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Men's Health (cont.)

Health Screening Tests for Men Ages 40-64

For men aged 40–64, the NIH recommends those tests listed for men aged 18–39 listed above with the following changes or additions:

Colon Cancer Screening

Colon cancer screening: People between ages 50 and 75 should be screened for colorectal cancer. African-Americans should consider starting screening at age 45. This may involve:

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

Immunizations

  • Men should receive a flu vaccine every year.
  • Doctor may recommend other vaccinations for men that have certain medical conditions, such as diabetes.
  • Men should have a tetanus-diphtheria booster vaccination every 10 years. If you have not received a tetanus-diphtheria and acellular pertussis (Tdap) vaccine as one of your tetanus-diphtheria vaccines, you should have it once.
  • Men may get a shingles or herpes zoster vaccination once after age 60. (Some doctors recommend a pneumococcal vaccine at age 60)

Osteoporosis Screening

  • All men ages 50 to 70 with risk factors for osteoporosis should discuss screening with their doctor.

Preventive health visit every 2 years until age 50, and then once a year, should include:

  • Checking height and weight
  • Screening for alcohol and tobacco use
  • Screening for depression
  • Routine diagnostic tests are not currently recommended.
  • Some men should consider taking a low-dose aspirin every day to reduce the chance of heart attacks.

Prostate Cancer Screening

  • Most men age 50 or older should discuss screening for prostate cancer with their health care practitioner. African-American men and those with a family history of prostate cancer should start screening at age 45.
  • During screening, a PSA blood test is often done (however, in 2011, recommendations from a consensus study suggested PSA tests should not be done as part of the screening because they concluded that too often, test results led to unwarranted treatments and other tests); this test should be discussed with your doctor.

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Medical Dictionary