Total Access Medical - Direct Primary Care Blog

The Annual Exams Every Woman Should Prioritize

Posted by Total Access Medical on May 06, 2025

Screenings.Preventive health care isn't just about catching problems early—it’s about protecting your quality of life. For women, annual exams and regular screenings play a critical role in detecting disease, managing risk, and promoting long-term well-being.

This Women’s Health Month, we’re helping you take the guesswork out of what tests you really need and when. Here's your decade-by-decade guide to the most important exams every woman should prioritize.

Why Preventive Exams Matter

Routine checkups can help detect serious health problems like cancer, heart disease, and osteoporosis before symptoms even appear. Early detection often leads to easier, less invasive treatment—and better outcomes.

But many women skip annual visits due to busy schedules, anxiety, or not knowing what’s necessary. Let’s change that.

What Screenings Do Women Need—And When?

Below is a general guide based on age. Always consult your healthcare provider for personalized recommendations.


In Your 20s and 30s

Pap Smear
Every 3 years (or every 5 years with HPV test) to screen for cervical cancer.

HPV Test
Often combined with Pap smear; detects high-risk HPV types linked to cancer.

STD/STI Screenings
Annually if sexually active with new or multiple partners.

Breast Exam
Clinical breast exams during routine physicals; learn to do monthly self-checks.

Blood Pressure Screening
At least every 2 years.

Cholesterol Test
Every 4–6 years, starting at age 20.

Skin Check
Annual self-checks; see a dermatologist for moles or new spots.


In Your 40s

Mammogram
Start at age 40 and repeat every 1–2 years (earlier if high risk).

Pap Smear + HPV
Continue every 5 years if results remain normal.

Diabetes Screening
Start testing at 45 or earlier if overweight or have risk factors.

Thyroid Test
Check TSH levels every 5 years or as recommended.

Eye Exam
Every 2–4 years (sooner with vision changes or diabetes).


In Your 50s

Colonoscopy
Start at 45–50 and repeat every 10 years (or more often with risk factors).

Bone Density Test (DEXA scan)
Recommended for postmenopausal women or those at risk for osteoporosis.

Mammograms & Pap Smears
Continue as advised; may phase out cervical screenings by age 65 if prior tests were normal.

Hearing Test
Begin baseline screenings.


In Your 60s and Beyond

Annual Wellness Exam
Review medications, cognitive function, and chronic disease risks.

Bone Density Test
Repeat every 2–5 years depending on bone health.

Vision & Hearing Exams
Annually or as recommended.

Vaccines
Stay up to date on flu, shingles, pneumonia, and tetanus boosters.

Other Important Screenings for All Ages

  • Mental health evaluations – Especially during times of stress, postpartum, or perimenopause.

  • Dental exams – Every 6 months to protect oral and systemic health.

  • Skin cancer checks – Especially if you have a history of sun exposure or tanning.

How to Prepare for Your Annual Visit

  • Bring a list of your medications and supplements

  • Know your family medical history

  • Write down questions ahead of time

  • Track your cycle or symptoms in an app or journal

  • Be honest—your doctor is there to help, not judge


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