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A Physical Examination Guide For Men

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Procedure

Interval

Notes

Physical exam

Every two years from 40-49; every year after 50.

Include health education as part of a physical exam.

Testical self-exam

Monthly.

To find abnormal lumps in their earliest stages.

Skin self-exam

Monthly.

To look for signs of early skin cancer. Men get more of their skin cancers on their backs, where they can't see them and, therefore, may need help checking.

Oral self-exam

Monthly.

To find abnormal lumps in their earliest stages.

Breast self-exam

Monthly.

To find abnormal lumps in their earliest stages.

Blood pressure

Every year.

Elevated blood pressure, called hypertension, is a risk factor for stroke. African-American men are at extra risk for high blood pressure.

Rectal exam

Every year starting at 40.

Screens for hemorrhoids, lower rectal problems, and colon and prostate cancers.

Hemoccult

Every year after 40.

Screens the stool for microscopic amounts of blood that can be the first sign of polyps or colon cancer.

PSA blood test

Every year starting at 50, 40 for African-American men, and earlier for high-risk men.

Detects abnormally high levels of the Prostate Specific Antigen, produced by the prostate. Prostate cancer is the second most common cancer in men (after skin cancer) and the second highest cause of cancer death in men (after lung cancer).

Chest X-ray

Every year in smokers over 30.

Low-dose CT scans are considered more accurate, but are also more costly, than chest X ray. Why not just stop smoking? Lung cancer is the No. 1 cancer killer for men. Smokers account for 50 percent of the patients at one clinic that handles potency problems.

Blood tests and urinalysis

Every two years from 40-49; every year after 50.

To check cholesterol levels, diabetes risk, homocysteine levels (to detect heart disease), kidney function and other basic functions.

Sigmoidoscopy

Every 3-4 years after 50; every year for high-risk men over 40.

Colorectal cancer is the third leading cause of cancer death among men. A recent study found that the risk of colorectal cancer death was 80 percent lower among people who had undergone sigmoidoscopy even once.

Electrocardiogram (EKG)

Every 3-5 years after 50; earlier for high-risk men.

An EKG given during a stress test can detect a lack of oxygen to the heart.

TB skin test

Every five years.

This preventive measure is a good idea for men and women, and is especially important if you've been traveling in developing countries.

Tetanus booster

Every 10 years.

Even if you've already received this shot, it must be updated every decade.

Sources: How Men Can Live As Long As Women by Ken Goldberg (Summit, 1994); The Complete Book of Men's Health by Men's Health Books (Rodale Press, 2000); "19 Ways to Save Your Husband's Life" by Armin Brott (Family Circle, March 4, 1997); Men's Health Network.



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