Vital, Mature & Full of Life

You know what they say - 65 is the new 50! Today's mature women are more vibrant, alive and active than ever before. Maintain that vitality by staying on top of your health. 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 of a future medical problem
  • Encourage a healthy lifestyle
  • Update vaccinations
  • Help you get to know your provider in case of an illness

Below are screening guidelines for women over age 65 as recommended by the National Institutes of Health:

Blood Pressure Screening

  • Have your blood pressure checked every year.
  • If you have diabetes, heart disease, kidney problems, or certain other conditions, you may need to be checked more often.

Cholesterol Screening & Heart Disease Prevention

  • If your cholesterol level is normal, have it rechecked every 3 to 5 years.
  • If you have diabetes, heart disease, kidney problems, or certain other conditions, you may need to be checked more often.

Colon Cancer Screening

Until age 75, you should have one of the following screening tests:

  • A stool test every year
  • Flexible sigmoidoscopy every 5 to 10 years, along with a stool guaiac test
  • Colonoscopy every 10 years

You may need a colonoscopy more often if you have risk factors for colon cancer, including:

  • Ulcerative colitis
  • A personal or family history of colon cancer or rectal cancer
  • A history of large growths called adenomas

Dental Exam

  • Go to the dentist every year for an exam and cleaning.

Diabetes Screening

  • If you are age 65 or older and in good health, you should be screened for diabetes every 3 years.
  • If you are overweight and have other risk factors for diabetes, ask your doctor if you should be screened more often.

Eye Exam

  • Have an eye exam every 1 to 2 years if you have vision problems or glaucoma risk.

Hearing Test

  • Have your hearing tested every year if you have symptoms of hearing loss.


  • If you are over age 65, get a pneumococcal vaccine if you have never had one, or if you received one more than 5 years before you turned 65.
  • Get a flu shot every year.
  • Get a tetanus-diphtheria booster every 10 years.
  • You may get a shingles or herpes zoster vaccination once after age 60.

Physical Exam

  • Have a yearly physical exam.
  • With each exam, your provider will check your height, weight, and body mass index (BMI).
  • Routine diagnostic tests are not recommended unless your provider finds a problem.

During the exam, your provider will ask questions about:

  • Your medicines and risk of interactions
  • Alcohol and tobacco use
  • Diet and exercise
  • Safety, such as seat belt use
  • Depression

Breast Exams

  • Women may do a monthly breast self-exam.
  • Contact your provider right away if you notice a change in your breasts, whether or not you do self-exams.
  • Your provider may do a complete breast exam during your preventive exam. Experts do not agree on the benefit of a breast examination.


  • Women up to age 75 should have a mammogram every 1 to 2 years, depending on their risk factors, to check for breast cancer.
  • Experts do not agree on the benefits of having a mammogram for women age 75 and older. Some do not recommend having mammograms after this age. Others recommend mammography for women in good health. Talk to your provider about what is best for you.

Osteoporosis Screening

  • All women over age 64 should have a bone density test (DEXA scan).
  • Ask your provider which exercises can help prevent osteoporosis.

Pelvic Exam and Pap Smear

  • After age 65, most women can stop having Pap smears as long as they have had 3 negative tests within the past 10 years.