Ages 40-64 Years: Screening

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Ages 40-64 Years
     Laboratory and other tests
     Evaluation and counseling
     Immunizations

History

□ Reason for visit
□ Health status: medical/surgical, menstrual, reproductive health 
□ Family medical history
□ Dietary/nutrition assessment
□ Physical activity
□ Use of complementary and alternative medicine 
□ Tobacco, alcohol, other drug use
□ Pelvic prolapse
□ Menopausal symptoms
□ Abuse/neglect
□ Sexual practices (including vaginal, anal, and oral sex; sexual orientation, number of partners; contraceptive use; exchange sex for drugs or money)
□ Urinary and fecal incontinence

Physical Examination

□ Height
□ Weight
□ Body mass index (BMI)
□ Blood pressure
□ Neck: adenopathy, thyroid 
□ Breasts, axillae (yearly clinical breast examination)
□ Abdomen
□ Pelvic examination
□ Additional physical examinations as clinically appropriate

American Congress of Obstetricians and Gynecologists
409 12th Street SW, Washington, DC  20024-2188 | Mailing Address: PO Box 70620, Washington, DC 20024-9998