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Building a Healthy Foundation – Key Screenings Every Woman Should Have

October 31, 2025 by Dr. Lori Gore-Green

When it comes to women’s health, prevention is the most powerful tool. Many of the most serious health conditions — from cervical cancer to heart disease — can be prevented, managed, or treated early with the right screenings. Regular check-ups and diagnostic tests give women the opportunity to catch potential issues before they become serious, ensuring a lifetime of wellness and peace of mind.

In this blog, we’ll explore the essential screenings every woman should have, why they matter, and how often they should be done. Whether you’re in your 20s or 50s, these preventive measures are the foundation of a healthy future.

1. The Importance of Preventive Screenings

Preventive care is the cornerstone of good health. Screenings allow healthcare providers — especially OB-GYNs — to detect early signs of disease, identify risk factors, and develop personalized care plans.

Women’s health needs evolve throughout life, influenced by factors such as age, family history, lifestyle, and reproductive changes. That’s why routine screenings are not one-size-fits-all — they should be tailored to each woman’s stage of life.

Think of preventive care as proactive self-care. The goal isn’t just to treat illness, but to maintain health and detect problems before symptoms appear.

2. Annual Well-Woman Exam – Your Health Checkpoint

Your annual well-woman exam is one of the most important appointments of the year. It’s a comprehensive visit that focuses on physical, reproductive, and emotional well-being.

During this visit, your OB-GYN may:

  • Review your medical and family history

  • Discuss menstrual cycle changes, contraception, or fertility goals

  • Perform a breast and pelvic exam

  • Update necessary vaccines

  • Recommend appropriate screenings based on your age and risk factors

Even if you feel perfectly healthy, this yearly visit is essential. Many conditions — including hypertension, thyroid disease, or cervical changes — may not cause symptoms until they are advanced.

Pro Tip: Don’t wait for symptoms to schedule a check-up. Regular visits help you build a strong relationship with your provider, making it easier to discuss concerns openly.

3. Pap Smear and HPV Testing – Protecting Against Cervical Cancer

What It Is:

A Pap smear (or Pap test) checks for precancerous or cancerous cells on the cervix. It’s one of the most effective screening tools in women’s health, significantly reducing cervical cancer deaths worldwide.

How Often:

  • Ages 21–29: Pap test every 3 years

  • Ages 30–65: Pap test every 3 years, or HPV test every 5 years (or both together)

  • After 65: Screening may stop if you’ve had consistent normal results and no history of cervical cancer or high-grade lesions

Why It Matters:

Human papillomavirus (HPV) is the leading cause of cervical cancer. Early detection of abnormal cells allows for treatment before they progress to cancer.

Extra Protection: The HPV vaccine is recommended for girls and women up to age 26 (and in some cases up to age 45). It protects against the most common high-risk HPV strains.

4. Breast Cancer Screening – Early Detection Saves Lives

What It Is:

Breast cancer screening includes mammograms, clinical breast exams, and self-awareness of changes in breast tissue.

How Often:

  • Ages 20–39: Clinical breast exam every 1–3 years

  • Ages 40 and older: Annual or biennial mammogram, depending on personal risk factors

Your provider may recommend earlier or more frequent screening if you have a family history of breast or ovarian cancer, or a BRCA gene mutation.

Why It Matters:

When breast cancer is detected early, the 5-year survival rate exceeds 90%. Early-stage detection often means less aggressive treatment and better outcomes.

Self-Check Tip: Get familiar with your own breasts. Report any new lumps, dimpling, or nipple discharge to your OB-GYN right away.

5. Pelvic Exam – Monitoring Reproductive Health

What It Is:

A pelvic exam allows your OB-GYN to assess the health of your reproductive organs — including the uterus, ovaries, and vagina.

It may include a visual and manual examination, and sometimes an ultrasound if needed.

How Often:

Typically once a year during your well-woman exam, or more often if you have symptoms such as pelvic pain, irregular bleeding, or unusual discharge.

Why It Matters:

Pelvic exams can help detect fibroids, ovarian cysts, infections, and early signs of gynecologic cancers.

6. Sexually Transmitted Infection (STI) Screenings

What It Is:

STI screenings test for infections like chlamydia, gonorrhea, HIV, syphilis, and hepatitis B and C. These infections often have no symptoms but can lead to serious reproductive complications, including infertility.

How Often:

  • Annually for sexually active women under 25

  • As needed for women over 25 with new or multiple partners

  • During pregnancy, as part of routine prenatal care

Why It Matters:

Early detection and treatment prevent long-term complications and reduce the spread of infections to others.

Safe Practice Reminder: Condoms, regular testing, and open communication with partners remain the best protection against STIs.

7. Bone Density Test – Protecting Your Future Mobility

What It Is:

A DEXA scan measures bone mineral density to assess your risk for osteoporosis — a condition that weakens bones and increases fracture risk.

How Often:

  • Starting at age 65 for all women

  • Earlier for those with risk factors, such as:

    • Early menopause

    • Family history of osteoporosis

    • Long-term steroid use

    • Low body weight or smoking

Why It Matters:

Osteoporosis is often called a “silent disease” because it develops without symptoms until a bone breaks. Early detection allows women to take steps — through nutrition, lifestyle, or medication — to preserve bone strength.

8. Heart Health Screening – Women and Cardiovascular Risk

What It Is:

Heart disease is the leading cause of death among women, yet many underestimate their risk. Screening involves checking blood pressure, cholesterol, and glucose levels.

How Often:

  • Blood Pressure: At least once every 2 years (annually if elevated)

  • Cholesterol: Every 4–6 years, or more often if you have risk factors (family history, obesity, diabetes)

  • Blood Sugar: Every 3 years starting at age 45

Why It Matters:

Women’s heart disease symptoms often differ from men’s — fatigue, nausea, or shortness of breath may signal cardiovascular issues. Early lifestyle changes can dramatically reduce risk.

Pro Tip: Discuss family history openly with your OB-GYN — it can help determine if you need earlier screening.

9. Diabetes and Thyroid Testing – Hidden Hormonal Clues

What It Is:

Blood tests that measure blood sugar (for diabetes) and thyroid hormone levels (for thyroid disorders).

How Often:

  • Diabetes: Every 3 years starting at age 45, or earlier if overweight, pregnant, or at risk

  • Thyroid Function: Every 5 years starting at 35, or sooner if you experience fatigue, weight changes, or irregular periods

Why It Matters:

Both conditions are common in women and can affect energy, metabolism, and fertility. Left untreated, they can also lead to complications in pregnancy or long-term organ damage.

10. Colorectal Cancer Screening – Not Just a Man’s Disease

What It Is:

Tests like colonoscopy, FIT (Fecal Immunochemical Test), or stool DNA tests detect early signs of colon cancer.

How Often:

  • Begin at age 45 for most women

  • Earlier if there’s a family history of colorectal cancer

Why It Matters:

Colorectal cancer is one of the most preventable cancers. Removing precancerous polyps during screening can stop cancer before it starts.

11. Skin and Eye Exams – Overlooked but Essential

Skin Exam:

Regular self-checks and dermatologist visits help detect skin cancer early — especially for women with fair skin, frequent sun exposure, or tanning history.
Frequency: Every 1–2 years or as advised by your doctor.

Eye Exam:

Routine exams detect vision changes and eye diseases, including glaucoma and diabetic retinopathy.
Frequency: Every 2 years, or annually if you wear glasses, have diabetes, or are over 40.

12. Mental Health and Emotional Well-Being

Physical health isn’t complete without mental wellness. OB-GYNs often screen for depression, anxiety, and postpartum mood disorders, recognizing their impact on overall health.

Why It Matters:

Women are twice as likely as men to experience anxiety and depression, particularly during hormonal transitions like pregnancy, postpartum, and menopause.

Tip: Don’t hesitate to bring up emotional changes during your visit. Mental health screening is a sign of strength — and part of holistic care.

13. Immunizations – Preventing What You Can

Vaccines remain one of the most effective preventive measures. Key vaccines for women include:

  • HPV vaccine – Protects against cervical cancer

  • Flu shot – Annually

  • Tdap – Every 10 years (and during pregnancy)

  • COVID-19 boosters – As recommended

  • MMR, Hepatitis B, Varicella – If not immune

Keeping your vaccinations current helps protect not only you but also your family and community.

14. Creating a Personalized Screening Plan

Every woman’s health journey is unique. Factors like age, genetics, medical history, reproductive plans, and lifestyle all influence which screenings are most relevant.

Your OB-GYN is your partner in creating a customized preventive care plan that evolves with you — from your first Pap smear in your 20s to menopause management in your 50s and beyond.

15. The Takeaway – Prevention Is Empowerment

Women often prioritize caring for others — family, work, community — and forget to care for themselves. But regular screenings are acts of self-respect and empowerment.

By staying proactive, you can:

  • Detect health issues early

  • Reduce the risk of chronic disease

  • Improve quality of life

  • Enjoy peace of mind knowing you’re in control of your health

Healthy habits begin with awareness. Schedule your well-woman exam, keep up with recommended screenings, and make prevention part of your yearly routine. Your future self will thank you.

Final Thought

Building a healthy foundation isn’t about fear — it’s about confidence. Each screening is a step toward understanding and protecting your body. With regular check-ups, open communication with your OB-GYN, and a commitment to self-care, you’re not just reacting to illness — you’re actively building a lifetime of health and wellness.

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