Health screenings for men ages 40 to 64

Even if you feel fine, you should still see your provider for regular checkups. These visits can help you avoid problems in the future. For example, the only way to find out if you have high blood pressure is to have it checked regularly. High blood sugar and high cholesterol level also may not have any symptoms in the early stages. Simple blood tests can check for these conditions.

There are specific times when you should see your provider or receive specific health screenings. The US Preventive Services Task Force publishes a list of recommended screenings. Below are screening guidelines for men ages 40 to 64.

BLOOD PRESSURE SCREENING

Have your blood pressure checked at least once every year. Watch for blood pressure screenings in your area. Ask your provider if you can stop in to have your blood pressure checked. You can also check your blood pressure using the automated machines at some local grocery stores and pharmacies.

Ask your provider if you need your blood pressure checked more often if:

• You have diabetes, heart disease, kidney problems, or are overweight or have certain other health conditions
• You have a first-degree relative with high blood pressure
• You are Black
• Your blood pressure top number is from 120 to 129 mm Hg, or the bottom number is from 70 to 79 mm Hg

If the top number is 130 mm Hg or greater, but lower than 140 mm Hg or the bottom number is 80 mm Hg or greater but lower than 90 mm Hg, this is considered stage 1 hypertension. Readings above these are considered stage 2 hypertension. Schedule an appointment with your provider to learn how you can reduce your blood pressure. Record your blood pressure numbers and bring this information to share with your provider.

CHOLESTEROL SCREENING

Begin cholesterol screening between ages 20 and 35, depending on your risk factors for heart disease.

Repeat cholesterol testing or other additional monitoring should take place:

• Every 5 years for men with normal cholesterol levels
• More often if changes occur in lifestyle (including weight gain and diet)
• More often if you have diabetes, high blood pressure, heart disease, stroke, or blood flow problems in the legs or feet, or certain other conditions

Your provider may recommend testing more often if you are taking medicines to control high cholesterol.

COLORECTAL CANCER SCREENING

If you are under age 45, talk to your provider about getting screened. You may need to be screened if you have a strong family history of colon cancer or polyps. Screening may also be considered if you have risk factors such as a history of inflammatory bowel disease or polyps.

If you are age 45 to 75, you should be screened for colorectal cancer. There are several screening tests available:

• A stool-based fecal occult blood (FOBT) or fecal immunochemical test (FIT) every year
• A stool DNA test every 1 to 3 years
• Flexible sigmoidoscopy every 5 years or every 10 years with stool occult blood testing (FOBT or FIT) done every year
• CT colonography (virtual colonoscopy) every 5 years
• Colonoscopy every 10 years

You may need a colonoscopy more often if you have risk factors for colorectal cancer, such as:

• Ulcerative colitis
• A personal or family history of colorectal cancer or polyps
• A history of growths in your colon called adenomatous polyps

A family history of inherited colorectal cancer syndromes such as familial adenomatous polyposis (FAP) or hereditary nonpolyposis colorectal cancer (HNPCC).

DENTAL EXAM

• Go to the dentist once or twice every year for an exam and cleaning. Your dentist will evaluate if you have a need for more frequent visits.

PREDIABETES AND TYPE 2 DIABETES SCREENING

• Have an eye exam every 2 to 4 years ages 40 to 54 and every 1 to 3 years ages 55 to 64. Your provider may recommend more frequent eye exams if you have vision problems or glaucoma risk.
• Have an eye exam that includes an examination of your retina (back of your eye) at least every year if you have diabetes.

IMMUNIZATIONS

Commonly needed vaccines include:

• Flu shot: get one every year
• COVID-19 vaccine: ask your provider what is best for you
• Tetanus-diphtheria and acellular pertussis (Tdap) vaccine: have Tdap as one of your tetanus-diphtheria vaccines if you did not receive it as an adolescent
• Tetanus-diphtheria: have a booster (Td or Tdap) every 10 years
• Varicella vaccine: receive 2 doses if you never had chickenpox or the varicella vaccine and were born in 1980 or after
• Hepatitis B vaccine: receive 2, 3, or 4 doses, depending on your exact circumstances, if you did not receive these as a child or adolescent, until age 59
• Shingles (herpes zoster) vaccine: two doses at or after age 50

Ask your provider if you should receive other immunizations, especially if you have certain medical conditions, such as diabetes or are at increased risk for some diseases such as pneumonia.

INFECTIOUS DISEASE SCREENING

Screening for hepatitis C: all adults ages 18 to 79 should get a one-time test for hepatitis C.

Screening for human immunodeficiency virus (HIV): all people ages 15 to 65 should get a one-time test for HIV.

Depending on your lifestyle and medical history, you may need to be screened for infections such as syphilis, chlamydia, and other infections.

LUNG CANCER SCREENING

You should have an annual screening for lung cancer with low-dose computed tomography (LDCT) if:

• You are age 50 to 80 years AND
• You have a 20 pack-year smoking history AND
• You currently smoke or have quit within the past 15 years

OSTEOPOROSIS SCREENING

• If you are age 50 to 64 and have risk factors for osteoporosis, you should discuss screening with your provider.
• Risk factors can include long-term steroid use, low body weight, smoking, heavy alcohol use, having a fracture after age 50, or a family history of hip fracture or osteoporosis.

PHYSICAL EXAM

All adults should visit their provider from time to time, even if they are healthy. The purpose of these visits is to:

• Screen for diseases
• Assess risk of future medical problems
• Encourage a healthy lifestyle
• Update vaccinations and other preventive care services
• Maintain a relationship with a provider in case of an illness

Your blood pressure, height, weight, and body mass index (BMI) should be checked at every exam.

During your exam, your provider may ask you about:

• Depression and anxiety
• Diet and exercise
• Alcohol and tobacco use
• Safety, such as use of seat belts and smoke detectors
• Your medicines and risk for interactions

PROSTATE CANCER SCREENING

If you're 55 through 69 years old, before having the test, talk to your provider about the pros and cons of having a prostate specific antigen (PSA) blood test. Ask about:

• Whether screening decreases your chance of dying from prostate cancer.
• Whether there is any harm from prostate cancer screening, such as side effects from testing or overtreatment of cancer when discovered.
• Whether you have a higher risk of prostate cancer than others.

If you are age 55 or younger, screening is not generally recommended. You should talk with your provider about if you have a higher risk for prostate cancer. Risk factors include:

• Having a family history of prostate cancer (especially a brother or father who were diagnosed before age 65)
• Being African American
• If you choose to be tested, the PSA blood test is repeated over time (yearly or less often), though the best frequency is not known.
• Prostate physical examinations are no longer routinely done on men with no symptoms.

SKIN EXAM

TESTICULAR EXAM

• The US Preventive Services Task Force (USPSTF) now recommends against performing testicular self-exams. Doing testicular self-exams has been shown to have little to no benefit.

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US Preventive Services Task Force website. Final recommendation statement: lung cancer: screening. www.uspreventiveservicestaskforce.org/uspstf/recommendation/lung-cancer-screening. Updated March 9, 2021. Accessed June 11, 2024.

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Updated by: Jacob Berman, MD, MPH, Clinical Assistant Professor of Medicine, Division of General Internal Medicine, University of Washington School of Medicine, Seattle, WA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.