Health maintenance in women
- Preconception counseling. Take a daily vitamin. Folic acid 400 to 800 mcg a day–to help with spinal cord development in developing fetus.
- Contraception counseling, as desired.
- Screening for sexually transmitted infections, as needed.
- HIV screening
- Weight and blood pressure checked– as obesity and hypertension are rampant
- If family history of heart disease, cholesterol screening.
- If blood pressure more than 135/80, diabetes screening should be done.
Women aged 55-79
- Aspirin 75 mg a day when the patient and physician weigh the benefits of this are greater than gastrointestinal bleeding.
- Discontinue pap at age 65 if results have been normal or after hysterectomy for non-cancerous reasons.
- Breast cancer screening with mammogram may be considered in women 40-49 years of age based on patients’ values, and potential benefits and harms.
- Mammogram recommended biennially in women aged 50 to 74 years of age.
- Colorectal cancer screening from 50 to 75 years of age.
- Osteoporosis screening in women 65 years and older, and in younger women with a similar risk of fracture. Compute FRAX score.
Overall, vaccine schedule per the www.cdc.gov should be followed regardless of age.