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Health Screening Guidelines, Men Ages 50 to 64

Screening tests and health counseling are a key part of managing your health. A screening test is done to find disorders or diseases in people who don't have any symptoms. Screening tests are not used to diagnose. They are used to find out if more testing is needed. The goal may be to find a disease early so it can be treated with more success. Or the goal may be to find a disease early so you can make lifestyle changes. You may need regular checkups to help you reduce your risk of disease.

Below are guidelines for men ages 50 to 64. Talk with your healthcare provider. Make sure you’re up-to-date on what you need.

We understand gender is a spectrum. We may use gendered terms to talk about anatomy and health risk. Please use this information in a way that works best for you and your provider as you talk about your care.

Screening

Who needs it

How often

Unhealthy alcohol use

All men in this age group

At routine exams

Blood pressure

All men in this age group

Once a year if your blood pressure is normal. Normal blood pressure is less than 120/80 mm Hg. If your blood pressure is higher than this, follow the advice of your healthcare provider.

Colorectal cancer

All men at average risk in this age group

Talk with your healthcare provider about which test below is right for you:

  • Colonoscopy every 10 years

  • Flexible sigmoidoscopy every 5 years (or every 10 years with yearly fecal immunochemical test (FIT) stool test)

  • CT colonography (virtual colonoscopy) every 5 years

  • Yearly fecal occult blood test

  • Yearly FIT

  • Stool DNA test every 1 to 3 years

If you have a test that is not a colonoscopy and have an abnormal test result, you will need a colonoscopy.

You may need to be screened more or less often. This is based on personal or family health history. Talk with your healthcare provider.

Depression

All men in this age group

At routine exams

Type 2 diabetes or prediabetes

All in this age group

At least every 3 years (yearly if your blood sugar has already begun to rise)

Type 2 diabetes

All men with prediabetes

Every year

Hepatitis C

Men at higher risk for infection. Test 1 time for men born between 1945 and 1965.

Talk with your healthcare provider.

High cholesterol or triglycerides

All men in this age group

At least every 4 to 6 years. Talk with your healthcare provider about your risk. Ask if you should be tested more often.

HIV

All men in this age group

At least 1 time. Talk with your healthcare provider about your risk factors. Ask if you should be tested more often.

Lung cancer

All men in this age group who are in fairly good health and are at higher risk for lung cancer, and who:

  • Smoke or quit in the past 15 years

  • Have a 20-pack per year smoking history (1 pack a day for 20 years or 2 packs a day for 10 years)

Expert groups vary in their advice. Talk with your healthcare provider.

Yearly lung cancer screening with a low-dose CT scan (LDCT). Talk with your healthcare provider.

Obesity

All men in this age group

At yearly routine exams

BMI (body mass index)

All men in this age group

Every year, to help find out if you are at a healthy weight for your height

Prostate cancer

All men in this age group, talk with your healthcare provider about risks and benefits of a digital rectal exam (DRE) and prostate-specific antigen (PSA) screening

At routine exams if you decide to be tested.

Syphilis

Men at higher risk for infection

At routine exams. Talk with your healthcare provider.

Tuberculosis

Men at higher risk for infection

Talk with your healthcare provider

Vision

All men in this age group

Talk with your healthcare provider

Health counseling

Who needs it

How often

Diet and exercise

Men who are overweight or obese

When diagnosed, and then at routine exams

Sexually transmitted infection (STI) prevention

Men at higher risk for infection

At routine exams; talk with your healthcare provider

Use of daily aspirin

All men in this age group who are at high risk for cardiovascular problems and not at a higher risk for bleeding. Talk with your healthcare provider.

At routine exams, talk with your healthcare provider about the risks and benefits for you.

Use of statin medicines for cholesterol

All men in this age group who have:

  • 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

  • An LDL-C level of 190 mg/dL or higher

  • A diagnosis of diabetes and LDL-C level of higher than 70mg/dL

At routine exams. More often if directed by your healthcare provider. Talk with your healthcare provider about your risk factors.

Use of tobacco and the health effects it can cause

All men in this age group

Every exam

Online Medical Reviewer: L Renee Watson MSN RN
Online Medical Reviewer: Rita Sather RN
Online Medical Reviewer: Robert Hurd MD
Date Last Reviewed: 5/1/2021
© 2000-2022 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.
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