Health screenings for women age 65 and older
You should visit your health care provider from time to time, even if you are healthy. The purpose of these visits is to:
- Screen for medical issues
- Assess your risk for future medical problems
- Encourage a healthy lifestyle
- Update vaccinations and other preventive care services
- Help you get to know your provider in case of an illness
Video Transcript
Physical exam frequency - Animation
When you feel perfectly fine, the last thing you want to think about is seeing your health care provider. But that's exactly when you should be thinking about getting a checkup. Regular checkups, as well as certain health screenings and vaccinations, can be powerful ways to protect your health. Checkups are also called physical exams, annual wellness visits, and routine exams. Many conditions that threaten your health don't have any symptoms. For example, you might have no idea that you have high blood pressure or high cholesterol, until they make you sick. How often you need checkups and what screening tests you get, depends on your age and sex. If you are age 18 to 64, you should see your provider once every 1 to 5 years depending on what health conditions you have. Starting at age 65, you'll want to visit your provider at least once a year. At each checkup, your height, weight, and blood pressure will be checked. Your provider will also talk with you about any health screenings and vaccinations you may need. All adults age 18 and older should have their blood pressure checked every year. Have it checked during a checkup, or look for blood pressure screenings at health fairs or drug stores in your area. If you have a history of high blood pressure readings, or you have risk factors for high blood pressure, such as diabetes or heart disease, you may need your blood pressure checked more often. Your health care provider may ask you about any symptoms of depression and anxiety, your diet and exercise habits, alcohol, tobacco, and drug use, safety issues, such as using seat belts, smoke detectors, and intimate partner violence, your medicines and risk for interactions, and health screenings and vaccinations you may need. If you are age 35 and are overweight or have obesity, you should have your blood sugar tested for prediabetes, and type 2 diabetes. After this, you should have this screening test every 3 years if you are overweight or have obesity. Starting at age 35 for men, and 45 for women, you should have a cholesterol test once every 5 years. People with certain health conditions may need to have their cholesterol checked more often. Starting at age 45, everyone should be screened for colon cancer. You have several options for the type of colon cancer screening you can have. Your options include, a colonoscopy every 10 years, a stool test, either a fecal occult blood test, FOBT, or a fecal immunochemical test, FIT, every year, a stool DNA FIT test every 1 to 3 years, a flexible sigmoidoscopy every 5 years, or every 10 years with yearly stool testing, and a CT colonography every 5 years. You should have an annual screening for lung cancer with low-dose computed tomography, LDCT, if you are age 50 to 80 years, AND you have a 20 pack-year smoking history, AND you currently smoke or have quit within the past 15 years. Women need a Pap test to check for cervical cancer starting at age 21, and then every 3 years until age 65 if test results are normal. Women ages 30 to 65 can have either a Pap test every three years, or the HPV test every 5 years. Starting at age 40, women should have a mammogram to check for breast cancer every 1 to 2 years. Because bones can become brittle with age, women ages 65 and older should have a bone density scan. Younger women and men should talk to their provider about whether they need a bone density test based on their risks. If you are male, and age 55 through 69 years old, talk to your provider about the pros and cons of having a prostate specific antigen blood test. Ask your provider whether screening decreases your chance of dying from prostate cancer, whether there is any harm from prostate cancer screening, such as side effects from testing or overtreatment of cancer when discovered, and whether you have a higher risk of prostate cancer than others. One of the best ways to avoid unexpected visits to your provider, and protect your health, is to get the vaccines that are right for you. Vaccines aren't just for children. Everyone ages 6 months and older should get a flu vaccine each fall or early winter to protect them for the whole season. You can also get a vaccine to protect against COVID-19 at the same time. Once every 10 years, get a T dap vaccine, which protects against tetanus, diphtheria, and acellular pertussis. Older adults also need to get vaccinated against pneumonia, (pneumococcal infection), and shingles. Ask your provider about other vaccines you may need. To keep your teeth strong and healthy, visit your dentist twice a year for a cleaning and exam. Eye exams are also important, especially if you have glaucoma or another vision problem. All adults age 65 and older should have a comprehensive eye exam every year. If you are under age 65, check with your provider for advice about eye exams. Seeing your provider for regular checkups and screenings, can help prevent and find potential problems before you have a chance to get sick. Being proactive is the best way to protect your health.
Information
Even if you feel fine, you should still see your provider for regular checkups. These visits can help you avoid problems in the future. For example, the only way to find out if you have high blood pressure is to have it checked regularly. High blood sugar and high cholesterol levels also may not have any symptoms in the early stages. A simple blood test can check for these conditions.
High blood pressure
Blood pressure is a measurement of the force exerted against the walls of your arteries as your heart pumps blood to your body. Hypertension is the ...

High cholesterol
Cholesterol is a fat (also called a lipid) that your body needs to work properly. Too much bad cholesterol in your blood can increase your chance of...

There are specific times when you should see your provider or receive specific health screenings. The US Preventive Services Task Force publishes a list of recommended screenings. Below are screening guidelines for women age 65 and older.
BLOOD PRESSURE SCREENING
Have your blood pressure checked at least once every year. Watch for blood pressure screenings in your area. Ask your provider if you can stop in to have your blood pressure checked. You can also check your blood pressure using the automated machines at local grocery stores and pharmacies.
Blood pressure
Blood pressure is a measurement of the force on the walls of your arteries as your heart pumps blood through your body. You can measure your blood pr...

Ask your provider if you need your blood pressure checked more often if:
- You have diabetes, heart disease, kidney problems, or are overweight or have certain other health conditions.
Heart disease
Coronary heart disease is a narrowing of the blood vessels that supply blood and oxygen to the heart. Coronary heart disease (CHD) is also called co...
ImageRead Article Now Book Mark ArticleKidney problems
Chronic kidney disease is the slow loss of kidney function over time. The main job of the kidneys is to remove wastes and excess water from the body...
ImageRead Article Now Book Mark Article - You have a first-degree relative with high blood pressure.
- You are Black.
- Your blood pressure top number is from 120 to 129 mm Hg, or the bottom number is from 70 to 79 mm Hg.
If the top number is 130 mm Hg or greater, but lower than 140 mm Hg or the bottom number is 80 mm Hg or greater but lower than 90 mm Hg, this is considered to be stage 1 hypertension. Readings above these are considered to be stage 2 hypertension. Schedule an appointment with your provider to learn how you can reduce your blood pressure. Record your blood pressure numbers and bring this information to share with your provider.
BREAST CANCER SCREENING
Experts do not agree about the benefits of breast self-exams in finding breast cancer or saving lives. Talk to your provider about what is best for you.
Breast cancer
Breast cancer is cancer that starts in the tissues of the breast. There are two main types of breast cancer:Ductal carcinoma starts in the tubes (du...

Mammography is performed to screen women to detect early breast cancer when it is more likely to be cured. The recommendations of different expert organizations can differ.
- Women up to age 75 should have a mammogram every 1 to 2 years, depending on their risk factors, to check for breast cancer.
Mammogram
A mammogram is an x-ray picture of the breasts. It is used to evaluate some breast symptoms and to find breast cancer in women with no symptoms (cal...
ImageRead Article Now Book Mark Article - Women with a family history of breast cancer should work with their health care provider to assess their risk of breast cancer. In some situations, additional testing may be considered.
Mammograms work best at finding breast cancer in women ages 40 to 74. It is not clear how well mammograms work at finding cancer in women age 75 and older. Talk to your provider about what is best for you.
CERVICAL CANCER SCREENING
After age 65, most women who have not been diagnosed with cervical cancer or precancer can stop having screening tests, as long as:
- They have had 3 consecutive negative Pap test results or 2 consecutive negative HPV tests results within 10 years.
- The most recent test occurred within 5 years.
CHOLESTEROL SCREENING
If your cholesterol level is normal, have it rechecked at least every 5 years.
You should have repeat testing sooner if:
- Changes occur in your lifestyle (including weight gain and diet)
- You have high cholesterol, diabetes, high blood pressure, heart disease, stroke, or blood flow problems in the legs or feet, or certain other health conditions
COLORECTAL CANCER SCREENING
Until age 75, you should have screening for colorectal cancer on a regular basis. Several tests are available for colorectal cancer screening:
Screening for colorectal cancer
Colon cancer screening can detect polyps and early cancers in the large intestine. This type of screening can find problems that can be treated befo...

- A stool-based fecal occult blood (FOBT) or fecal immunochemical test (FIT) every year
FIT
The fecal immunochemical test (FIT) is used as a screening test for colon cancer. It tests for hidden blood in the stool, which can be an early sign...
ImageRead Article Now Book Mark Article - A stool sDNA-FIT test every 1 to 3 years (colonoscopy is needed if results are positive)
-
Flexible sigmoidoscopy every 5 years or every 10 years with stool testing with FOBT or FIT done every year
Flexible sigmoidoscopy
Sigmoidoscopy using a flexible scope is a procedure used to see inside the sigmoid colon and rectum. The sigmoid colon is the area of the large inte...
ImageRead Article Now Book Mark Article - CT colonography (virtual colonoscopy) every 5 years
Virtual colonoscopy
A virtual colonoscopy (VC) is an imaging or x-ray test that looks for cancer, polyps, or other disease in the large intestine (colon). The medical n...
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Colonoscopy every 10 years
Colonoscopy
A colonoscopy is an exam that views the inside of the colon (large intestine) and rectum, using a tool called a colonoscope. The colonoscope has a sm...
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You may need a colonoscopy more often if you have risk factors for colon cancer, including:
-
Ulcerative colitis
Ulcerative colitis
Ulcerative colitis is a condition in which the lining of the large intestine (colon) and rectum become inflamed. It is a form of inflammatory bowel ...
ImageRead Article Now Book Mark Article - A personal or family history of colorectal cancer
Colorectal cancer
Colorectal cancer is cancer that starts in the large intestine (colon) or the rectum (end of the colon). It is also sometimes simply called colon ca...
ImageRead Article Now Book Mark Article - A history of growths in your colon called adenomatous polyps
Adenomatous polyps
A colorectal polyp is a growth on the lining of the colon or rectum.
ImageRead Article Now Book Mark Article - A family history of inherited colorectal cancer syndromes such as familial adenomatous polyposis (FAP) or hereditary nonpolyposis colorectal cancer (HNPCC).
- People ages 76 through 85 should talk with their health care provider about whether to continue to get screened. People ages 86 and older no longer need colorectal cancer screening.
DENTAL EXAM
- Go to the dentist once or twice every year for an exam and cleaning. Your dentist will evaluate if you have a need for more frequent visits.
PREDIABETES AND TYPE 2 DIABETES SCREENING
You should be screened for prediabetes and type 2 diabetes every 3 years up to age 70 if you are overweight or have obesity.
Prediabetes
Prediabetes occurs when the level of sugar (glucose) in your blood is too high, but not high enough to be called diabetes. If you have prediabetes, ...

Type 2 diabetes
Type 2 diabetes is a lifelong (chronic) disease in which there is a high level of sugar (glucose) in the blood. Type 2 diabetes is the most common f...

EYE EXAM
- Have an eye exam every year. Your provider may recommend more frequent eye exams if you have vision problems or glaucoma risk.
- Have an eye exam that includes an examination of your retina (back of your eye) at least every year if you have diabetes.
HEARING TEST
- Have your hearing tested if you have symptoms of hearing loss.
Hearing loss
Hearing loss is being partly or totally unable to hear sound in one or both ears.
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IMMUNIZATIONS
Commonly needed vaccines include:
-
Flu shot: get one every year
Flu
The flu (influenza) is a viral respiratory illness that causes fever, chills, runny nose, body aches, and cough. It spreads easily from person to pe...
ImageRead Article Now Book Mark Article - COVID-19 vaccine: ask your doctor what is best for you
-
Pneumococcal vaccines: you should receive this vaccine
Pneumococcal vaccines
All content below is taken in its entirety from the CDC Pneumococcal Polysaccharide Vaccine Information Statement (VIS): CDC review information for P...
ImageRead Article Now Book Mark Article - Shingles (herpes zoster) vaccine: 2 doses at or after age 50
- Tetanus-diphtheria and acellular pertussis (Tdap) vaccine: have as one of your tetanus-diphtheria vaccines if you did not receive it as an adolescent
- Tetanus-diphtheria: have a booster (Td or Tdap) every 10 years
INFECTIOUS DISEASE SCREENING
Screening for hepatitis C:
- All adults ages 18 to 79 should get a one-time test for hepatitis C.
Hepatitis C
Hepatitis C is a viral disease that leads to swelling (inflammation) of the liver. Other types of viral hepatitis include:Hepatitis AHepatitis BHepat...
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Screening for human immunodeficiency virus (HIV):
- All people ages 15 to 65 should get a one-time test for HIV
HIV
Human immunodeficiency virus (HIV) is the virus that causes acquired immunodeficiency syndrome (AIDS). When a person becomes infected with HIV, the ...
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Depending on your lifestyle and medical history, you may need to be screened for infections such as syphilis, chlamydia, and other infections.
LUNG CANCER SCREENING
You should have an annual screening for lung cancer with low-dose computed tomography (LDCT) if:
Lung cancer
Lung cancer is cancer that starts in the lungs. The lungs are located in the chest. When you breathe, air goes through your nose, down your windpipe...

- You are age 50 to 80 years AND
- You have a 20 pack-year smoking history AND
- You currently smoke or have quit within the past 15 years
OSTEOPOROSIS SCREENING
- All women age 65 or older should have a bone density test (DEXA scan).
Bone density test
A bone mineral density (BMD) test measures how much calcium and other types of minerals are in an area of your bone. This test helps your health care...
ImageRead Article Now Book Mark Article - Ask your provider which exercises or other interventions can help prevent osteoporosis or bone fractures.
Osteoporosis
Osteoporosis is a disease in which bones become fragile and more likely to break (fracture).
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PHYSICAL EXAMS
All adults should visit their provider from time to time, even if they are healthy. The purpose of these visits is to:
- Screen for diseases
- Assess risk of future medical problems
- Encourage a healthy lifestyle
- Update vaccinations and other preventive care services
- Maintain a relationship with a provider in case of an illness
In addition:
- Your blood pressure should be checked at least every year.
- Your height, weight, and body mass index (BMI) should be checked at every exam.
During the exam, your provider will ask questions about:
-
Depression and anxiety
Depression
Depression may be described as feeling sad, blue, unhappy, miserable, or down in the dumps. Most of us feel this way at one time or another for shor...
ImageRead Article Now Book Mark Article - Diet and exercise, including exercises to improve your balance and reduce your risk of falling
- Alcohol and tobacco use
- Safety, such as use of seat belts and smoke detectors and intimate partner violence
- Whether you have had any falls or are afraid of falling
- Whether you have symptoms of urinary incontinence
- Your medicines and risk for interactions
SKIN EXAM
Your provider may check your skin for signs of skin cancer, especially if you're at high risk. You may be at risk if you:
Skin cancer
Squamous cell skin cancer is the second most common type of cancer in the United States. Other common types of skin cancer are:Basal cell cancerMelan...

- Have had skin cancer before
- Have close relatives with skin cancer
- Have a weakened immune system
Professional organizations do not recommend for or against performing a skin self-exam.
Reviewed By
David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team. Internal review and update on 08/01/23. Editorial update: 09/26/2024.
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