Vital Health Checks Older Women Shouldn’t Ignore

Updated: September 2025

When was the last time you had a health check-up? Some health concerns in older women can develop quietly, without obvious signs. Paying attention to your health may help you feel more comfortable discussing concerns with your GP or healthcare professional. Here are a few less-talked-about areas that are worth keeping in mind.

Osteoporosis: The Silent Bone Thief

Osteoporosis weakens bones, making them fragile and more likely to break. Often called the “silent disease,” it can progress without symptoms until a fracture occurs. The risk increases after menopause as estrogen levels fall. Here are some steps that may help support better bone health:

  • Bone Density Tests. Regular checks are important, especially if you’ve had a fracture.
  • A nutritious diet. Foods rich in calcium and vitamin D can help support bone health*.
  • Exercise. Activities like walking or light strength training may help maintain bone strength. But, remember, check with your GP before starting a new exercise routine.

Heart Disease: Not Just a Man’s Issue

Heart disease is the leading cause of death in older women, yet it’s often under-recognised. Symptoms may differ from those in men, and not all women experience the classic chest pain. Knowing what to look for and supporting your heart health may help protect your overall wellbeing.

  • Know the symptoms. Some signs may include shortness of breath, nausea, fatigue, or discomfort in the back or jaw.
  • Manage stress. Gentle activities such as yoga, meditation, or walking can help manage stress, which is one factor in supporting heart health.
  • Routine check-ups. Regular blood pressure and cholesterol checks may help detect problems early and support effective management.

Urinary Incontinence: Breaking the Silence

Urinary incontinence, or loss of bladder control, is common, but many women feel hesitant to talk about it. The good news is that it can often be managed with the right support. It may present in different ways. Stress incontinence can happen when coughing, sneezing, or exercising. Urge incontinence is a sudden, strong need to urinate. Overflow incontinence may feel like the bladder doesn’t empty fully.

  • Understand your symptoms. Recognising which type you experience may help guide appropriate support or treatment.
  • Pelvic floor exercises. Strengthening these muscles may help reduce symptoms over time.
  • Talk to your doctor. Your GP can advise on treatment options such as lifestyle changes, physical therapy, or medication.

Thyroid Health: The Hidden Regulator

Thyroid problems are common in older women, particularly hypothyroidism (an underactive thyroid). Fatigue, weight gain, and low mood are sometimes mistaken for normal ageing, which means thyroid issues can go undiagnosed. Blood tests may help identify thyroid problems early.

  • Watch for signs. Unexplained weight gain, persistent fatigue, or feeling cold may be linked with thyroid issues. If you notice these changes, speak with your doctor.
  • Blood tests. Your doctor may recommend regular checks to monitor thyroid function.
  • Managing your lifestyle. A balanced diet and gentle physical activity may help support healthy thyroid function.

Eye Checks: Protecting Your Vision

As we grow older, changes to our vision are common. Regular eye tests may help pick up problems early, even before symptoms are obvious. Optometrists can also check for common eye conditions in older women, including:

  • Cataracts
  • Glaucoma
  • Macular Degeneration

From about age 40, eye tests are often suggested every two to three years. Your optometrist may recommend a different schedule depending on your needs. It’s best to book an appointment sooner if you notice:

  • Sudden or major changes in your vision.
  • Severe eye pain.
  • Sensitivity to light or glare.
  • Distortion or dark patches in the centre of your vision.

Cognitive Matters: Protecting Your Mind

Did you know that older women are at higher risk than men of developing cognitive decline and dementia? While changes in memory can be a normal part of ageing, more serious issues may affect daily life and independence. Staying mentally active, socialising, and paying attention to early signs may help support your cognitive function.

  • Early signs. These may include memory loss, changes in mood, difficulty with problem-solving, or confusion about time or place.**
  • Brain-boosting activities. Activities like puzzles, reading, and socialising may help.
  • Talk to your doctor. If you notice changes in your cognitive abilities, they may recommend an evaluation.

Government Rebates to Keep in Mind

Alongside regular check-ups, there are government-funded programs that may help with prevention and early detection. These initiatives aim to make it easier for older Australians to stay on top of their health. Some of the most relevant rebates for older women include:

  • Heart checks: If you’re aged 45 and over, and have not been diagnosed with heart disease, you may be eligible for an annual Heart Health Check through Medicare.
  • Free bowel kits: As part of the National Bowel Cancer Screening Program, Australians aged 50 to 74 receive a free kit in the mail every two years. These kits can help with the early detection of bowel cancer.
  • Vaccinations: From age 65, you may be eligible for free flu and shingles vaccines. Adults aged 70 and above are also generally eligible for a free pneumococcal vaccine under the National Immunisation Program.

If you’re unsure which rebates apply to you, check with your GP at your next visit.

Mini Checklist: Stay On Top of Your Health

As you navigate the changes that come with age, it’s easy to overlook regular health checks. This simple checklist can help you keep track as you get older:

  • Have you had your bone density checked in the last two years?
  • Are you familiar with the heart attack symptoms women may experience?
  • Have you considered including pelvic floor exercises in your routine?
  • When was your last thyroid function test?
  • When was your last eye test with an optometrist?
  • Are you staying mentally active with puzzles, reading, or social activities?

Focusing on these key areas can support your wellbeing and help you continue enjoying a full and active life. And remember, if you have any concerns or need further guidance, please speak with your doctor.

Need a hand getting to and from your health appointments? We’re here to help. At Simply Helping, we provide flexible and reliable transport and community access services, making it easier for you to get where you need to be.

Click here to find your local Simply Helping team and contact us today.

*Source: Healthy Bones Australia / healthdirect

**Source: Dementia Australia