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Men's health, without the wait

A short list of numbers, and the things men rarely raise.

Five numbers

None of them announce themselves. Each has a free tool behind it.

By decade

The list does not get longer with age so much as it changes shape.

20s and 30s

A testicular self-check once a month. Blood pressure every couple of years. A baseline blood sugar and cholesterol so you have something to compare to later. Fertility, if you are trying.

40s

Blood pressure yearly. Cholesterol and HbA1c on a schedule. Any new erectile difficulty gets a heart workup, not only a prescription. Waist measured honestly.

50s

Bowel screening when it is offered, and it has the worst take-up of any screen. The PSA conversation, with both sides of it. Sleep apnea if you snore.

60s and beyond

Keep the screens going. Add the adult vaccines nobody reminds you about, strength work to stay independent, and hearing.

The ones men rarely raise

These come up at the end of an appointment about something else, usually a year late.

Three more, opened when you want them

Testicles, erections and fertility. Behind a tap because a phone screen is often not private, not because any of it is embarrassing.

Nothing here is a diagnosis. This guide is health education. It cannot examine you, and it does not replace your own doctor's judgment about your case.

Also worth reading

Common questions

What health checks should men have, and how often?
Blood pressure from your twenties, every year or two, and yearly from forty. Cholesterol and HbA1c on a schedule your doctor sets, earlier if a parent had heart trouble or diabetes. Bowel screening when your program offers it. A monthly self-check of the testicles from your teens. Everything else is driven by symptoms or family history rather than by a calendar.
Why do men see a doctor less often?
Surveys keep finding the same reasons: nobody ever taught them what to look for, the fear of finding something, and embarrassment about the examination itself. None of them are foolish, and all three cost time. Time is the only variable that changes the outcome in most of the conditions on this page.
Is erectile difficulty a heart problem?
Often it is the first sign of one. The arteries supplying the penis are one to two millimeters across against three to four for the coronary arteries, so the same narrowing shows up there first. Studies following men over time have found erectile difficulty preceding a cardiac event by roughly three to five years. That window is the useful part.
Should I get my testosterone tested?
Only if the picture fits. Low testosterone usually arrives with reduced interest in sex, low energy, low mood and lost muscle, rather than as a single symptom. It has to be a morning sample, because the level follows a daily rhythm and an afternoon draw can read low in a man whose level is normal.
Does a PSA test mean I have prostate cancer?
No. A raised PSA is far more often a large prostate, an infection, or recent cycling or ejaculation than a cancer. The test has real benefits and real harms, both worth hearing before you decide, which is why it is a conversation rather than a routine tick.
What is the single highest-yield thing a man can do?
Stop smoking if you smoke. Nothing else on the list comes close. After that: get the blood pressure into range, move most days, and go early rather than late with anything new. The men who do best are not the ones with the best numbers, they are the ones who came in the first year rather than the third.
If you want it looked at

A doctor reads it, in writing

Send the report or the question and get it back explained, with what to ask for next. Health education, not medical advice.