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Health screening - men - age 40 to 64

All adults should visit their health care provider regularly, even if they feel healthy. The purpose of these visits is to:

  • Screen for diseases
  • Assess risk of future medical problems
  • Help develop a healthy lifestyle
  • Update vaccinations
  • Get to know your doctor in case of an illness

Alternative Names

Health maintenance visit - men - age 40 to 64; Physical exam - men - age 40 to 64; Yearly exam - men - age 40 to 64; Checkup - men - age 40 to 64; Men's health - age 40 to 64

Information

Even if you feel fine, you should still see your health care provider for regular checkups. These visits can 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 levels also may not have any symptoms in the early stages.

There are certain times when you should see your health care provider.

BLOOD PRESSURE

  • Have your blood pressure checked every 2 years unless it is 120-139/80-89 Hg or higher. Then have it checked every year.
  • Watch for blood pressure screenings in your area. Ask your health care provider if you can stop into the office to have your blood pressure checked. Check your blood pressure using the machines at local grocery stores and drug stores.
  • Call your doctor if the top number (systolic number) is greater than 130 or the bottom number (diastolic number) is greater than 85.
  • If you have diabetes, heart disease, kidney problems, or certain other conditions, you may need to be checked more often.
Effects of age on blood pressure

CHOLESTEROL AND HEART DISEASE

  • Men 35 or older should be checked every 5 years.
  • Start screenings at age 20 If you have risk factors for heart disease, such as diabetes.
  • If you have diabetes, heart disease, kidney problems, or certain other conditions, you may need to checked more often.
  • Some men should consider taking aspirin to prevent heart attacks.

COLON CANCER

  • People from age 50 to 75 should be screened for colorectal cancer.
  • A stool occult blood test done every year.
  • Flexible sigmoidoscopy every 5 years.
  • Colonoscopy every 10 years.
  • People with risk factors for colon cancer, such as ulcerative colitis, a family history of colorectal cancer, or a family history of large colorectal adenomas may need a colonoscopy more often.

DENTAL EXAM

  • Go to the dentist every year for an exam and cleaning.

EYE EXAM

  • Have an eye exam every 2 years if you have vision problems.
  • The benefit of screening for glaucoma is unclear.

IMMUNIZATIONS

  • After age 19, you should have a tetanus-diphtheria and acellular pertussis (Tdap) vaccine once as part of your tetanus-diphtheria vaccines. You should have a tetanus-diphtheria booster every 10 years.
  • You should get a flu shot each year.
  • Your doctor may recommend other immunizations if you have certain medical conditions, such as diabetes.
  • You may get a shingles or herpes zoster vaccination after age 60.

INFECTIOUS DISEASES

  • You may need to be screened for infections such as syphilis, chlamydia, and other infections. Screening will depend on your lifestyle and medical history.
  • The U.S. Preventive Services Task Force recommends screening all adults up to age 65 for HIV infection unless the prevalence is known to be less than 1 in 1000 people.

OSTEOPOROSIS

  • Men ages 50 to 70 with risk factors for osteoporosis should check with their doctor about screening.
Osteoporosis

PREVENTIVE HEALTH VISITS

  • You should have these screenings every 2 years until age 50.
  • Have yearly screenings after age 50.
  • Your weight and height will be checked.
  • You will be screened for alcohol and tobacco use and for depression.
  • You will go over your medicines and risk of interactions.

PROSTATE CANCER

  • Most men age 50 or older should talk to their doctor about prostate cancer screening.
  • African American men and those with a family history of prostate cancer should talk to their doctors about screening at age 45.
  • If screening is done, a PSA test is the best method.
Indications

References

Atkins D, Barton M. The periodic health examination. In: Goldman L, Schafer AI, eds. Goldman's Cecil Medicine. 24th ed. Philadelphia, PA: Saunders Elsevier; 2011:chap 14.

Centers for Disease Control and Prevention. Advisory Committee on Immunization Practices (ACIP) recommended immunization schedule for adults aged 19 and olderĀ - United States, 2013. MMWR supplement 2013;62(1):9-19. Accessed May 12, 2013.

Greenland P, Alpert JS, Beller GA, et al. 2010 ACCF/AHA guideline for assessment of cardiovascular risk in asymptomatic adults: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Circulation. 2010;122(25):e584-e636.

U.S. Preventive Services Task Force. Recommendations for adults. Rockville, MD: Agency for Healthcare Research and Quality; 2013. Accessed May 12, 2013.

Rex DK, Johnson DA, Anderson JC, Schoenfeld PS, Burke CA, Inadomi JM; American College of Gastroenterology. American College of Gastroenterology guidelines for colorectal cancer screening 2009 [corrected]. Am J Gastroenterol. 2009;104:739-750.

Lieberman DA. Clinical practice. Screening for colorectal cancer. N Engl J Med. 2009;361:1179-1187.

Burt RW, Barthel JS, Dunn KB, et al. NCCN clinical practice guidelines in oncology. Colorectal cancer screening. J Natl Compr Canc Netw. 2010 Jan;8(1):8-61.

Basch E, Oliver TK, Vickers A, et al. Screening for prostate cancer with prostate-specific antigen testing: American Society of Clinical Oncology provisional clinical opinion. J Clin Oncol. 2012 Aug 20;30(24):3020-5. Epub 2012 Jul 16.

Chou R, Croswell JM, Dana T,et al. Screening for prostate cancer: a review of the evidence for the U.S. Preventive Services Task Force. Ann Intern Med. 2011 Dec 6;155(11):762-71. Epub2011 Oct 7.

Wolf AM, Wender RC, Etzioni RB, et al. American Cancer Society guideline for the early detection of prostate cancer: update 2010. CA Cancer J Clin. 2010;60:70-98.

National Osteoporosis Foundation. Clinician's Guide to Prevention and Treatment of Osteoporosis. Washington, DC: National Osteoporosis Foundation; 2010.

Updated: 5/13/2013

David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine, Seattle, WA. Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, Bethanne Black, Stephanie Slon, and Nissi Wang.


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