Ages 40-64 Years: Screening

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