Health screenings for men ages 40 to 64
You should visit your health care provider regularly, even if you feel healthy. The purpose of these visits is to:
- Screen for medical issues
- Assess your risk for future medical problems
- Encourage a healthy lifestyle
- Update vaccinations
- Help you get to know your provider in case of an illness
Screening Tests for Men Quiz
Health screening tests can find which health problems early?
The correct answer is all of the above. A health screen is a type of test that checks for health problems before any symptoms occur. It can find many health problems early, when they may be easier to treat. Even if you feel fine, you should see your health care provider regularly to learn about these tests.
Men under age 65 should have their blood pressure checked at least:
The correct answer is every 2 years. If your blood pressure has been 120/80 or higher, or you are age 65 or older, have it checked every year. You may need blood pressure checks more often if you have diabetes, heart disease, or other health problems. Ask your doctor how often you should have your blood pressure tested.
Starting at age 35, men should have a cholesterol test every:
The correct answer is every 5 years. If you have diabetes or other risk factors for heart disease, you should start having your cholesterol tested at age 20. If the test shows that you have high cholesterol, your doctor can help you make healthy changes to bring those numbers down.
Starting at age 50, men should have screening for colon cancer:
The correct answer is true. There are several ways to screen for colon cancer including tests of your stool and tests that examine the inside of your colon. You may need this test earlier or more often if you have risk factors for colorectal cancer. After age 75, talk with your doctor about the benefits of having these tests.
Only women need to be screened for osteoporosis.
The correct answer is false. Osteoporosis occurs when bones become fragile and can break easily. It's more common in women, but men can get it too. In some men, low testosterone leads to a loss of bone. All men over age 65 should discuss bone density screening with their doctor.
Those who should consider being tested for type 2 diabetes include:
The correct answer is any of the above. Your doctor can test you for type 2 diabetes by checking your blood sugar level. You should have the test every three years if you are over 45. Your doctor may start sooner if you are overweight. Ask your doctor if you should have your blood sugar tested.
You may need a hearing test if you have:
The correct answer is any of the above. All of these can be signs of hearing loss due to aging. If you notice that you don't hear as well, or have trouble understanding what people say, ask your doctor about scheduling a hearing test.
All men over age 50 should have prostate cancer screenings.
The correct answer is false. Not all experts agree about the value of using a PSA or other tests to screen for prostate cancer. Talk to your doctor about whether you should have a PSA test. If you are African-American or have a family history of prostate cancer, talk to your doctor about the risks and benefits of PSA tests starting at age 45.
Men ages 65-75 who have smoked may need another test:
The correct answer is true. Men ages 65-75 who have a history of smoking may need to be tested for an abdominal aortic aneurysm. This occurs when the vessel that supplies blood to the abdomen, pelvis, and legs becomes swollen. An ultrasound can spot the vessel that may be in danger of bursting.
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Even if you feel fine, you should still see your provider for regular checkups. These visits can help you avoid problems in the future. For example, the only way to find out if you have high blood pressure is to have it checked regularly. High blood sugar and high cholesterol level also may not have any symptoms in the early stages. Simple blood tests can check for these conditions.
There are specific times when you should see your provider. Below are screening guidelines for men ages 40 to 64.
BLOOD PRESSURE SCREENING
- Have your blood pressure checked at least once every 2 years. If the top number (systolic number) is from 120 to 139 mm Hg, or the bottom number (diastolic number) is from 80 to 89 mm Hg, you should have it checked every year.
- If the top number is 130 or greater or the bottom number is 80 or greater, schedule an appointment with your provider to learn how you can reduce your blood pressure.
- If you have diabetes, heart disease, kidney problems, or certain other conditions, you may need to have your blood pressure checked more often, but still at least once a year.
- Watch for blood pressure screenings in your area. Ask your provider if you can stop in to have your blood pressure checked.
CHOLESTEROL SCREENING AND HEART DISEASE PREVENTION
- Recommended starting age for cholesterol screening is age 35 for men with no known risk factors for coronary heart disease.
- Once cholesterol screening has started, your cholesterol should be checked every 5 years.
- Repeat testing sooner than needed if changes occur in lifestyle (including weight gain and diet).
- If you have a high cholesterol level, diabetes, heart disease, kidney problems, or certain other conditions, you may need to be checked more often.
COLORECTAL CANCER SCREENING
If you are under age 50, talk to your provider about getting screened. You should be screened if you have a strong family history of colon cancer or polyps. Screening may also be considered if you have risk factors such as a history of inflammatory bowel disease or polyps.
If you are age 50 to 75, you should be screened for colorectal cancer. There are several screening tests available:
- A fecal occult blood (stool-based) test done every year
- A fecal immunochemical test (FIT) every year
- A stool DNA test every 3 years
- Flexible sigmoidoscopy every 5 years
- Double contrast barium enema every 5 years
- CT colonography (virtual colonoscopy) every 5 years
- Colonoscopy every 10 years
You may need a colonoscopy more often if you have risk factors for colorectal cancer, such as:
- Ulcerative colitis
- A personal or family history of colorectal cancer
- A history of growths called adenomatous polyps
- Go to the dentist once or twice every year for an exam and cleaning. Your dentist will evaluate if you have a need for more frequent visits.
- If you are over age 44, you should be screened every 3 years.
- Having a BMI over 25 means that you are overweight. If you are overweight, ask your provider if you should be screened at a younger age. Asian Americans should be screened if their BMI is greater than 23.
- If your blood pressure is above 130/80 mm Hg, or you have other risk factors for diabetes, your provider may test your blood sugar level for diabetes.
- Have an eye exam every 2 to 4 years ages 40 to 54 and every 1 to 3 years ages 55 to 64. Your provider may recommend more frequent eye exams if you have vision problems or glaucoma risk.
- Have an eye exam at least every year if you have diabetes.
- You should get a flu shot every year.
- Ask your provider if you should get a vaccine to reduce your risk of pneumococcal infection (causes a type of pneumonia).
- You should have a tetanus-diphtheria and acellular pertussis (Tap) vaccine once as part of your tetanus-diphtheria vaccines if you did not receive it previously as an adolescent. You should have a tetanus-diphtheria booster every 10 years.
- You may get a shingles or herpes zoster vaccination at or after age 50.
- Your provider may recommend other immunizations if you are at high risk for certain conditions.
INFECTIOUS DISEASE SCREENING
- The US Preventive Services Task Force recommends screening for hepatitis C.
- Depending on your lifestyle and medical history, you may need to be screened for infections such as syphilis, chlamydia, and HIV, as well as other infections.
LUNG CANCER SCREENING
You should have an annual screening for lung cancer with low-dose computed tomography (LDCT) if:
- You are over age 55 AND
- You have a 30 pack-year smoking history AND
- You currently smoke or have quit within the past 15 years
- If you are age 50 to 70 and have risk factors for osteoporosis, you should discuss screening with your provider.
- Risk factors can include long-term steroid use, low body weight, smoking, heavy alcohol use, having a fracture after age 50, or a family history of osteoporosis.
- Your blood pressure should be checked at least every year.
- Your provider may recommend checking your cholesterol every 5 years if you have risk factors for coronary heart disease.
- Your height, weight, and body mass index (BMI) should be checked at every exam.
During your exam, your provider may ask you about:
- Diet and exercise
- Alcohol and tobacco use
- Safety, such as use of seat belts and smoke detectors
PROSTATE CANCER SCREENING
If you're 55 through 69 years old, before having the test, talk to your provider about the pros and cons of having a PSA test. Ask about:
Whether screening decreases your chance of dying from prostate cancer.
- Whether there is any harm from prostate cancer screening, such as side effects from testing or overtreatment of cancer when discovered.
- Whether you have a higher risk of prostate cancer than others.
If you are age 55 or younger, screening is not generally recommended. You should talk with your provider about if you have a higher risk for prostate cancer. Risk factors include:
- Having a family history of prostate cancer (especially a brother or father)
- Being African American
- If you choose to be tested, the PSA blood test is repeated over time (yearly or less often), though the best frequency is not known.
- Prostate examinations are no longer routinely done on men with no symptoms.
- Your provider may check your skin for signs of skin cancer, especially if you're at high risk. People at high risk include those who have had skin cancer before, have close relatives with skin cancer, or have a weakened immune system.
- The US Preventive Services Task Force (USPSTF) now recommends against performing testicular self-exams. Doing testicular self-exams has been shown to have little to no benefit.
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