Annual Exam / Preventive Care
Women’s HealthFirst looks forward to working in partnership with you to determine your health care needs. Attention to primary and preventive care has been recognized as an effective means of promoting better health and improving the quality of health care. When you come to our office for your annual exam, we will offer you a "menu" of additional recommendations for tests, screenings, and vaccinations appropriate to your age group. Naturally, at your visit, when appropriate for your circumstances, we will review the latest available in birth control. During your visit, the Doctor or PA, and/or medical assistants will help to guide you with your choices. Listed below you will see our general age exam guidelines:
| Under 35 Years Old | 35 to 49 Years Old | 50 to 64 Years Old | 65 Years old and over |
Under 35 Years Old
Your annual exam will include:
- Pelvic and breast exam
- Thin Prep Pap smears for those >21 and/or sexually active
- Human Papilloma Virus (HPV) screening
- Blood pressure check
- Height/Weight measurement
- Urine screening
- CBC (complete blood count) and TSH (thyroid screen) may be requested with your annual well-woman exam
- Cholesterol screening every 3-5 years
These are other tests or guidelines we recommend for your age group:
- Monthly self breast exam
- Gonorrhea/Chlamydia Cultures; if sexually active, yearly until age 25; yearly, if > age 26 and more than one sexual partner in the last year
- Sexually Transmitted Disease (STD) tests, including HIV; both partners, before initiating sexual activity
- 1000 mg of Calcium and 800 IU of Vitamin D daily (through diet and vitamin supplements)
- Monthly mole self-exam; by a MD every 3 years
- Annual Dental exam
- Immunizations:
- Gardasil HPV vaccination series for ages 9-26
- Tetanus booster every 10 years
- Hepatitis B series if sexually active
- Annual seasonal influenza vaccination, if at risk
35 to 49 Years Old
Your annual exam will include:
- Pelvic and breast exam
- Thin Prep Pap smear
- Blood pressure check
- Height/Weight measurement
- Urine screening
- Cholesterol screening every 3-5 years
- CBC (complete blood count) and TSH (thyroid screen) may be requested with your annual well-woman exam
- Screening for blood in stool, if positive family history of colon cancer
These are other tests or guidelines we recommend for your age group:
- Monthly self breast exams
- Screening mammogram between ages 35-40, then yearly mammograms from age 40 and on
- Gonorrhea/Chlamydia Cultures if > l partner in last year
- Sexually Transmitted Disease (STD) tests, including HIV; both partners, before initiating sexual activity
- Calcium 1200mg and Vitamin D 800 IU daily (through diet and vitamin supplements)
- Bone Density screening every 2 years if at risk
- Fasting blood sugar, if obese or positive family history
- Monthly mole self-exam; by a MD every 3 years
- Annual dental exam
- Immunizations:
- Tetanus booster every 10 years
- Hepatitis B series if sexually active
- Annual seasonal influenza vaccination, if at risk
50 to 64 Years Old
Your annual exam will include:
- Pelvic and breast exam
- Thin Prep Pap smear
- Blood pressure check
- Height/Weight Measurement
- Urine Screening
- CBC, Thyroid screen, and cholesterol may be requested with your annual well-woman exam
- Screening for blood in stool
These are other test or guidelines we recommend for your age group:
- Monthly self breast exams
- Annual mammograms
- Consider hormone replacement therapy (HRT), if symptomatic
- Gonorrhea/Chlamydia Cultures, if > l partner in last year
- Sexually Transmitted Disease (STD) tests, including HIV; both partners, before initiating sexual activity
- 1500 mg of Calcium and 800 IU of vitamin D daily (through diet and vitamin supplements)
- Antioxidant vitamins and low dose (81mg) enteric coated aspirin for cardiovascular health
- Bone Density screening every 2 years, if at risk
- Colonoscopy
- Fasting blood sugar screening
- Monthly mole self-exam; by a MD every 3 years
- Glaucoma and vision checks every 2-4 years with ophthalmologist
- Annual dental exam
- Immunizations:
- Tetanus booster every 10 years
- Hepatitis B series, if sexually active
- Annual seasonal influenza vaccination, if at risk
65 Years old and over
Your annual exam will include:
- Pelvic and breast exams
- Thin Prep Pap smear
- Blood pressure check
- Height/Weight measurement
- Urine Screen
- CBC, thyroid screen, and cholesterol may be requested for your annual well-woman exam
- Screening for blood in stool
These are other test or guidelines we recommend for your age group:
- Monthly self breast exams
- Annual mammograms
- Calcium 1500 mg and Vitamin D 800 IU daily (through diet and vitamin supplements)
- Antioxidant vitamins and low dose (81mg) enteric coated aspirin for cardiovascular health
- Bone Density Screening every 2-3 years
- Colonoscopy
- Fasting blood sugar screening
- Monthly mole self-exam; by a MD every 3 years
- Vision and hearing checks every 1-2 years with ophthalmologist and audiologist
- Annual dental exam
- Immunizations:
- Tetanus booster every 10 years
- Pneumovax at age 65, or sooner if at risk (one time only)
- Annual seasonal influenza vaccination
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