routine exams

Colorectal cancer

All adults

Check with your healthcare provider

Fecal occult blood testing, sigmoidoscopy, or colonoscopy is recommended as screening methods.

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 are asymptomatic with sustained blood pressure (either treated or untreated) greater than 135/80 mm Hg

At routine exams

Gonorrhea

Sexually active women at increased risk for infection

At routine exams

HIV Anyone at increased risk for infection At routine exams
Lipid Disorders All women age 45 and older at increased risk for coronary artery disease At least every five years

Obesity

All adults

At routine exams

Osteoporosis, Postmenopausal Women

An update to this recommendation is currently in progress and being reviewed by the USPSTF. The recommendation below may contain information that is out of date. Please discuss with your healthcare provider.

Women at age 60 who are at increased risk for osteoporotic fractures

Please consult your healthcare provider

Syphilis

Anyone at increased risk for infection

At routine exams

Tuberculosis

Anyone at increased risk for infection

Check with your healthcare provider

Counseling

Who needs it

How often

Aspirin for prevention of cardiovascular events

At-risk adults

Recommended for women age 55 to 79 years when the potential benefit of a reduction in ischemic strokes outweighs the potential harm of an increase in gastrointestinal hemorrhage.

When risk is identified, and please discuss with your healthcare provider

Breast cancer, chemoprevention

An update to this recommendation is currently in progress and being reviewed by the USPSTF. The recommendation below may contain information that is out of date. Please discuss with your healthcare provider.

Women with high risk

The recommendation below may contain information that is out of date. Please consult your healthcare provider.

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-Caused 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 - Once after age 18

Measles, mumps, rubella (MMR)

All adults age 50 to 64 who lack prior infection or documented vaccinations***

One dose

Chickenpox (varicella)

Adults age 50 to 64 and who lack prior infection or documented vaccinations***

Two doses. The second dose should be administered 4 to 8 weeks after the first dose.

Flu vaccine (seasonal)

All adults

Yearly during flu season

Hepatitis A vaccine

People at risk***

Two doses

Schedule:

Zero and 6 to 12 months (Havrix), OR

Zero and 6 to 18 months schedule (Vaqta)

Hepatitis B vaccine

People at risk***

Three doses over six months

Second dose should be administered 1 month after the first dose; the third dose should be administered 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 risk***

One or two doses

Zoster

All women age 60 and older***

One dose

* Recommendation from the American Cancer Society (ACS). Currently, the U.S. Preventive Services Task Force (USPSTF) recommends screening every two 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.

** According to the American Congress of Obstetricians and Gynecologists, women 30 and older who have had three consecutive negative Pap tests may be screened every three years.

*** Exceptions may exist, please consult your healthcare provider

Other guidelines are from the USPSTF

Immunization schedule from the Centers for Disease Control and Prevention (CDC)

Online Medical Reviewer: Mukamal, Kenneth MD 
Online Medical Reviewer: Oken, Emily MD 
Online Medical Reviewer: Pierce-Smith, Daphne RN, MSN, FNP, CCRC 

Last Review Date: 2/3/2010 

© 2000-2011 Krames StayWell, 780 Township Line Road, Yardley, PA 19067. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.

 

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