Health Encyclopedia

Prevention Guidelines for Men 50 to 64

Here are the screening tests and immunizations that most men ages 50 to 64 need. Although you and your health care provider may decide that a different schedule is best for you, this plan can guide your discussion.

Screening

Who needs it

How often

Alcohol misuse

All adults

At routine exams

Blood pressure

All adults

Every 2 years if your blood pressure reading is less than 120/80 mm Hg*

Yearly if your systolic blood pressure reading is 120 to 139 mm Hg or your diastolic blood pressure reading is 80 to 89 mm Hg*

Colorectal cancer

All adults

According to the American Cancer Society:

For tests that find polyps and cancer:

  • Flexible sigmoidoscopy every 5 years1, or

  • Colonoscopy every 10 years, or

  • Double-contrast barium enema every 5 years1

For tests that primarily find cancer:

  • Yearly fecal occult blood test2, or

  • Yearly fecal immunochemical test every year2, or

  • Stool DNA test, interval uncertain2

The tests that are designed to find both early cancer and polyps are preferred if these tests are available to you and you are willing to have one of these more invasive tests; talk with your health care provider about which test is best for you

Depression

All men in this age group

At routine exams

Diabetes mellitus, type 2

Men who have blood pressure higher than 135/80 mm Hg

At least every 3 years

Hepatitis C

Men at increased risk for infection – talk with your health care provider

At routine exams

High cholesterol and triglycerides

All adults

At least every 5 years

HIV

All men

At routine exams

Lung cancer

Adults age 55 to 80 who have smoked

Yearly screening in smokers with 30 pack-year history of smoking or who quit within 15 years

Obesity

Anyone at increased risk

At routine exams

Prostate cancer

Starting at age 45, talk to health care provider about risks and benefits of digital rectal exam (DRE) and prostate-specific antigen (PSA) screening***

At routine exams

Syphilis

Anyone at increased risk for infection

At routine exams

Tuberculosis

Anyone at increased risk for infection

Check with your health care provider

Vision

All adults3

Check with your health care provider for exam frequency

Counseling

Who needs it

How often

Aspirin for primary prevention of cardiovascular events

Men ages 45 to 79 when potential benefits from a decrease in heart attacks outweigh the harm or risks from an increase in gastrointestinal hemorrhage

When diagnosed with risk for cardiovascular/heart disease; check with your health care provider before starting

Diet and exericise

Adults who are overweight or obese

When diagnosed and at routine exams

Sexually transmitted infection prevention

Anyone at increased risk for infection

At routine exams

Tobacco use and tobacco-related disease

All adults

Every exam

Immunization

Who needs it

How often

Tetanus/diphtheria/
pertussis (Td/Tdap) booster

All adults

Td: every 10 years

Tdap: substitute a 1-time dose of Tdap for a Td booster after age 18, then boost with Td every 10 years

Measles, mumps, rubella (MMR)

Men in this age group through their late 50s who have no previous infection or record of vaccines**

1 or 2 doses; check with your health care provider

Chickenpox (varicella)

Adults ages 50 to 64 who have no previous infection or record of vaccines**

2 doses; second dose should be given at least 4 weeks after the first dose

Flu (seasonal)

All adults

Yearly, when the vaccine becomes available in the community

Hepatitis A

People at risk4

2 doses given at least 6 months apart

Hepatitis B

People at risk5

3 doses; the second dose should be given 1 month after the first dose, and the third dose should be given at least 2 months after the second dose (or at least 4 months after the first dose)

Haemophilus influenzae Type B (HIB)

People at risk

1 to 3 doses

Meningococcal

People at risk**

1 or more doses

Pneumococcal conjugate vaccine (PCV13) and pneumococcal polysaccharide vaccine (PPSV23)

People at risk6

PCV13: 1 dose ages 19 to 65 (protects against 13 types of pneumococcal bacteria)

PPSV23: 1 to 2 doses through age 64, or 1 dose at 65 or older (protects against 23 types of pneumococcal bacteria)

 

Zoster

All men ages 60 and older**

1 dose

*Recommendation from the Joint National Committee on Prevention, Detection, and Treatment of High Blood Pressure

**Exceptions may exist; talk with your health care provider

***National Comprehensive Cancer Network

1If the test is positive, a colonoscopy should be done

2The multiple stool take-home test should be used. One test done by the health care provider in the office is not adequate for testing. A colonoscopy should be done if the test is positive.

3Recommendation from the American Academy of Ophthalmology

4For complete list, see the CDC website

5For complete list, see the CDC website

6For complete list, see the CDC website

Screening guidelines from the U.S. Preventive Services Task Force

Immunization schedule from the CDC



Medical Reviewers:

  • Holloway, Beth, RN, M.Ed.
  • MMI board-certified, academically affiliated clinician