Screening tests and vaccines are an important part of managing your health. A screening test is done to find diseases in people who don't have any symptoms. The goal is to find a disease early so lifestyle changes and checkups can reduce the risk of disease. Or the goal may be to detect it early to treat it most effectively. Screening tests are not used to diagnose a disease. But they are used to see if more testing is needed. Health counseling is important, too. Below are guidelines for these, for men ages 50 to 64. Talk with your healthcare provider to make sure you’re up-to-date on what you need.
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Screening
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Who needs it
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How often
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Alcohol misuse
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All men in this age group
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At routine exams
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Blood pressure
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All men in this age group
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Yearly checkup if your blood pressure is normal
Normal blood pressure is less than 120/80 mm Hg
If your blood pressure reading is higher than normal, follow the advice of your healthcare provider
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Colorectal cancer
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All men at average risk in this age group
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Multiple tests are available and are used at different times. Possible tests include:
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Flexible sigmoidoscopy every 5 years, or
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Colonoscopy every 10 years, or
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CT colonography (virtual colonoscopy) every 5 years, or
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Yearly fecal occult blood test, or
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Yearly fecal immunochemical test every year, or
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Stool DNA test, every 3 years
If you choose a test other than a colonoscopy and have an abnormal test result, you will need to follow-up with a colonoscopy. Screening recommendations advice vary varies among expert groups. Talk with your healthcare provider about which tests are best for you.
Some people should be screened using a different schedule because of their personal or family health history. Talk with your healthcare provider about your health history.
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Depression
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All men in this age group
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At routine exams
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Type 2 diabetes or prediabetes
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All men beginning at age 45 and men without symptoms at any age who are overweight or obese and have 1 or more other risk factors for diabetes
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At least every 3 years (yearly if your blood sugar has already begun to rise)
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Type 2 diabetes
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All men with prediabetes
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Every year
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Hepatitis C
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Men at increased risk for infection – talk with your healthcare provider
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At routine exams. All men ages 50 to 70 should be tested at least once for hepatitis C.
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High cholesterol or triglycerides
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All men in this age group
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At least every 5 years
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HIV
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All males ages 15 to 65 and younger or older men at increased risk. Talk with your healthcare provider
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At routine exams
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Lung cancer
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Adults age 55 to 74 who in fairly good health and are at higher risk for lung cancer defined as current smokers or persons who have quit within past 15 years, and have a 30-pack-year smoking history (Eligibility criteria may vary across major organizations; Age limit may extend to age 80.)
Talk with your healthcare provider for more information.
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Yearly lung cancer screening with a low-dose CT scan(LDCT)
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Obesity
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All men in this age group
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At routine exams
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BMI (body mass index)
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All men in this age group3
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Every year, to help find out if you are at a healthy weight for your height
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Prostate cancer
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Starting at age 45, talk to healthcare provider about risks and benefits of digital rectal exam (DRE) and prostate-specific antigen (PSA) screening1
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At routine exams
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Syphilis
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Men at increased risk for infection – talk with your healthcare provider
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At routine exams
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Tuberculosis
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Men at increased risk for infection – talk with your healthcare provider
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Ask your healthcare provider
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Vision
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All men in this age group (2)
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Ask your healthcare provider if you need glaucoma screening with a dilated eye exam every 2 years(2).
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Vaccine
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Who needs it
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How often
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Chickenpox (varicella)
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All men in this age group who have no record of this infection or vaccine
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2 doses; second dose should be given at least 4 weeks after the first dose
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Hepatitis A
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Men at increased risk for infection – talk with your healthcare provider
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2 or 3 doses (depending on the vaccine) given at least 6 months apart; check with your healthcare provider
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Hepatitis B
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Men at increased risk for infection – talk with your healthcare provider
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2 or 3 doses (depending on the vaccine) over 6 months;check with your healthcare provider. The second dose should be given 1 month after the first dose; the third dose should be given at least 2 months after the second dose and at least 4 months after the first dose.
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Haemophilus influenzae Type B (HIB)
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Men at increased risk for infection – talk with your healthcare provider
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1 to 3 doses
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Influenza (flu)
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All men in this age group
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Once a year
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Measles, mumps, rubella (MMR)
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Men in this age group through their late 50s who have no record of these infections or vaccines
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1 or 2 doses; ask your healthcare provider
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Meningococcal ACWY (MenACWY)
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Men at increased risk for infection – talk with your healthcare provider
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1 or more doses depending on your case. Then a booster every 5 years if you are still at risk. Check with your healthcare provider.
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Meningococcal B (MenB)
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Men at increased risk for infection - talk with your healthcare provider
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2 or more doses, depending on the vaccine and your case; check with your healthcare provider
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Pneumococcal conjugate vaccine (PCV13) and pneumococcal polysaccharide vaccine (PPSV23)
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Men at increased risk for infection – talk with your healthcare provider
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PCV13: 1 dose ages 19 to 65 (protects against 13 types of pneumococcal bacteria)
PPSV23: 1 to 2 doses through age 64, or 1 dose at 65 or older (protects against 23 types of pneumococcal bacteria)
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Tetanus/diphtheria/pertussis (Td/Tdap) booster
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All men in this age group
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Td every 10 years, or a 1-time dose of Tdap instead of a Td booster after age 18, then Td every 10 years
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Zoster recombinant (RZV)
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All men ages 50 and older
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2 doses given 2 to 6 months apart
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Zoster live (ZVL)
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All men ages 60 and older
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1 dose
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Counseling
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Who needs it
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How often
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Diet and exercise
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Men who are overweight or obese
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When diagnosed, and then at routine exams
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Sexually transmitted infection prevention
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Men at increased risk for infection – talk with your healthcare provider
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At routine exams
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Daily low-dose aspirin
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Men ages 40 to 70 years who are not at increased risk of bleeding and are at high risk of cardiovascular disease 4; talk with your healthcare provider
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At routine exams
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Use of statins
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Men ages 20 to 75 years who have an LDL-C level of more than 190 mg/dL (4)
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At routine exams, or more often as directed by your healthcare provider. Statin dosages may vary based on your overall health, risk factors, and other health conditions such as diabetes. Check with your healthcare provider. (4)
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Use of tobacco and the health effects it can cause
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All men in this age group
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Every visit
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