What preventive tests should middle-aged women receive to prevent serious illness?
I'm glad you've asked this question. Midlife is a particularly important time for screening tests—tests that can identify warning signs of serious health conditions such as diabetes, heart disease and cancer early, when they're most easily treated. Various health organizations recommend the following at the noted ages, but you should also talk to your health care professional about screening guidelines with your personal health history in mind. There may be a reason to be screened earlier than the recommendations below suggest.
| Condition | Screening Recommendation |
| Blood pressure | At least every two years. |
| Breast cancer | Mammogram and clinical breast exam from a health care professional every year for women 40 and older. Women known to be at increased risk may benefit from earlier screenings and/or the addition of breast ultrasound or MRI. |
| Cervical cancer | If you are age 21 or older, have a Pap test every year or two, depending on your age and the type of test used. Ask your health care provider what’s best for you. If you are age 30 or older, have a human papillomavirus virus (HPV) screening with your Pap test every three years. More regular screenings may be recommended by your health care professional. You may discontinue cervical cancer screening between 65 and 70 years of age if you have three or more negative test results in a row and no abnormal test results in the past 10 years. If you no longer have a cervix and its removal had nothing to do with cervical cancer, you can skip your Pap test. You'll still need an annual gynecological exam, however. |
| Cholesterol | Screening for high cholesterol every five years for Americans over age 20. A fasting "lipoprotein profile" is recommended. |
| Colorectal cancer | Age 50 and older with one of the following screening tests: fecal occult test, barium enema with x-ray, sigmoidoscopy (examination of the rectum and lower colon) or colonoscopy (examination of the entire colon) at regular intervals. Discuss options and procedures with health care professional to determine best screening method and frequency. |
| Diabetes | Fasting plasma glucose (FPG) test every three years beginning at age 45; earlier if you're overweight or have a high risk of diabetes. |
| Osteoporosis | Bone density test beginning at age 65, earlier if significant risk factors for osteoporosis exist. |
| Skin cancer | Annually. Also examine all moles monthly for any changes. |