Ages 65 Years and Older: Exams and Screening Tests

The following exams and screening tests are recommended for women in this age group:

 

Exam/Screening Test

 

 

What and Why

 

 

When

 

 

Bone density screening

 

 

A screening test for osteoporosis

 

 

No more than once every 2 years beginning at age 65 years, unless new health risks develop

 

 

Cervical cancer screening

 

 

A sample of cells is taken from the cervix to look for changes that could lead to cancer (Pap test); this test may be combined with testing for human papillomavirus in women aged 30 years and older

 

 

You and your health care provider may decide to discontinue cervical cancer screening if you have had two negative co-test results in a row or three negative Pap test results in a row within the previous 10 years, with the most recent test performed within the past 5 years, and no history of moderate dysplasia or higher.

 

 

Clinical breast exam

 

 

Breast exam by a health care provider

 

 

Yearly

 

 

Colorectal cancer screening

 

 

Screening tests to look for cancer of the colon and rectum

 

 

Colonoscopy every 10 years (preferred). Other methods include the following tests:

• Yearly fecal occult blood test or fecal immunochemical test  with high sensitivity for cancer

• Flexible sigmoidoscopy every 5 years

• Double contrast barium enema test every 5 years

• Computed tomography every 5 years

• Fecal DNA test (interval unknown)

 

 

Diabetes testing

 

 

A test to measure the level of glucose (a sugar that is present in the blood and is the body’s main source of fuel) because high levels could be a sign of diabetes

 

 

Every 3 years

 

 

Hepatitis C testing A test to assess whether a person is infected with hepatitis C virus Once for persons born between 1945 and 1965 who are not aware of their infection status

Lipid profile assessment

 

 

A test used to assess the risk of heart disease that measures the levels of cholesterol and triglycerides in the blood

 

 

Every 5 years

 

 

Mammography

 

 

An X-ray of the breast to look for breast cancer

 

 

Yearly; talk to your health care provider about whether to continue having mammograms if you are aged 75 years or older

 

 

Thyroid-stimulating hormone screening

 

 

A test to check if your thyroid gland is working correctly

 

 

Every 5 years

 

 

Urinalysis

 

 

A test to measure the levels of certain substances, such as glucose, in your urine

 

 

Periodic

 

 

 

Next: Ages 65 Years and Older: Immunizations

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