must health checks

Preventive health checks for women of all ages

  • 0

It is said that health is wealth and as the women tends to grow older there are several health issues they begin to face. And there are few problems which are inherited and some are acquired due to improper lifestyles. Hence consult the best gynae doctor regularly who can assist in preventive health checkups which are relevant for you.

Purpose of regular health checks:

  • Screen for current medical issues
  • Assess risk for future medical problems
  • Vaccinations
  • Encourage a healthy life style
  • To know your health care provider which acts like a personal doctor when emergency arises.

Few important checkups:

  1. Check your blood pressure annually: The BP averages about 100/60 at 18 years to about 130/80 around 39 years. If the BP is more than 130/80, it’s advisable to schedule an appointment with a physician. People with diseased like diabetes, kidney disease, heart disease should monitor their BP often.
  1. Cholesterol: Check levels at 20 years and repeat every 3 years if normal. Earlier, if borderline/ high cholesterol, sedentary life style, weight gain or medical issue like DM, heart disease, kidney disease etc.
  1. Diabetes screening done when:
  • BMI is >23.
  • Personal or family history of diabetes, high BP, heart disease.
  • Age >30 if no risk factor
  1. Dental: Visit your dentist 6 monthly. Added visit may be needed in case of dental issues.
  1. Eye test: If you have vision issues, see an ophthalmologist immediately. Annual eye exam is a must for people with high BP and diabetes. Visit a doctor if you have watering, itching, puffy eyes.
  1. Vaccination: Please check your immunization schedule. You may bring it to us to know if you are covered adequately.
  • Flu vaccine to be taken annually.
  • Age 19-20- TdAP vaccine may be required depending on your previous vaccination schedule.
  • Telanus and diphthemia booster is recommended every 10 years.
  • Varicella vaccine: if you never had chicken pox or varicella vaccine.
  • HPV vaccine age 10-45 years.
  • Pneumonia vaccine: recommended for few. (* Please rule out pregnancy before any vaccination).
  1. Cervical cancer screening and pelvic examination:
  • Begins at age 21 years after the woman is sexually active.
  • Pap’s smear and HPV testing every 3 years or earlier if needed till age 64 years.
  • High risk women are screened for STI like Chlamydia, gonorhea, syphilis, chanchroid, HIV etc. You can seek advice on how to avoid STIs.
  • Report if abnormally itchy or foul smelling vaginal discharge.
  1. General exam:
  • Height, weight BMI calculation.
  • Discussion on diet, sleep exercise, medications, smoking, alcohol, substance use, depression etc.
  1. Breast exam and mammogram:
  • Self breast examination is controversial.
  • Breast examination by a gynecologist can pick masses >10-15 mm diameter.
  • Screening mammogram is recommended after age 40 year or earlier if a family member had breast cancer at an early age.
  • Early screening if associated risk factors for breast cancer.
  • Other screening methods are examination by visually impaired people, breast ultrasound and MRI.
  • Contact your gynaecologist if you notice any change in breast or nipple.
  1. Skin examination: If you notice pigmented skin, white patches, ulcers, itchiness, fissures, undue burning, you must see a dermatologist.
  1. Bone density:
  • Routine annual screening is recommended at age 65 years and beyond.
  • A baseline testing at age 50 years should help determine bone loss.
  • Earlier screening for women at risk due to kidney disease, low body weight, on steroids, sedentary life style.
  1. Other tests: Recommended annually or more as per medical condition:
  • Kidney function test
  • Liver function test
  • Ultrasound whole abdomen and pelvis
  • Vitamin-D
  • Vitamin-B12
  • Thyroid function test
AUTHOR

Dr. Chetna Jain

All stories by: Dr. Chetna Jain
Sec-14: 0124-4797600Sec-56: 906-906-8800