Ages 40-64 Years: Laboratory and Other Tests

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Ages 40-64 Years
     Evaluation and counseling


  Colorectal cancer screening:Beginning at age 50 years


□ Diabetes testing -beginning at age 45 years (If tests are normal, repeat testing carried out at a minimum of 3-year intervals is reasonable.)

□ Genetic testing/counseling (screening for spinal muscular atrophy, cystic fibrosis carrier, and assessment for risk of a hemoglobinopathy should be offered to all women who are considering pregnancy)

□Hepatitis C virus testing -one-time testing for persons born from 1945 through 1965 and unaware of their infection status
□ Human immunodeficiency virus (HIV) testing - Physicians should be aware of and follow  their states' HIV screening requirements. Visit the Centers for Disease Control and Prevention for more information.
□ Lipid profile assessment - every 5 years beginning at age 45 years
□ Mammography - Annual or biennial; Offer starting at 40; Initiate at ages 40-49 after counseling, if patient desires; Recommend no later than age 50 if patient has not already initiated.


High-Risk Groups (See High-Risk Table for more information.)

□ Bone mineral density screening
□ Colorectal cancer screening
□ Diabetes testing

□ Genetic testing/counseling (fragile X syndrome, Tay–Sachs disease) 

□ Hemoglobin level assessment
□ Lipid profile assessment
□ Sexually transmitted infection testing
□ Thyroid-stimulating hormone testing
□ Tuberculosis skin testing

*Colorectal cancer screening for African American women should begin at age 45 years.

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