Written by the Progyny Editorial Team. Reviewed by Dr. Janet Choi, Chief Medical Officer, Progyny — January 2025.
It can be tricky to know which health screenings you’re due for and how often to have them. Fortunately, there’s an easy way to stay on track.
Have a yearly in-person exam with your primary care provider. During that visit, your provider will give you personalized recommendations and answer any questions you have.
To help guide that conversation, here are screening recommendations for people with average risk during the perimenopause and menopause years. Depending on your personal and family medical history, or if you’re pregnant, your recommendations may be different.
If this feels like a lot, don’t worry — your provider will walk you through it!
Exams and screenings at-a-glance
✅ At age 40:
General health
- Physical exam
- Vaccine review
Cancer screenings
- Breast cancer screening
- Cervical cancer screening
Infection screenings
- Hepatitis C (one-time screening as an adult)
- HIV (one-time after age 15, or repeated with risk factors)
✅ Age 45, add:
- Colorectal cancer screening
✅ Age 50, add:
- Shingles vaccine
- Bone density test (if you have risk factors)
- Lung cancer screening (if you have risk factors)
✅ Age 65, add:
- Bone density test (for all)
General Health
Physical exam
It’s so important to have a yearly exam, even if you feel healthy. This is a chance to connect with your provider about your overall health, medicines, lifestyle, safety, prevention, and more.
During your physical, your provider will make sure you’re on track with screenings for:
- Blood pressure
- Cholesterol
- Diabetes
Your provider will probably also ask questions to see if you’re at risk for depression. Depression screening is recommended during pregnancy and after birth, as well.
Vaccines
Talk with your provider about which vaccines are right for you. Recommendations include:
- Flu: Every year
- COVID-19: Every year
- Tdap booster: Every 10 years
- Shingles: 2 doses at age 50
- Pneumococcal: 1 or 2 doses at age 50, or sooner if you have certain health conditions
- Varicella: Talk with your provider if you never had chicken pox or the vaccine
- Hepatitis B: Talk with your provider if didn’t have the 4-dose vaccine as a child or teen
These vaccines protect against viruses and diseases that can lead to serious problems. For example, shingles can cause facial paralysis and vision loss. Always be sure to ask your doctor any questions you have.
Bone density test
A bone density test is done with a special x-ray called a DEXA scan.
If you’re 50 to 64 years old and have any risk factors for osteoporosis (weak bones), talk with your doctor about this screening. Risk factors include:
- Low body weight
- Long-term steroid use
- Breaking a bone after age 50
- Smoking or heavy alcohol use
- Family history of hip fracture or osteoporosis
At age 65, bone density screening is recommended for all.
Your bone density test results and overall risk level will help you and your doctor decide how often to repeat the scan.
Cancer screenings
Breast cancer screening
It’s common to begin breast cancer screening with a mammogram at age 40. Some people begin sooner. It’s usually repeated every 1 to 2 years.
A mammogram is an x-ray of your breasts, taken while your breasts are firmly pressed between plastic plates.
If you have a family history or other risk factors, your provider may recommend additional tests. Breast cancer screening typically goes until age 75.
Cervical cancer screening
Cervical cancer screening is typically done until age 65, if you have a uterus and cervix. This screening may be done with a swab of your cervix, using a couple different tests:
- A Pap smear every 3 years
- An HPV test every 5 years
- Both a Pap smear and HPV test (co-testing) every 5 years
Colorectal cancer screening
At 45, it’s usually time to start getting screened for colorectal cancer. Some people may start sooner or have additional colorectal screenings, based on their risk factors.
There are a few ways to get screened. Talk with your provider to understand your options and what’s right for you. The options include at-home tests of your stool (poop) every 1 or 3 years and colonoscopy, every 10 years.
Colorectal cancer screening typically goes until age 75.
Lung cancer screening
If you smoke or used to smoke, talk with your doctor about lung cancer screening. It’s typically recommended starting at age 50 if: · You have a smoking history of 20 pack-years (you can calculate your pack-years here) AND
- You currently smoke or quit in the last 15 years.
Lung cancer screening is done with a low-dose CT scan that takes pictures of your lungs. It may be repeated every year until age 80, or until you’ve been smoke-free for 15 years.
Infection screenings
Hepatitis C
It’s recommended to get a one-time blood test for hepatitis C between age 18 to 79.
HIV
A one-time test for HIV testing is recommended for adults ages 18 to 65. You may have repeat screenings if you have risk factors.
Wrapping up
We know this is a lot of information, but it’s great you’re focused on prevention.
Reach out to your Progyny Care Advocate if you’d like help understanding anything. We can answer questions and help you prepare a list of questions for your primary care provider.
Disclaimer: The information provided by Progyny is for educational purposes only and is not medical advice. Always consult a qualified healthcare provider for medical guidance.
References: These screening guidelines are from the US Preventive Service Taskforce (USPSTF), an independent group of medical experts that provide evidence-based recommendations, and the American College of Obstetricians & Gynecologists (ACOG), which provides guidelines for women’s health.