Informational guide covering gender-specific preventive screening schedules, common health concerns by life decade, hormonal health basics, reproductive health awareness, bone health, and cardiovascular health differences.
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Disclaimer: This skill provides general wellness and health information for educational purposes only. It does NOT constitute medical advice, diagnosis, or treatment recommendations. The information provided is not a substitute for professional medical judgment. Always consult a qualified healthcare professional before making decisions about your health, starting a new fitness program, or changing your diet. If you are experiencing a medical emergency, contact emergency services immediately.
What is the Gender-Specific Health Awareness skill?+
Informational guide covering gender-specific preventive screening schedules, common health concerns by life decade, hormonal health basics, reproductive health awareness, bone health, and cardiovascular health differences.
How much does it cost?+
Nothing. It ships with Murage, which is open source. Your bots run on the AI plan you already have.
Can I change it?+
Yes. Open it in Settings → Skills to read, edit or duplicate it. Skill Guard scans it again after every edit.
Give your first job to Murage.
Download the app, connect the AI you already pay for, and tell your Chief of Staff what needs doing. Plan on about ten minutes from install to a working team.
Individual health needs vary based on personal and family medical history, genetics, lifestyle, and other factors. Your doctor knows your health history and is the best source of personalized guidance.
When to Use
Use this skill when:
User asks about womens mens health
User needs guidance on womens mens health topics
User wants a structured approach to womens mens health
Do NOT use when:
Request requires professional consultation beyond educational guidance
User needs emergency assistance
Questions to Ask the User First
HEALTH AWARENESS ASSESSMENT
==============================
1. GENERAL INFORMATION:
- Age range: [ ] 18-29 [ ] 30-39 [ ] 40-49 [ ] 50-59 [ ] 60-69 [ ] 70+
- Biological sex: [ ] Female [ ] Male [ ] Intersex
- Gender identity: ___
2. WHAT INFORMATION ARE YOU LOOKING FOR?
[ ] Age-appropriate screening recommendations
[ ] Understanding specific health concerns
[ ] Hormonal health information
[ ] Reproductive health basics
[ ] Bone health
[ ] Heart health
[ ] General preventive care awareness
[ ] Health concerns by decade of life
3. FAMILY HISTORY (affects screening recommendations):
[ ] Heart disease (first-degree relative before age 55M/65F)
[ ] Cancer (type: ___)
[ ] Diabetes
[ ] Osteoporosis
[ ] Autoimmune conditions
[ ] Mental health conditions
[ ] Other: ___
4. CURRENT HEALTH STATUS:
- Under care of a primary doctor: [ ] Yes [ ] No
- Last routine physical exam: ___
- Current medications or conditions: ___
- Up to date on vaccinations: [ ] Yes [ ] No [ ] Unsure
NOTE: If user does not have a primary care provider,
encourage them to establish care. Provide guidance on
finding a provider (insurance network, community health
centers, telehealth options).
Preventive Screening Schedules
Women's Screening Schedule (General Guidelines)
These are general recommendations based on USPSTF, ACS, and ACOG guidelines. Your doctor may recommend a different schedule based on your individual risk factors.
WOMEN'S PREVENTIVE SCREENING GUIDE
======================================
AGE 18-29:
[ ] Annual well-woman visit
[ ] Blood pressure: At least every 2 years
[ ] Cervical cancer screening (Pap smear): Starting at age 21, every 3 years
[ ] STI screening: As recommended by your provider
[ ] Skin check: Annual self-exam, provider exam as recommended
[ ] Dental exam: Every 6-12 months
[ ] Eye exam: Every 2 years (annually if wearing corrective lenses)
[ ] Mental health screening: Discuss with provider
AGE 30-39:
[ ] All of the above, plus:
[ ] Cervical cancer: Pap every 3 years OR Pap + HPV co-test every 5 years
[ ] Diabetes screening: Every 3 years if BMI 25+ or risk factors
[ ] Cholesterol screening: Discuss with provider based on risk
[ ] Thyroid function: If symptomatic or risk factors
AGE 40-49:
[ ] All of the above, plus:
[ ] Mammogram: Discuss with provider; many recommend starting at 40 annually
(ACS recommends annual from 45; USPSTF says shared decision at 40-49)
[ ] Diabetes screening: Every 3 years starting at 45 (or earlier if risk factors)
[ ] Cholesterol: Every 5 years (more often if abnormal)
[ ] Blood pressure: At least annually
AGE 50-64:
[ ] All of the above, plus:
[ ] Mammogram: Every 1-2 years (per provider recommendation)
[ ] Colorectal cancer screening: Starting at 45-50
(Colonoscopy every 10 years, or other options per provider)
[ ] Bone density (DEXA): At 65, or earlier if risk factors
[ ] Lung cancer screening: Discuss if smoking history (20+ pack-years)
AGE 65+:
[ ] All of the above, plus:
[ ] Bone density (DEXA): At 65, then per provider recommendation
[ ] Colorectal cancer: Continue until 75 (discuss with provider after 75)
[ ] Cervical cancer: May stop at 65 if adequate prior screening
[ ] Fall risk assessment
[ ] Cognitive screening: As recommended
[ ] Hearing and vision screening: Annually
Note: Family history of cancer may require earlier or more frequent screening.
Discuss your specific family history with your provider.
Men's Screening Schedule (General Guidelines)
MEN'S PREVENTIVE SCREENING GUIDE
====================================
AGE 18-29:
[ ] Annual physical exam (or at least every 2-3 years)
[ ] Blood pressure: At least every 2 years
[ ] Testicular self-exam: Monthly awareness (discuss with provider)
[ ] STI screening: As recommended by your provider
[ ] Skin check: Annual self-exam
[ ] Dental exam: Every 6-12 months
[ ] Eye exam: Every 2 years
[ ] Mental health screening: Discuss with provider
AGE 30-39:
[ ] All of the above, plus:
[ ] Diabetes screening: Every 3 years if BMI 25+ or risk factors
[ ] Cholesterol: Every 5 years (or as provider recommends)
[ ] Blood pressure: At least every 2 years
AGE 40-49:
[ ] All of the above, plus:
[ ] Diabetes screening: Every 3 years starting at 45
[ ] Cholesterol: Every 5 years (more often if abnormal)
[ ] Blood pressure: Annually
[ ] Heart disease risk assessment
[ ] Colorectal cancer screening: Starting at 45
(Colonoscopy every 10 years, or other options per provider)
AGE 50-64:
[ ] All of the above, plus:
[ ] Prostate cancer screening: Discuss PSA test with provider
(Shared decision-making; not universally recommended)
[ ] Colorectal cancer: Continue per schedule
[ ] Abdominal aortic aneurysm: One-time ultrasound if 65-75
with smoking history
[ ] Lung cancer screening: If 50-80 with 20+ pack-year smoking history
AGE 65+:
[ ] All of the above, plus:
[ ] Abdominal aortic aneurysm: One-time screening if not done
[ ] Bone density: Discuss with provider (less routine than for women)
[ ] Fall risk assessment
[ ] Cognitive screening: As recommended
[ ] Hearing and vision screening: Annually
Note: Family history significantly affects screening recommendations.
Always discuss your family history with your healthcare provider.
MENSTRUAL CYCLE PHASES (average 28-day cycle)
================================================
Days 1-5: MENSTRUATION - Uterine lining sheds
Days 1-13: FOLLICULAR PHASE - Follicles develop; estrogen rises
Day 14 (avg): OVULATION - Egg released; peak fertility
Days 15-28: LUTEAL PHASE - Progesterone rises; PMS may occur
Normal cycle length: 21-35 days
Consult a doctor if: cycles are consistently irregular, very heavy,
extremely painful, or absent (when not pregnant)
Perimenopause and Menopause:
Perimenopause: Transition period, can last 4-8 years (typically starts in 40s)
Menopause: Defined as 12 consecutive months without a period (average age 51)
Post-menopause: After menopause; increased risk for osteoporosis and heart disease
Common symptoms: hot flashes, sleep disruption, mood changes, vaginal dryness
Management: Discuss options with your doctor (HRT, lifestyle changes, other treatments)
Men's Hormonal Health
Key Hormones:
Hormone
Primary Functions
Symptoms of Low Levels
Testosterone
Muscle mass, bone density, libido, mood, energy
Fatigue, decreased libido, muscle loss, mood changes, fat gain
DHEA
Precursor to sex hormones, immune function
Fatigue, depression, decreased immunity
Thyroid (T3/T4)
Metabolism, energy, temperature
Weight changes, fatigue, cold intolerance
Cortisol
Stress response, metabolism, immune function
Fatigue (low), weight gain and anxiety (high)
Testosterone and Aging:
Testosterone levels peak in late teens/early 20s
Gradual decline of approximately 1-2% per year after age 30
"Andropause" or "late-onset hypogonadism" is more gradual than menopause
HPV vaccination: Recommended through age 26 (available through 45 by shared decision)
Breast awareness: Know what is normal for you; report changes to your doctor
Men's Reproductive Health
Testicular awareness: Know what is normal; report changes, lumps, or pain
Prostate health: Discuss screening timeline with your doctor
Fertility: Generally maintained longer than in women, but quality declines with age
Erectile health: Can be an early indicator of cardiovascular disease; discuss with doctor
HPV vaccination: Recommended through age 26 (available through 45 by shared decision)
STI prevention: Regular screening if sexually active with new or multiple partners
Bone Health
Risk Factors for Osteoporosis
Higher Risk:
Factor
Women
Men
Sex
Higher risk overall
Lower but still significant
Age
Risk increases after menopause
Risk increases after 70
Family history
Strong predictor
Strong predictor
Body frame
Small/thin frame higher risk
Small/thin frame higher risk
Ethnicity
White and Asian women highest risk
White and Asian men highest risk
Hormones
Low estrogen/early menopause
Low testosterone
Lifestyle
Sedentary, smoking, excess alcohol
Sedentary, smoking, excess alcohol
Medications
Corticosteroids, some others
Corticosteroids, some others
Bone Health Protection Strategies
BONE HEALTH CHECKLIST
=======================
NUTRITION:
[ ] Calcium: 1000-1200 mg/day (food first, supplement if needed)
Sources: dairy, fortified foods, leafy greens, sardines
[ ] Vitamin D: 600-800 IU/day (1000-2000 IU commonly recommended)
Sources: sunlight, fatty fish, fortified foods, supplements
[ ] Adequate protein: supports bone structure
[ ] Limit excess sodium: can increase calcium loss
[ ] Limit excess caffeine: more than 3 cups/day may affect absorption
[ ] Limit alcohol: more than 2 drinks/day increases fracture risk
EXERCISE (critical for bone density):
[ ] Weight-bearing: walking, jogging, dancing, stair climbing
[ ] Resistance training: weights, bands, body weight exercises
[ ] Balance exercises: reduce fall risk
[ ] Aim for 30+ minutes most days
LIFESTYLE:
[ ] Don't smoke (or quit if you do)
[ ] Limit alcohol
[ ] Fall prevention at home (remove tripping hazards, good lighting)
[ ] Regular bone density screening as recommended by doctor
Heart Health Differences
Key Differences Between Women and Men
Factor
Women
Men
Age of onset
Typically 10 years later than men
Earlier onset (risk rises after 45)
Symptoms of heart attack
May be "atypical" - fatigue, nausea, back/jaw pain, shortness of breath
More often "classic" - chest pain/pressure, left arm pain
Risk factors
All standard risks + pregnancy complications, autoimmune diseases, menopause
All standard risks + earlier family history threshold
Awareness
Women's heart disease often underdiagnosed
Generally better recognized
Leading cause of death
#1 for women (kills more women than all cancers combined)
#1 for men
Heart Attack Warning Signs
HEART ATTACK SIGNS - CALL 911 IMMEDIATELY
============================================
COMMON IN BOTH:
- Chest pain, pressure, squeezing, or fullness
- Pain radiating to arm, back, neck, or jaw
- Shortness of breath
- Cold sweat
- Nausea
- Lightheadedness
MORE COMMON IN WOMEN (may occur WITHOUT chest pain):
- Unusual fatigue (can start days before)
- Back or jaw pain
- Pressure or pain in lower chest or upper abdomen
- Nausea or vomiting
- Shortness of breath
- Dizziness
DO NOT wait to see if symptoms go away.
DO NOT drive yourself to the hospital.
CALL 911 immediately.
Modifiable Risk Factors for Heart Disease
HEART HEALTH RISK ASSESSMENT
===============================
Rate your current status for each modifiable risk factor:
| Good | Needs Work | Concern
Blood pressure | [ ] | [ ] | [ ]
(Target: < 120/80)
Cholesterol | [ ] | [ ] | [ ]
(Get tested; know numbers)
Blood sugar | [ ] | [ ] | [ ]
(Fasting < 100 mg/dL)
Physical activity | [ ] | [ ] | [ ]
(150+ min/week moderate)
Diet quality | [ ] | [ ] | [ ]
(Fruits, vegetables, whole grains, lean protein)
Weight | [ ] | [ ] | [ ]
(BMI 18.5-24.9 or healthy waist circumference)
Smoking status | [ ] | [ ] | [ ]
(Non-smoker is the goal)
Stress management | [ ] | [ ] | [ ]
(Active coping strategies)
Alcohol consumption | [ ] | [ ] | [ ]
(Moderate or less)
Sleep quality | [ ] | [ ] | [ ]
(7-9 hours, good quality)
Top 3 areas to improve:
1. _______________
2. _______________
3. _______________
Discuss these with your healthcare provider at your next visit.
Encouraging Preventive Care
Common Barriers and Solutions
Barrier
Solution
"I feel fine, why see a doctor?"
Many conditions have no symptoms until advanced. Screening catches them early when most treatable.
"I can't afford it"
Community health centers offer sliding-scale fees. Many screenings are covered by insurance with no copay under the ACA.
"I don't have time"
Schedule annual exams like any other important appointment. Many screenings take under 30 minutes.
"I'm scared of what they'll find"
Early detection saves lives. Not knowing doesn't protect you.
"I don't have a doctor"
Start with a community health center, or ask your insurance for in-network providers. Telehealth is also an option.
"Men don't need to go to the doctor"
Men die younger on average partly due to underutilization of healthcare. Regular checkups are a strength, not a weakness.
Building a Preventive Health Routine
MY PREVENTIVE HEALTH PLAN
============================
Primary care provider: _______________ Phone: ___
Last checkup: ___________ Next due: ___________
Screenings due this year:
[ ] _______________ Date scheduled: ___
[ ] _______________ Date scheduled: ___
[ ] _______________ Date scheduled: ___
Vaccinations due:
[ ] Flu shot (annual)
[ ] Other: _______________
Daily health habits:
[ ] Physical activity: ___
[ ] Nutrition focus: ___
[ ] Sleep: ___
[ ] Stress management: ___
Questions for my next doctor visit:
1. _______________________________________________
2. _______________________________________________
3. _______________________________________________
Output Format
WOMENS MENS HEALTH OUTPUT
=========================
Section 1: Assessment / Analysis
- Key findings
- Recommendations
Section 2: Action Plan
- Step-by-step guidance
- Timeline if applicable
Section 3: Resources
- Relevant references
- Next steps
Example
Input: "Help me get started with womens mens health"
Output: A structured womens mens health plan tailored to the user's specific situation, following the process outlined above.
Edge Cases
Incomplete information: Ask clarifying questions before proceeding. Do not assume details the user has not provided.
Out of scope requests: Redirect to appropriate professional resources when the request exceeds educational guidance.
Conflicting requirements: Present trade-offs clearly and let the user decide priorities.