Guidelines for preventive care for women aged 40-49 years

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1. Screening test for women 40 - 49 years old

The most important consideration in the health care of a woman in her 40s is to perform important screening tests. That is:

1.1 Type 2 diabetes or pre-diabetes

Screened: All adults starting at age 45 and adults of all ages who are asymptomatic but are overweight or obese and have 1 or more additional diabetes risk factors Street; Frequency of screening: At least every 3 years.

1.2 Blood pressure

Screening target: All adults; Frequency of Screening: Check your health every year if your blood pressure is normal (less than 120/80 mmHg). If your blood pressure is higher than normal, follow your doctor's advice.

1.3 Breast cancer

Screening subjects: All women, especially those who are receiving health care for women aged 40 - 49; Frequency of screening: Annual mammograms should begin when a woman is 40 years old. You can talk to your doctor about the frequency of screening that's right for you (depending on your risk factors).

1.4 Cervical cancer

Screening subjects: All women, except those who have had a hysterectomy (removal of the cervix) for causes unrelated to cervical cancer and no history of cervical cancer/ severe precancerous; Frequency of screening: Women aged 30-65 should have a Pap test (Pap smear) combined with an HPV test every 5 years. Pap tests can be done every 3 years.

1.5 Colorectal cancer

Screening subjects: Women at average risk 45 years and older. This is a screening test to do when caring for a 45-year-old woman; Screening frequency: Several tests are available that will be performed at different times. These are: sigmoidoscopy every 5 years; Colonoscopy (virtual colonoscopy) every 5 years; Colonoscopy every 10 years; Annual fecal occult blood test; Check fecal immunochemicals annually; Stool DNA test every 3 years. If you choose a test other than endoscopy, you will need to have a repeat endoscopy if there are abnormal results. You can talk to your doctor about which test is best for you. In addition, some people may be considered for a different screening frequency because of their personal or family health history.

1.6 Other screening tests

A note when taking care of women's health in their 40s is that you need to perform other screening tests such as:
Alcohol abuse: All adults are screened for; screening frequency is during routine exams; Chlamydia: Screening subjects are women at higher risk of infection; frequency of screening is periodic examination if there is a risk of Chlamydia infection ; Anxiety: Screening subjects are all adults; screening frequency is during routine exams; Dermatological diseases: Screening subjects are sexually active women at higher risk of infection; The frequency of screening is periodic examination if there is a risk of dermatological disease. This is an important note when taking care of the skin for women aged 40; Hepatitis C: Screening subjects are adults with a higher risk of disease, performed once for people born between 1945 - 1965; frequency of screening is regular check-ups if at risk for hepatitis C; HIV: Subjects for screening are all women; screening frequency is during routine exams; Lipid disorders: Screening subjects are all women over 45 years of age at high risk of coronary heart disease. As for women aged 19 - 44 years, the screening should be based on risk factors for the disease (as prescribed by the doctor). The frequency of screening is at least every 5 years; Obesity: Screening subjects are all adults; screening frequency is during routine exams; Syphilis: Screening subjects are women at risk of infection; screening frequency is during routine exams; Tuberculosis : Screening subjects are adults at risk of infection; frequency of screening as prescribed by the doctor; Visual: All adults are screened; Screening frequency is the primary comprehensive screening at age 40. If you have a chronic medical condition, talk to your doctor about the appropriate screening frequency.

2. Health care consultation for women 40 - 49 years old

Health counseling for women aged 40 - 49 is very necessary. This includes:
Breast cancer, chemopreventive: For high-risk women, when risk is identified; BRCA mutation testing for breast and ovarian cancer susceptibility: For women at higher risk, when risk is determined; Diet and exercise: For adults who are overweight or obese, when diagnosed and periodically examined; Domestic violence: Counseling for women of childbearing age and older women (who are at higher risk), performed at regular health check-ups; Sexually Transmitted Diseases Prevention: Counseling for adults at higher risk of infection, performed at routine health screenings; Tobacco use and tobacco-related diseases: Counseling for all adults, performed at routine health screenings.

3. Vaccination for women aged 40 - 49

Among the goals to be achieved when taking care of the health of women aged 40 - 49, vaccination cannot be ignored. Specifically:
Tetanus, diphtheria, pertussis: Vaccinate all adults every 10 years; Chickenpox: Vaccinate all adults ages 40 - 49 with no record of chickenpox infection or previous vaccinations. The injection dose is 2 doses, the 2nd dose is at least 4 weeks apart from the first dose; Measles, mumps, rubella: Vaccinate all adults aged 40 - 49 years with no record of chickenpox infection or previous immunizations. The injection dose is 1 or 2 doses; Influenza: Vaccinate all adults annually, when a vaccine is available in the community; Hepatitis A : Vaccinate people who are at risk for the disease. The injection dose is 2 doses 6 months apart; Hepatitis B: Vaccinate people who are at risk for the disease. The injection dose is 3 doses: 2nd dose 1 month after first dose, 3rd dose at least 2 months after 2nd dose (and at least 4 months after first dose); Haemophilus influenzae type B: Vaccinate people at risk for the disease. The injection dose is 1 - 3 doses; Meningococcal disease: Vaccinate people who are at risk for the disease. The injection dose is 1 or 2 doses; Pneumococcal conjugate vaccine and pneumococcal polysaccharide vaccine: Immunization for people at risk. The injection dose is 1 or 2 doses. Screening tests, health counseling and reasonable vaccinations are essential when taking care of the health of women aged 40 - 49. Women in this age group should perform periodic screening to detect risks in a timely manner. disease and timely and effective treatment interventions.

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