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. Keep in mind that screening recommendations vary among expert groups. Talk with your healthcare provider about which tests are best for you and 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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Unhealthy alcohol use
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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; 1 time for those born between 1945 and 1965
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At routine exams; talk with your healthcare provider.
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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; talk with your healthcare provider about your risk
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HIV
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All males up to age 64 and men at increased risk.
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At least once up to age 64 at routine exams; talk with your healthcare provider if you are at risk
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Lung cancer
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Men between the ages of 55 to 74 who in fairly good health and are at higher risk for lung cancer
a Eligibility criteria and age limit (possibly up to age 80) may vary across major organizations
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Yearly lung cancer screening with a low-dose CT scan (LDCT); talk with your healthcare provider
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Obesity
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All men in this age group
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At yearly routine exams
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BMI (body mass index)
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All men in this age group
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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 50, talk with your healthcare provider about risks and benefits of testing with digital rectal exam (DRE) and prostate-specific antigen (PSA) screening
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At routine exams if you decide to be tested.
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Syphilis
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Men at increased risk for infection
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At routine exams; talk with your healthcare provider
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Tuberculosis
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Men at increased risk for infection
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Talk with your healthcare provider
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Vision
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All men in this age group
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Talk with your healthcare provider
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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
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2 or 3 doses (depending on the vaccine) given at least 6 months apart; talk with your healthcare provider
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Hepatitis B
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Men at increased risk for infection
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2 or 3 doses (depending on the vaccine) second dose should be given 1 month after the first dose; if a third dose , it should be given at least 2 months after the second dose and at least 4 months after the first dose; talk with your healthcare provider
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Haemophilus influenzae Type B (HIB)
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Men at increased risk for infection
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1 or 3 doses; talk with your healthcare provider
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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 born in 1957 or later who have no record of these infections or vaccines
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1 or 2 doses; talk with your healthcare provider
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Meningococcal ACWY (MenACWY)
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Men at increased risk for infection
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1 or 2 doses depending on your case. Then a booster every 5 years if you are still at risk. Talk with your healthcare provider.
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Meningococcal B (MenB)
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Men at increased risk for infection
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2 or 3 doses, depending on the vaccine and your case; talk 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
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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, (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 (Shingles)
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All men in this age group
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2 vaccines are available:
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Recombinant zoster vaccine (RZV; Shigrix) is recommended as the preferred shingles vaccine. It is given in a series of 2 doses. The 2nd dose is given 2 to 6 months after the first. This is given even if you've had shingles before or had a previous Zoster live vaccine (ZVL; Zostavax)
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Zoster live vaccine (ZVL; Zostavax) may be given to healthy adults over age 60. It's given in one 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
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At routine exams; talk with your healthcare provider
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Use of daily aspirin
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Men ages 50 years and up in this age group who are at high risk for cardiovascular health problems and not at increased risk for bleeding as identified by their healthcare provider y
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At routine exams; talk with your healthcare provider
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Use of statins
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Men between the ages of 40 and 75 years who have ; men
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An LDL-C level of more than 70 mg/dL but less than 190 mg/dL, no diabetes and borderline to high level of risk
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An LDL-C level of 190 mg/dL or greater
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A diagnosis of diabetes and LDL-C level of greater than 70mg/dL
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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. Talk with your healthcare provider about your risk .
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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 exam
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