Primary and preventative care for women - Tulsa Women's Health Care

The American College of Obstetricians and Gynecologists’ Committee on Gynecologic Practice recommend these guidelines be followed on routine assessments in primary and preventative care for women.

Teenie Boppers (Ages 13-18)

• Physical Exam
o Annually
• Pelvic Exam
o If recommended by your physician based on symptoms and history
• Chlamydia and gonorrhea testing
o Annually and as needed if sexually active

The Tweeners (Ages 19-39)

• Physical Exam including breast exam
o Annually
• Pelvic Exam
o For ages 19-20 if recommended by your physician based on symptoms and history
o Routinely done annually for age 21 or older

• Pap Smear
o Age 21 years: screen every 2 years
o Age 30 or older: screen every 3 years after three consecutive negative test results with negative history OR screen every 3 years after negative HPV DNA test and negative cervical cytology

• Chlamydia and gonorrhea testing
o Annually if aged 25 years or younger and sexually active

Prime Timers (Ages 40-64)

• Pap Smear
o May screen every 3 years after three consecutive normal test results
o Insurances will pay for yearly pap smears if desired
o If abnormal pap smear history, follow physician’s orders

• Colonoscopy
o Beginning at age 50 – colonoscopy every 10 years preferred

• Fasting glucose testing
o Every 5 years beginning at age 45 years

• Cholesterol assessment
o Every 5 years beginning at age 45 years

• Mammography
o E very 1-2 years beginning at age 40 years, yearly beginning at age 50 years

• Thyroid-stimulating hormone testing
o Every 5 years beginning at age 50 years

Golden Girls (Ages 65 and even more fabulous)

• Bone mineral density screening
o Screen no more frequently than every 2 years if no new risk factors

• Pap Smear
o Consider discontinuing at age 65 years or 70 years if patient has had three or more normal results in a row, no abnormal results in 10 years, no history of cervical cancer, no history of DES exposure in utero, is HIV negative, is not immunosuppressed

• Colorectal cancer screening
o Colonoscopy every 10 years preferred

• Fasting glucose testing
o Every 3 years

• Cholesterol assessment
o Every 5 years

• Mammogram
o Annually

• Thyroid –stimulating hormone testing
o Every 5 years

• Urinalysis
o Annually
 

Source: Tulsa Women’s Health Care . TWHC is a sponsor of KJRH.com.