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    Prevention Guidelines

    Prevention Guidelines for Men 65+

    Here are the screening tests and immunizations that most men ages 65 and older need. A screening test is done to find possible disorders or diseases in people who don't have any symptoms. The goal is to find a disease early so lifestyle changes can be made and you can be watched more closely to reduce the risk of disease, or to detect it early enough to treat it most effectively. Screening tests are not considered diagnostic, but are used to determine if more testing is needed. Although you and your healthcare provider may decide that a different schedule is best for you, this plan can guide your discussion.


    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

    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 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.


    All men in this age group

    At routine exams

    Type 2 diabetes or prediabetes

    All men starting 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 (annual testing if your blood sugar has begun to rise)

    Type 2 diabetes

    All men with prediabetes

    Every year

    Hepatitis C

    Anyone at increased risk for infection

    At routine exams

    High cholesterol and triglycerides

    All adults

    At least every 5 years


    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


    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


    Anyone at increased risk for infection

    At routine exams


    Anyone at increased risk for infection

    Check with your healthcare provider


    All adults3

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


    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


    Who needs it

    How often

    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


    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 Guideline

    **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: Cunningham, Louise, RN
    Online Medical Reviewer: Hurd, Robert, MD
    Online Medical Reviewer: Taylor, Wanda, L., RN, PhD
    Online Medical Reviewer: Turley, Raymond Kent, BSN, MSN, RN
    Date Last Reviewed: 3/1/2017
    © 2000-2019 The StayWell Company, LLC. 800 Township Line Road, Yardley, PA 19067. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.
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    Southern New Mexico
    Surgery Center

    2301 Indian Wells Rd. Suite B
    Alamogordo, NM 88310

    Phone: 575.437.0890
    Fax: 575.437.0905