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Prevention Guidelines, Men Ages 65 and Older

Screening tests and vaccines are an important part of managing your health. Health counseling is essential, too.

On this page are guidelines for men, aged 65 and older.

Talk with your healthcare provider to make sure you’re up-to-date on what you need.

Screening

  • Screening
    Abdominal aortic aneurysm
  • Who needs it?
    Men ages 65 to 75 who have ever smoked
  • How often?
    1 ultrasound
  • Screening
    Alcohol misuse
  • Who needs it?
    All men in this age group
  • How often?
    At routine exams

  • Screening
    Blood pressure
  • Who needs it?
    All men in this age group
  • How often?
    Every 2 years if your blood pressure is less than 120/80 mm Hg; yearly if your systolic blood pressure is 120 to 139 mm Hg, or your diastolic blood pressure reading is 80 to 89 mm Hg
  • Screening
    Colorectal cancer
  • Who needs it?
    All men in this age group
  • How often?
    Flexible sigmoidoscopy every 5 years, or colonoscopy every 10 years, or double-contrast barium enema every 5 years; yearly fecal occult blood test or fecal immunochemical test; or a stool DNA test as often as your healthcare provider advises; talk with your healthcare provider about which tests are best for you and when you no longer need colonoscopies (generally after age 75)

  • Screening
    Depression
  • Who needs it?
    All men in this age group
  • How often?
    At routine exams
  • Screening
    Type 2 diabetes or prediabetes
  • Who needs it?
    All adults beginning at age 45 and adults without symptoms at any age who are overweight or obese and have 1 or more other risk factors for diabetes
  • How often?
    At least every 3 years (yearly if your blood sugar has already begun to rise)

  • Screening
    Hepatitis C
  • Who needs it?
    Men at increased risk for infection – talk with your healthcare provider
  • How often?
    At routine exams
  • Screening
    High cholesterol or triglycerides
  • Who needs it?
    All men in this age group
  • How often?
    At least every 5 years

  • Screening
    HIV
  • Who needs it?
    Men at increased risk for infection – talk with your healthcare provider
  • How often?
    At routine exams
  • Screening
    Lung cancer
  • Who needs it?
    Adults age 55 to 80 who have smoked
  • How often?
    Yearly screening in smokers with 30 pack-year history of smoking or who quit within 15 years

  • Screening
    Obesity
  • Who needs it?
    All men in this age group
  • How often?
    At routine exams
  • Screening
    Prostate Cancer
  • Who needs it?
    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
  • How often?
    At routine exams

  • Screening
    Syphilis
  • Who needs it?
    Men at increased risk for infection – talk with your healthcare provider
  • How often?
    At routine exams
  • Screening
    Tuberculosis
  • Who needs it?
    Men at increased risk for infection – talk with your healthcare provider
  • How often?
    Ask your healthcare provider

  • Screening
    Vision
  • Who needs it?
    All men in this age group
  • How often?
    Every 1 to 2 years; if you have a chronic health condition, ask your healthcare provider if you need exams more often

Counseling

  • Counseling
    Diet and exercise
  • Who needs it?
    Men who are overweight or obese
  • How often?
    When diagnosed, and then at routine exams
  • Counseling
    Fall prevention (exercise and vitamin D supplements)
  • Who needs it?
    Men in this age group
  • How often?
    At routine exams

  • Counseling
    Sexually transmitted infection prevention
  • Who needs it?
    Men at increased risk for infection – talk with your healthcare provider
  • How often?
    At routine exams
  • Counseling
    Use of daily aspirin
  • Who needs it?
    Men ages 45 to 79 at risk for cardiovascular health problems
  • How often?
    At routine exams

  • Counseling
    Use of tobacco and the health effects it can cause
  • Who needs it?
    All men in this age group
  • How often?
    Every visit

Vaccines

  • Vaccine
    Chickenpox (varicella)
  • Who needs it?
    All men in this age group who have no record of this infection or vaccine
  • How often?
    2 doses; second dose should be given at least 4 weeks after the first dose
  • Vaccine
    Hepatitis A
  • Who needs it?
    Men at increased risk for infection – talk with your healthcare provider
  • How often?
    2 doses given 6 months apart

  • Vaccine
    Hepatitis B
  • Who needs it?
    Men at increased risk for infection – talk with your healthcare provider
  • How often?
    3 doses over 6 months; second dose should be given 1 month after the first dose; the third dose should be given at least 2 months after the second dose and at least 4 months after the first dose
  • Vaccine
    Haemophilus influenza Type B (HIB)
  • Who needs it?
    Men at increased risk for infection – talk with your healthcare provider
  • How often?
    1 to 3 doses

  • Vaccine
    Influenza (flu)
  • Who needs it?
    All men in this age group
  • How often?
    Once a year
  • Vaccine
    Meningococcal
  • Who needs it?
    All men in this age group
  • How often?
    1 or more doses

  • Vaccine
    Pneumococcal conjugate vaccine (PCV13) and pneumococcal polysaccharide vaccine (PPSV23)
  • Who needs it?
    All men in this age group
  • How often?
    1 dose of each vaccine
  • Vaccine
    Tetanus/diphtheria/pertussis (Td/Tdap) booster
  • Who needs it?
    All men in this age group
  • How often?
    Td every 10 years, or Tdap if you will have contact with a child younger than 12 months old

  • Vaccine
    Zoster
  • Who needs it?
    All men in this age group
  • How often?
    1 dose

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