PERIODIC HEALTH CHECKUPS FOR MEN

Your doctor will recommend that you have a physical examination and certain screening tests periodically, depending on your age and health history. The following are the most common tests recommended for men.

Eye Examination
To check for any vision problems such as near- or far-sightedness or eye muscle disorders and to look for any early signs of disease.
Those at risk: Men who have diabetes, high blood pressure, or a family history of glaucoma.

Dental Examination
To check for tooth decay, gum disease, and early signs of oral cancer.
Those at risk: Men who smoke or chew tobacco; men with poor oral hygiene.

Blood Pressure Measurement
To detect high blood pressure early, before it leads to stroke, heart failure, or kidney failure.
Those at risk: Men with a family history of high blood pressure, heart disease, kidney disease, or stroke; men who are overweight or have diabetes; men who smoke or use tobacco products.

Cholesterol Test
To measure the blood levels of cholesterol and other fats, which helps evaluate the risk of heart disease.
Those at risk: Men with a family history of heart disease; men who have diabetes; men who smoke or use tobacco products.

Colon and Rectum Examination
To look for signs of cancer of the colon, rectum, and prostate. Includes rectal examination performed by hand by a doctor, fecal occult blood test that checks for blood in the stool, sigmoidoscopy, and possibly a PSA (prostate specific antigen) test.
Those at risk: Men with a family history of colon or rectal cancer; men who have intestinal polyps or ulcerative colitis; men over age 50. African-American men have an increased risk of prostate cancer and should start having prostate exams at age 45.

Comprehensive Physical Examination
To regularly assess your current health status and to maintain an ongoing relationship with your doctor. Be sure to see your doctor as often as he or she recommends.

Tests Recommended in Men Younger Than 30 Years
Test
Men at Average Risk
Men at High Risk
Eye Every two years if you have vision problems Once a year
Dental Every six months As recommended by your dentist
Blood Pressure Every 2 1/2 years beginning at age 20 Once a year
Colon and Rectum Not needed Once a year after age 20
Physical Twice in your 20s Twice in your 20s



Tests Recommended in Men 30 to 50 Years Old
Test
Men at Average Risk
Men at High Risk
Eye Every two years if you have vision problems; otherwise starting at age 40 Once a year
Dental Every six months As recommended by your dentist
Blood Pressure Every 2 1/2 years Once a year
Cholesterol Every five years if normal As recommended by your doctor
Colon and Rectum Rectal examination and fecal occult blood test once a year As recommended by your doctor
Prostate Not needed Once a year beginning at age 45 if you are African American or if you are a white male with a family history of prostate cancer
Physical Every one to five years Every one to five years



Tests Recommended in Men Older Than 50 Years
Test
Men at Average Risk
Men at High Risk
Eye Every Year At least once a year
Dental Every six months As recommended by your dentist
Blood Pressure Once a year As recommended by your doctor
Cholesterol Every three to five years if normal As recommended by your doctor
Colon and Rectum Rectal examination and fecal occult blood test once a year; sigmoidoscopy every three to five years; colonoscopy every 10 years Same as for men at average risk or as recommended by your doctor
Prostate Once a year Once a year
Physical Every one to two years to age 65; once a year after age 65 Same as for men at average risk

Excerpted from: Complete Guide to Men's Health, American Medical Association, 2001.