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Prevention Guidelines for Men 65+

Here are the screening tests and immunizations that most men ages 65 and older need. Although you and your healthcare provider may decide that a different schedule is best for you, this plan can guide your discussion.

Screening

Who needs it

How often

Abdominal aortic aneurysm

Men ages 65 to 75 who have ever smoked

1 ultrasound

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 ages 50 and older

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

Talk with your healthcare provider about which test is best for you. Testing is generally not indicated after age 75.

Depression

All men in this age group

At routine exams

Type 2 diabetes or prediabetes

All adults starting at age 45 and adults without symptoms at any age who are overweight or obese and have 1 or more additional risk factors for diabetes

At least every 3 years (annual testing if your blood sugar has begun to rise)

Hepatitis C

Anyone at increased risk for infection

At routine exams

High cholesterol and triglycerides

All adults

At least every 5 years

HIV

Anyone at increased risk for infection

At routine exams

Lung cancer

Adults ages 55 to 80 who have smoked

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

Obesity

All adults

At routine exams

Prostate cancer

All men in this age group, talk to healthcare 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 healthcare provider

Vision

All adults3

Every 1 to 2 years; if you have a chronic disease, check with your healthcare provider for exam frequency

Counseling

Who needs it

How often

Aspirin for primary prevention of cardiovascular events

Men ages 45 to 69 when potential benefits from a decrease in heart attacks outweigh the harm or risks from an increase in gastrointestinal bleeding

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

Diet and exercise

Adults who are overweight or obese

When diagnosed and at routine exams

Fall prevention (exercise, vitamin D supplements)

All men in this age group

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 visit

Immunization

Who needs it

How often

Tetanus/diphtheria/
pertussis (Td/Tdap) booster

All adults

Every 10 years. Tdap is recommended if you have contact with a child younger than 12 months. Either Td or Tdap can be used if you have no contact with infants.

Chickenpox (varicella)

All adults ages 65 and older who have no previous infection or documented vaccinations**

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

Haemophilus influenzae Type B (HIB)

People at risk

1 to 3 doses

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)

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

All adults ages 65 and older

1 dose of each vaccine

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 healthcare 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 healthcare 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

Screening guidelines from the U.S. Preventive Services Task Force, except Hepatitis C from CDC

Immunization schedule from the CDC

Online Medical Reviewer: Hurd, Robert, MD
Online Medical Reviewer: Taylor, Wanda, L., RN, PhD
Date Last Reviewed: 3/1/2017
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