[Preventive activities in women: PAPPS 2024 update].

Area of Science:

• Preventive Medicine
• Women's Health
• General Practice

Background:

• The 2024 update of the Preventive Activities in Primary Care Program (PAPPS) addresses women's health, excluding cancer prevention and gender-based morbidity.
• Key areas include contraception, preconception care, pregnancy monitoring, and menopause management, reflecting a comprehensive approach to women's well-being.

Purpose of the Study:

• To outline essential preventive activities for women's health within the 2024 PAPPS guidelines.
• To provide updated recommendations on contraception, preconception counseling, pregnancy follow-up, and menopause-related issues, particularly osteoporosis.

Main Methods:

• Review and synthesis of current evidence and guidelines for women's preventive healthcare.
• Inclusion of opportunistic screening for hypertension during contraceptive care.
• Recommendations for bone density scanning using the FRAX tool or hip fracture risk assessment for osteoporosis prevention in women over 60.

Main Results:

• Contraception is highlighted as a fundamental preventive activity, with guidance on methods, emergency contraception, and opportunistic screening.
• General practitioners are advised on comprehensive preconception care and monitoring during pregnancy to promote healthy lifestyles.
• Osteoporosis prevention strategies are detailed, emphasizing bone density scanning based on 10-year fracture risk and Z-score for treatment indication in postmenopausal women.

Conclusions:

• The 2024 PAPPS update offers crucial guidance for primary care providers to enhance preventive services for women.
• Emphasis is placed on informed decision-making regarding contraception, proactive pregnancy care, and evidence-based management of menopause and osteoporosis.