Women, HIV and older age

Blood Pressure

Hypertension (high blood pressure) increases the risk of heart failure, heart attack, stroke and kidney failure.

Every 1–2 years

Many people living with HIV have blood pressure measured as a routine part of doctor visits, every 3 or 6 months.

Fasting blood glucose test

Screening for diabetes.

Every 3 years

Some people with HIV, especially those taking anti-HIV meds that include a protease inhibitor, may be having blood sugar levels checked regularly.

Bone mineral test

This test helps to identify low bone mass, which can lead to fractures and osteoporosis.

Discuss with your provider

Some anti-HIV meds are believed to cause bone mineral loss and other bone problems, like osteoporosis. Even younger women who are taking anti-HIV meds may want to consider screening.

Breast self exam

Helps you to be aware of what feels normal and what doesn’t. Talk with your provider about anything unusual.

Monthly.
For the months with a scheduled mammography, do a breast self-exam close to the time of the appointment.

Some anti-HIV therapy has been associated with changes in body shape and composition (a condition called lipodystrophy). This includes breast enlargement. Thus, changes in your breasts might be due to drug side effects, making changes associated with other problems less noticeable.

Clinical breast exam, given by a doctor or healthcare provider, and mammogram

A mammogram will help to identify cysts, calcifications and tumors in the breast and is the most effective way to detect early breast cancer. A doctor exam will help to identify unusual breast symptoms like swelling, nipple discharge.

Annually

Same as above.

Lipid protein profile

Total cholesterol: LDL (bad) cholesterol—the main source of cholesterol buildup and blockage in the arteries. HDL (good) cholesterol—helps keep cholesterol from building up in the arteries. Triglycerides—another form of fat in your blood.

Every 5 years

HIV has been shown to lower cholesterol levels, and some anti-HIV meds are known to raise cholesterol levels. Many people with HIV have cholesterol tests done regularly as part of routine lab work during regular doctor visits.

Eye and ear exam

Eye and ear health.

Every 2–4 years

Pap smear and pelvic exam

Cervical cancer and STDs.

Every 1–3 years after 3 consecutive normal tests

Women living with HIV are at a higher risk of developing cervical cancer, symptoms of STDs and other GYN conditions. They are encouraged to have PAP smears twice annually and more frequently if results are abnormal. For more information, read Gynecological Conditions or call Project Inform’s Infoline at 1-800-822-7422.

Menopause and HIV

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