Prevention Guidelines for Men 50 to 64

Screening	Who needs it	How often
Alcohol misuse	All adults	At routine exams
Blood pressure	All adults	Yearly checkup if your blood pressure is normal* Normal blood pressure is less than 120/80 mm Hg* If your blood pressure reading is higher than normal, follow the advice of your healthcare provider
Colorectal cancer	All men of average risk in this age group	According to the American Cancer Society: Several tests are available and used at different times. For tests that find polyps and cancer: Flexible sigmoidoscopy every 5 years1, or Colonoscopy every 10 years, or CT colonography (virtual colonoscopy) every 5 years. For tests that primarily find cancer: Yearly fecal occult blood test2, or yearly fecal immunochemical test every year2, or stool DNA test, every 3 years You will need a follow-up colonoscopy if you choose any test other than a colonoscopy and you have an abnormal result. Screening recommendations vary among expert groups. Talk with your healthcare provider about which test is best for you. Some people should be screened using a different schedule because of their personal or family history. Talk with your provider about your health history.
Depression	All men in this age group	At routine exams
Type 2 diabetes or prediabetes	All men beginning at age 45 and men 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
Type 2 diabetes	All men with prediabetes	Every year
Hepatitis C	Men at increased risk for infection – talk with your healthcare provider	At routine exams (All men age 50 to 70 should be tested once for hepatitis C.)
High cholesterol and triglycerides	All adults	At least every 5 years
HIV	All men	At routine exams
Lung cancer	Adults age 50 to 80 who have smoked	Yearly screening in smokers with 20 pack-year history of smoking or who quit within 15 years
Obesity	Anyone at increased risk	At routine exams
BMI (body mass index)	All men in this age group (3)	Every year, to help find out if you are at a healthy weight for your height
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 healthcare provider
Vision	All men in this age goupr3	Men ages 40 to 54: every 2 to 4 years if no risk factors for eye disease Men ages 55 to 64: every 1 to 3 years if no risk factors for eye disease Ask  your healthcare provider if you need glaucoma screening with a dilated eye exam every 2 years
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 healthcare provider before starting
Diet and exercise	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 healthcare 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	Men at risk4	2 or 3 doses (depending on the vaccine) given at least 6 months apart; check with your healthcare provider
Hepatitis B	Men at risk5	2 or 3 doses (depending on the vaccine) over 6 months; check with your healthcare provider. 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 and at least 4 months after the first dose.
Haemophilus influenzae Type B (HIB)	People at risk	1 to 3 doses
Meningococcal ACWY (MenACWY)	People at risk**	1 or more doses, depending on your case, then a booster every 5 years if you are still at risk; check with your healthcare provider
Meningococcal B (MenB)	People at risk	2 or more doses, depending on the vaccine and your case; check with your healthcare provider
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 recombinant (RZV)	All men ages 50 and older**	2 doses given 2 to 6 months apart
Zoster live (ZVL)	All men ages 60 and older	1 dose

*Recommendation from the American College of Cardiology and the American Heart Association Task Force on Clinical Practice Guidelines

**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

⁶For complete list, see the CDC website

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

Immunization schedule from the CDC