For the state, you are no longer “reproductive potential,” and therefore in the city clinic you too often hear a phrase like: “You have no indications for this examination.” In the commercial sector, everything is strictly the opposite: everything will be found and cured of everything … In the future. But on the way to bright horizons, they will offer such a bunch of analyzes and examinations that not a single wallet can withstand it.
What do we really need to keep under vigilant control when we turn 40?
40 years is a conditional starting point when the risk of developing many diseases increases. Therefore, regular examinations at this age play a very important role. Preventive medicine is a new word in modern science, because many diseases could be avoided if a person knew about his genetic predisposition or risk in advance. Timely tests and regular examinations will help you to be aware of possible deviations and live the fullest life even in old age. Of course, you already know about medical examination once every three years?
But here are five more medical examinations that a woman after 40 should undergo more often than prescribed by the MHI.
1. Examination by a gynecologist
Even girls are advised to visit a gynecologist at least once a year if there are no complaints. In adulthood, many doctors recommend being examined by a gynecologist twice a year – mainly to identify possible neoplasms. It is especially important for those who have previously been diagnosed with the human papillomavirus – serotypes 16 and 18. Most often, cervical cancer is diagnosed in women after 35 years of age, and the sooner the patient learns about the disease, the sooner treatment will begin and the higher the likelihood of a complete recovery.
2. Breast examination
The risk of developing breast cancer after the age of 65 is 5.8 times higher than before the age of 65, and almost 150 times higher than before the age of 30. Therefore, mammograms after 40 years of age should be done annually.
3. Study of predisposition to diabetes
According to the World Health Organization, about 9% of people with diabetes live in the world today. The disease is dangerous not only in itself (it can lead to blindness, amputation of limbs, kidney failure, and even premature death), but also as the culprit of other diseases – for example, in patients with diabetes, the risk of heart attack and stroke increases two to three times. The risk of developing diabetes increases if you are overweight, smoke, exercise little, or eat too much sugar and saturated fat. After 40 years, due to changes in the hormonal background in women, the risk of developing insulin resistance increases, therefore, once a year, an analysis of fasting glucose levels and glycated hemoglobin is necessary.
If you have a hereditary predisposition to diabetes (it is better to do a genetic analysis), then you should register with an endocrinologist – he will determine the further control scheme.
After the age of 35, women are at increased risk of developing osteoporosis, a decrease in bone density that can lead to fractures and injuries. Osteoporosis is even called a “silent epidemic”: today, 10% of the Russian population suffers from it. This disease in older women occurs three times more often than in men: among people over 50 years of age, osteoporosis is diagnosed in 50% of women and 20% of men. According to the Russian Association for Osteoporosis, 17 limb fractures occur every minute in Russia because of it.
If you are underweight or if you are tall, you are more likely to develop osteoporosis. Also, factors that increase the risk of developing the disease include taking hormonal contraceptives and menopause.
To identify a possible tendency to osteoporosis, one should undergo densitometry, a comprehensive study of bone density, every two years. This will help to determine the decrease in bone density in advance and take appropriate measures.
5. Heart examination
According to WHO estimates, one in three deaths in the world is associated with cardiovascular diseases, with the highest risk in low-income countries, including Russia. Therefore, you should get a tonometer and independently control your pressure, recording and comparing the results daily – this way you can catch the development of hypertension at an early stage. Cholesterol is the main culprit in most cardiovascular diseases in the world, so donate blood for cholesterol (lipid profile) once a year.
If the indicators deviate from the norm (even if you feel well), you should make an appointment with a cardiologist.
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