Ages 40-64 Years: Evaluation and Counseling

Sexuality (Preconception and genetic counseling is appropriate for certain women in this age group.)

High-risk behaviors
Contraceptive options for prevention of unwanted pregnancy, including emergency contraception
Sexual function
Sexually transmitted infections—barrier protection

Fitness and Nutrition

Physical activity
Dietary/nutrition assessment (including eating disorders and obesity)
Folic acid supplementation
Calcium intake

Psychosocial Evaluation

Family relationships
Intimate partner violence
Work satisfaction
Sleep disorders
Advance directives

Cardiovascular Risk Factors

Family history
Diabetes mellitus
Personal history of preeclampsia, gestational diabetes, or pregnancy-induced  hypertension



Health/Risk Assessment

Aspirin prophylaxis to reduce the risk of stroke (ages 55-79 years) (The recommendation for aspirin prophylaxis must weigh the benefits of stroke prevention against the harm of  gastrointestinal bleeding. Visit the U.S. Preventive Services Task Force for more  information.
Breast self-awareness (may include breast self-examination) 
Chemoprophylaxis for breast cancer (for high-risk women)
Hormone therapy
Hygiene (including dental)
Injury prevention
     Exercise and sports involvement
     Occupational hazards
     Recreational hazards
     Safe driving practices (seat belt use, no distracted driving or driving while under the influence of substances)
Sun exposure
Suicide: depressive symptoms
Tobacco, alcohol, other drug use