Yearly Medical Tests and checkups!

  • reload16

    Posts: 267

    Jan 16, 2009 2:51 AM GMT
    Hey guys,

    I was wondering what kind of routine medical tests and check ups a male should get every year? in all ages.

    I am getting up to my late 20's in age and I would like to know some good preventative routine tests that I can take so that I can feel the best at any age I am currently at and possibly avoid any future chronic diseases down the line.

    Here are some of the things I will test so far:
    Cholesterol- LDL, HDL, Triglecerides
    Testosterone
    vitamin D levels
    blood pressure
    Thyroid- TSH



    thanks.
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    Jan 16, 2009 3:37 AM GMT
    prostate and testicular cancer.
  • Delivis

    Posts: 2332

    Jan 16, 2009 3:42 AM GMT
    I have not been to a doctor since i was a baby methinks.
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    Jan 16, 2009 3:52 AM GMT
    Delivis saidI have not been to a doctor since i was a baby methinks.


    Very true. You should listen to your doctor... find one you ar close to. My Primary Care Physcian is very kind and understanding. I can tell her anything or ask her anything.

    But don't listen to us RJers... ask your doctor what he/she thinks you need to have testedicon_razz.gif
  • SkyMiles

    Posts: 963

    Jan 16, 2009 4:02 AM GMT
    Yeah, listen to your doctor, get all your fluids checked (so to speak) to see if there's anything that needs monitoring.

    All the stuff you listed will be looked at as a matter of course, and you should tell your doctor of any conditions that run in your family.

    Bring a book and expect a wait! icon_smile.gif
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    Jan 16, 2009 4:05 AM GMT
    does your dr. really test you for vitamin d? is he/she an alternative doctor? i have never come across a dr. (an MD anyway) that tests for that (which i think is great by the way).

    why the need for a routine testosterone test?

    i would add a CBC (complete blood count), and metabolic panel to your list, but still ask your doctor - they know better than me.
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    Jan 16, 2009 4:06 AM GMT
    PSA - Prostate Specific Antigen
    Fasting glucose - Diabetes
    CMP - Complete Metabolic Panel
    T - Testosterone
    T3/T4 - Free Thyroid
    General physical
  • reload16

    Posts: 267

    Jan 16, 2009 4:27 AM GMT
    alladin saiddoes your dr. really test you for vitamin d? is he/she an alternative doctor? i have never come across a dr. (an MD anyway) that tests for that (which i think is great by the way).

    why the need for a routine testosterone test?

    i would add a CBC (complete blood count), and metabolic panel to your list, but still ask your doctor - they know better than me.



    The problem with doctors is that they don't test for anything unless you ask them. And usually if I ask anything, they always answer "don't worry about it coz I am still young." But I found one good doctor that I am comfortable with. I just learned that you have to be the initiator of all the tests. thanks for your suggestions for the tests btw. I will look them up to as to what they test for.

    thanks to everyone too for their suggestionsicon_smile.gif
  • reload16

    Posts: 267

    Jan 16, 2009 4:28 AM GMT
    WickedFast saidprostate and testicular cancer.


    I am assuming thats with a Urologist and not a regular MD?
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    Jan 16, 2009 4:30 AM GMT
    Rates of chlamydia, gonorrhea, and syphilis are at the highest they have been in decades. I would request a full STI screen as well. This is especially true for Blacks and Latinos, but don't doubly true for gay men of all colors.
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    Jan 16, 2009 4:30 AM GMT
    Any men pushing into middle-age should have a PSA. It's a no-brainer, and could save your life.

    You can get a PSA just about anywhere. Mine is a 0.4.

    STD workups are often free in gay areas.
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    Jan 16, 2009 4:39 AM GMT
    dancedd said
    WickedFast saidprostate and testicular cancer.


    I am assuming thats with a Urologist and not a regular MD?


    A general practitioner should be able to do a general check and make sure everything is in working order, especially if you feel more comfortable with them as opposed to seeing a stranger for the first time. Or the very least, you can check yourself for testicular cancer...if anything feels out of the ordinary bring it up on your visit.
  • reload16

    Posts: 267

    Jan 16, 2009 4:42 AM GMT
    chuckystud saidAny men pushing into middle-age should have a PSA. It's a no-brainer, and could save your life.

    You can get a PSA just about anywhere. Mine is a 0.4.

    STD workups are often free in gay areas.


    what about digital rectal exam? isn't that a better test for testing for prostate cancer?




    thanks for your earlier post of suggested tests btw.
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    Jan 16, 2009 4:49 AM GMT
    dancedd said
    chuckystud saidAny men pushing into middle-age should have a PSA. It's a no-brainer, and could save your life.

    You can get a PSA just about anywhere. Mine is a 0.4.

    STD workups are often free in gay areas.


    what about digital rectal exam? isn't that a better test for testing for prostate cancer?

    thanks for your earlier post of suggested tests btw.

    They usually do a blood test for PSA....it can be part of a panel of tests done for physical...

    But in case you need any incentive to get a prostate checkup....

    http://www.realjock.com/gayforums/150050/ .... lordy! I must be slipping in not reminding guys of this.....or maybe it's just repression, because I would just as soon forget and put it behind him...no pun intended

    oh you are 28....you shouldnt be having prostate problems yet. But then I know one that had it at 26...so it coud happen
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    Jan 16, 2009 4:49 AM GMT
    PSA is a much better indicator of prostate cancer, by years. It has saved countless lives, my Dad's included.
  • reload16

    Posts: 267

    Jan 16, 2009 5:02 AM GMT
    Caslon8000 said
    dancedd said
    chuckystud saidAny men pushing into middle-age should have a PSA. It's a no-brainer, and could save your life.

    You can get a PSA just about anywhere. Mine is a 0.4.

    STD workups are often free in gay areas.


    what about digital rectal exam? isn't that a better test for testing for prostate cancer?

    thanks for your earlier post of suggested tests btw.

    They usually do a blood test for PSA....it can be part of a panel of tests done for physical...

    But in case you need any incentive to get a prostate checkup....

    http://www.realjock.com/gayforums/150050/ .... lordy! I must be slipping in not reminding guys of this.....or maybe it's just repression, because I would just as soon forget and put it behind him...no pun intended

    oh you are 28....you shouldnt be having prostate problems yet. But then I know one that had it at 26...so it coud happen



    Wow, so I just went to your link now. I am sorry that you have to go through this. I hope the radiation killed all of your cancer.

    Now, I am definetly having the PSA checked in my blood. Yes, I am 28 but I been having issues with frequent urination. So I was already planning to check that out with my Dr.
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    Jan 16, 2009 7:25 AM GMT
    A rule of thumb for checking for prostate cancer is easy to remember because you just take the decade you are in, lop off the zero and that gives you how many times you should be checked in that decade. For example, if you are in your 20's you should be checked twice in the decade or every 5 years. If you are in your 50's you should be checked 5 times during the decade or every 2 years. This rule only applies for guys that are not having a problem as the OP has written, with frequent urination or any swelling in the scrotum. If you have one of these problems you should proceed immediately to a urologist.

    Here in Spain, they look at a guy's prostate with ultrasound so it can be accurately measured and then that sets a baseline for further testing. This is a relatively expensive test. Unfortunately, so is the PSA. That is the reason for the rule of thumb. There is no need to get over tested, which just drives up the cost of health care.
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    Jan 16, 2009 7:41 AM GMT
    If you have any sort of sex life then you should also be having yearly screening for HIV, chlamydia, gonhorrea, syphillis etc.
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    Jan 16, 2009 9:02 PM GMT
    It depends on your age, family history, and lifestyle to name three important factors.

    The test for prostate cancer becomes more critical as you get older. The test for high cholesterol should be done regardless of age if you have a bad family history of heart disease (my 22 year old nephew is on a low dose of Crestor because of elevated cholesterol levels). A test for testerone should be considered if you suffer from low sex drive and depression. Testicular cancer is more of an issue as you get older. My doctor has instructed me to self-examine once a month, which I do diligently.

    If you are sexually active with different guys then you should think about getting tested for STIs at least every six months. Contrary to what some believe, HIV does not necessarily give out strong symptoms when you sero-convert. Unfortunately you are at high risk of passing it on just after being infected.

    I personally believe everyone should have a family doctor, and should have a physical exam at least every second year. It is amazing what kind of health problems can sneak up on even young people (e.g. high blood pressure).
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    Jan 16, 2009 9:08 PM GMT
    I agree with everything SurreaLife wrote. I just had a physical (after 2 years) and my doctor strongly emphasized how important it will be to have a yearly physical starting next year when I turn 50. But my brother, for example, has battled high blood pressure since his early 30's even though he is in reasonably good health. It's never too early to establish a relationship with a good family doc...and there are plenty of good ones out there.
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    Jan 01, 2010 8:52 PM GMT
    for a healthy, non-smoker male under 40 with no risk factors:
    physical examination
    -including genital for hernia's, testicular masses, obvious/conspicuous abnormalities
    -rectal (optional if no complaints such as gastrointestinal complains, urinary complaints, anal pain/lesions) for occult (hidden) blood, prostate exam and anal/rectal abnormalities

    labs
    -complete blood cell count with differentials (CBC w/diff)
    -complete metabolic profile (CMP)
    -HgbA1C - better assessment of your glucose levels
    -lipid profile (HDL, LDL, triglycerides, cholesterol)
    -thyroid simulating hormone and free thyroxine (TSH with Free T4)
    -urinalysis (UA)
    -STD: HIV, Herpes I and II, Syphillis (RPR), hepatitis panel
    -cardiac C reactive protein (C-CRP): cardiovascular inflammatory marker

    over 40 add to above:
    -PSA for prostate
    -stool studies for occult blood
    -rectal exams
    -EKG as warranted

    as we get older, have more complaints and risk factors are identified, more is in included in a physical exam

    hope this helps

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