Health Screenings and Annual Exams

Recommended Preventive Health Care for Women

I respects individual circumstances and personal conviction regarding healthcare choices. I see my role as one that guides each woman in determining which options are best for her individual circumstance, without judgement. The recommendations below are broad; therefore, it is important to discuss with your provider which options are best for you.

Health Activity

§  Physical Exam annually, and as health demands

§  Eye and Ear exam, baseline by 39 then every 2-4 years

§  Dental exam twice each year

§  Skin exam annually (which can be provided by your midwife)



§  Tetanus/Diphtheria, every ten years

§  Influenza, based on risk and then annually after the age of 50

§  Measles/Mumps/Rubella, usually not needed

§  Pneumonia vaccine, usually not needed until 65



§  Cholesterol at age 20 for baseline, and then every five years starting at age 40

§  Blood sugar evaluation every 3 years at age 45, unless history of gestational diabetes

§  Osteoporosis Screening

§  Bone Density, baseline if at risk at age 50, otherwise age 65


Breast Cancer Screening

§  Clinical Breast exam annually

§  Mammogram at age 40 if history indicates, otherwise 50 baseline then every 1 to 2 years


Cervical Cancer Screening

§  First at the age of 21, then every three years until 30. After 30 every fifth years with high-risk HPV testing.

§  Pelvic exam depending on risk assessment


Colon Cancer Screening

§  Fecal Occult Blood Test, usually not needed prior to 50, then annually

§  Flexible Sigmoidoscopy usually not needed until 50, then every 3-5 years

§  Colonoscopy usually not needed until 50, then every 10 years

§  Double Contrast Barium Enema, usually not needed until 50, then every 10 years


Health Screenings

§  family planning, including IUD placement

§  thyroid evaluations

§  anemia

§  diabetes

§  screening for depression or emotional problems

§  breast cancer screening, including mammograms

§  sexually transmitted disease testing

§  cholesterol or other lipid levels

§  vitamin D levels

§  osteoporosis

§  menopausal and perimenopausal hormone levels

§  genetic screening/counseling

§  endometrial biopsy

§  lead levels or screening for toxic metals

§  colon cancer screenings


§  pelvic floor evaluation and referral to specialists as indicated