Prevention Guidelines for Men 65+

Here are the screening tests and immunizations that most men age 65 and older need. Although you and your health care provider may decide that a different schedule is best for you, this plan can guide your discussion.

Screening	Who needs it	How often
Abdominal aortic aneurysm	Men ages 65 to 75 who have ever smoked	One-time screening by ultrasonography
Alcohol misuse	All adults	At routine exams
Blood pressure	All adults	Every two years if your blood pressure reading is less than 120/80 mm Hg* Yearly if your systolic blood pressure reading is 120 to 139 mm Hg or your diastolic blood pressure reading is 80 to 89 mm Hg*
Colorectal cancer	All adults ages 50 and older	Check with your health care provider
Depression	All adults with access to a clinical practice that has staff and systems in place to assure accurate diagnosis, effective treatment, and follow-up	At routine exams
Diabetes mellitus, type 2	Adults who are asymptomatic and have sustained blood pressure (treated or untreated) greater than 135/80 mm Hg	At routine exams
HIV	Anyone at increased risk for infection	At routine exams
Lipid disorders	All adults	At least every five years
Obesity	All adults	At routine exams
Syphilis	Anyone at increased risk for infection	At routine exams
Tuberculosis	Anyone at increased risk for infection	Check with your health care provider
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 myocardial infarctions outweigh the harm or risks from an increase in gastrointestinal hemorrhage	When diagnosed with risk for cardiovascular/heart disease
Diet, behavioral counseling	Adults with hyperlipidemia and other known risk factors for cardiovascular and diet-related chronic disease	When diagnosed
Tobacco use and tobacco-related disease	All adults	Every visit
Immunization	Who needs it	How often
Tetanus/diphtheria/ pertussis (Td/Tdap) booster	All adults	Every 10 years
Measles, mumps, rubella (MMR)	All adults ages 65 and older who lack prior infection or documented vaccinations**	One dose
Chickenpox (varicella)	All adults ages 65 and older who lack prior infection or documented vaccinations**	Two doses; second dose should be given four to eight weeks after the first dose
Flu (seasonal)	All adults	Yearly during flu season
Hepatitis A	People at risk**	Two doses: For Havrix, at zero and 6 to 12 months; or for Vaqta, at zero and 6 to 18 months
Hepatitis B	People at risk**	Three doses; the second dose should be given one to two months after the first dose and the third dose given six months after the first dose
Meningococcal	People at risk**	One or more doses
Pneumococcal (polysaccharide)	All adults	One dose
Zoster	All men ages 65 and older	One dose

* Recommendation from the Joint National Committee on Prevention, Detection, and Treatment of High Blood Pressure

** Exceptions may exist; talk with your health care provider

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

Immunization schedule from the CDC