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Every woman over 40 needs these 3 health checks

July 22, 2026

Turning 40 is an important milestone for your health. There are three health checks every woman over 40 should have, yet many women are quietly missing at least one.

Not because they don’t care — but because these changes often happen silently, without obvious symptoms. 

A woman in her 40s having her blood pressure checked during a routine health appointment.

Here are the three checks worth staying on top of:

1. Stay up to date with your cervical screening 

It’s easy to think cervical screening is something you “graduate” from after years of normal results. But you can still find cervical cancer in women throughout their 40s, 50s, 60s, and beyond, which is why screening continues after 40.

If you’ve delayed your appointment because: 

  • Your reminder letter is still sitting in a drawer.
  • You never rebooked after having children.
  • You thought you had “aged out” of screening.

…it may be time to book your next appointment. 

If you’re worried about the test being uncomfortable, tell your clinic, ask for a longer appointment, or discuss your concerns beforehand. 

Watch the full video here:

2. Check your blood pressure — even if you feel perfectly well 

High blood pressure often has no symptoms. As estrogen levels fall during your 40s and perimenopause, blood pressure can gradually begin to rise. 

If left unchecked, high blood pressure can increase the risk of: 

  • Stroke
  • Heart disease
  • Kidney problems
  • Memory changes associated with dementia

The good news? It’s one of the most treatable health measures — but only after it’s been measured.

3. Don’t overlook your cholesterol 

Heart and circulatory disease is one of the leading causes of death in women worldwide, yet many women still think it’s mainly a man’s problem.

After oestrogen levels begin to fall:

  • LDL (“bad”) cholesterol may increase.
  • HDL (“protective”) cholesterol may decrease.


These changes can happen without any symptoms, even if your cholesterol has always been normal before.

A simple blood test can check your cholesterol. Looking at your cholesterol alongside your blood pressure helps assess your overall heart risk and whether any action is needed.

What to do next

A few simple steps can help you stay on top of your health:

  • Book a check-up for your blood pressure and cholesterol.
  • Check if you’re due for cervical screening.
  • Keep a record of your blood pressure and cholesterol numbers over time.

If you’re not sure how to start the conversation, a simple sentence is enough:

“I’d like to check my blood pressure and my cholesterol levels, please.”

Key takeaway

After 40, cervical screening, blood pressure, and cholesterol are three important health checks that shouldn’t be overlooked. These changes often happen quietly, so staying up to date with screening and knowing your numbers can help you can help identify changes early and support conversations with your healthcare team.

More Reading

Review date

This post will be medically reviewed by July 2027

About the Author

Dr Sylvia Kama-Kieghe (FRCGP, FRSM, FRSPH) is a UK-based NHS General Practitioner with over 15 years’ experience in family medicine and  women’s health. She is the founder of AskAwayHealth and works clinically in primary care, urgent care and digital health.

She is an honorary lecturer at the University of Sheffield Medical School, and involved in teaching and supervising trainee doctors. Her clinical practice includes a strong focus on menopause, menstrual and fibroid-related problems, vulval and vaginal  health, and preventive care for women across the life course. 

Dr Sylvia is the RCGP (Royal College of General Practitioners) 2026 Digital Champion and has been shortlisted multiple times for the CAHN Black Healthcare Awards for her work in reducing health inequalities. She also collaborates with the Patient Information Forum (PIF) on projects tackling online health misinformation and improving the quality of patient information.

Through the AskAwayHealth YouTube channel and website, Dr Sylvia aims to provide clear, calm and clinically sound explanations that help women understand their symptoms, know which red flags to look for, and feel more confident when speaking to their own doctors.

⚠️ Important Disclaimer Speak to your doctor or healthcare team about the right screening schedule and health checks for you. This information is for educational purposes only and should not replace an assessment by a healthcare professional. 

PIF TICK logo with the words Trusted Information Creator and Patient Information Forum. There is a blue rectangular border with a big green tick.

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Askawayhealth 2023 grant recipient from European Union Development Fund

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Our educational content meets the standards set by the NHS in their Standard for Creating Health Content guidance.

Askawayhealth aims to deliver reliable and evidence based women's health, family health and sexual health information in a way that is easily relatable and simple for everyone to access.