What are the items for women's full body physical examination

The main physical examination items for women include gynecological examination, breast examination, cardiovascular examination, endocrine examination, tumor marker screening, etc. The physical examination items need to be personalized based on factors such as age, family history, and past medical history. It is recommended to develop a physical examination plan under the guidance of a doctor.

1. Gynecological examination

Gynecological examination includes visual examination of the external genitalia, vaginal colposcopy, cervical TCT, and HPV testing. The morphology of uterus and accessories can be evaluated through double diagnosis, and the routine leucorrhea can detect infectious diseases such as vaginitis. Women over 30 years old are recommended to undergo cervical cancer screening annually, and postmenopausal women should pay attention to changes in endometrial thickness. Women who engage in sexual activity should undergo regular gynecological ultrasound examinations.

2. Breast examination

Breast examination includes breast palpation, breast ultrasound, and mammography. Women under the age of 40 are recommended to undergo breast ultrasound examination annually, and mammography should be added for those over 40 years old. High risk individuals can combine breast magnetic resonance imaging. Self examination reveals lumps, nipple discharge, and other conditions that require prompt medical attention. Breastfeeding women need to rule out special conditions such as mastitis.

3. Cardiovascular examination

Cardiovascular examination includes blood pressure measurement, electrocardiogram, cardiac ultrasound and other items. The four parameters of blood lipids can evaluate cholesterol levels, and homocysteine testing can detect cardiovascular and cerebrovascular risks. Menopausal women should pay close attention to blood pressure fluctuations, and those who take oral contraceptives for a long time should regularly monitor their coagulation function. When symptoms of chest tightness and palpitations occur, further examinations such as coronary CT should be performed.

4. Endocrine examination

Endocrine examination includes five items of thyroid function, six items of sex hormones, blood glucose testing, etc. Thyroid ultrasound can detect nodules or enlargement, and bone density testing can diagnose osteoporosis early. Patients with polycystic ovary syndrome need to regularly monitor androgen levels, and patients with diabetes should check glycosylated hemoglobin every three months. The significant changes in hormone levels in menopausal women need to be closely monitored.

5. Tumor marker screening

Tumor marker screening mainly includes CA125, CA153, CEA and other items. Combining imaging examinations can improve the early detection rate of tumors, and high-risk individuals for digestive tract tumors need to undergo additional gastroscopy and colonoscopy examinations. Mild elevation of tumor markers may be caused by inflammation, and the trend of changes needs to be dynamically observed. Individuals with a family history of cancer are advised to undergo genetic testing. Three days before the physical examination, a light diet should be maintained and vigorous exercise should be avoided. Gynecological examinations should avoid the menstrual period. On the day of the physical examination, fasting for 8-10 hours and wearing loose clothing for easy examination. After receiving the report, it is necessary to promptly seek interpretation from a specialist doctor, and any abnormal indicators should be regularly reviewed. Establish health records to track changes in data over the years, adjust lifestyle and preventive measures based on physical examination results. Pregnant women should pay special attention to TORCH screening and folate metabolism testing, and elderly women should increase cognitive function assessment and fall risk testing.