Ladies: 5 questions to ask at your next checkup
This piece is sponsored by Avera Health.
Your yearly checkup is a great time to discuss any area you need guidance on over the year, and it’s also considered covered as a preventive care benefit.

We asked Dr. Janell Powell, Avera internal medicine women’s specialist, to recommend some great questions to ask at your next visit.
How can I manage stress better?
Stress affects you physically and mentally, and can lead to weight gain, heart problems, depression and poor relationships. “Because of its enormous effect on your health, it IS a relevant subject to bring up at your appointment,” Powell said.
“When we can pinpoint the sources, we can pinpoint solutions.”
She advises letting go of the pressure that you have to do everything. Don’t be afraid to say no or delegate chores.
What’s the best way to reach a healthy weight?
“It’s tempting to turn to quick fixes and fad diets when you’re frustrated,” Powell said.
Your physician can help you find the best diet and exercise program to fit your lifestyle. “Not only will you feel more in control of your weight, but exercise is a great tool to relieve stress.”
How do I know if my heart is healthy?
First, it’s important to know your family history. Has anyone suffered a heart attack? Struggled with high blood pressure or cholesterol? If so, get screened immediately, and modify your lifestyle by reducing stress, exercising more and eating a heart-healthy diet. “Also, it’s OK to be overly cautious when it comes to your heart,” Powell added. “Don’t ignore suspicious chest pain.”
What screenings do I need?
Manage your health by staying on top of your screenings and immunizations. Guidelines for the general female population:
- Colonoscopy: Once every 10 years starting at age 45.
- Mammogram: Every year starting at age 40.
- Bone density scan: After menopause.
- Pap test: Once every three years from age 21-30, then every five years plus an HPV test from age 30-65. A Pap test is no longer needed after age 65 if you’ve had 10 years of normal Paps.
- Pelvic exam: Every one to two years. This can vary depending on your needs; talk to your provider.
“If you’re at a higher risk for developing any of these diseases, your doctor may recommend screening more often,” Powell said.
Could I be depressed?
“You know when you don’t feel like yourself,” Powell said. “Talking to your physician about any changes in your life such as sleeping or eating more can help you gain a new perspective on the signs and symptoms of a mental health issue.”
Avera offers behavioral health services that can be personalized to your needs. You don’t need a referral, but your provider can help you take the next steps to care for your mental health.
Get more health tips at Avera.org/Balance.
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