Ages 40-64 Years: Evaluation and Counseling

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Ages 40-64 Years
     Laboratory and other tests

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
□ Lifestyle/stress
□ Sleep disorders
□ Advance directives

Cardiovascular Risk Factors

□ Family history
□ Hypertension
□ Dyslipidemia
□ Obesity
□ Diabetes mellitus
□ Personal history of preeclampsia, gestational diabetes, or pregnancy-induced  hypertension
□ Lifestyle

Health/Risk Assessment

□ Aspirin prophylaxis to reduce the risk of stroke (ages 55-79 years)*
□ 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

*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.

American College of Obstetricians and Gynecologists
409 12th Street SW, Washington, DC  20024-2188
Mailing Address: PO Box 96920, Washington, DC 20024-9998