Men's Check-Up Programs at Acıbadem Istanbul 2025: What Men Over 40 Should Know

Prostate health, cardiovascular risks, testosterone levels, and early cancer screening become critically important after age 40. Acıbadem Healthcare Group has developed dedicated men's health check-up programs that focus exactly on these male-specific risks, in addition to general health screening.

Comprehensive Men's Check-Up Components

Acıbadem offers several specialized packages for men's health. You can explore detailed options like Premium Men's Check-Up, Gold Men's Check-Up, or Classic Men's Check-Up depending on your needs and budget.

Core Examinations at Acıbadem (2025)

Category	Examinations & Tests Included
Cardiology	ECG, effort (stress) test, echocardiography, coronary calcium scoring (if indicated)
Urology & Prostate	PSA total & free, uroflowmetry, prostate ultrasound, urologist consultation
Hormonal Profile	Testosterone (total & free), DHEA-S, FSH, LH, prolactin
Cancer Screening	Lung low-dose CT, colorectal screening (fecal occult blood + colonoscopy if needed), abdominal CT
General Health	Full blood panel (liver, kidney, thyroid, vitamins, inflammation markers), abdominal & thyroid ultrasound
Other	Eye examination, ENT, dermatology, pulmonary function test

Detailed Breakdown by System

Cardiovascular Assessment

Why critical for men over 40:
Heart disease is the leading cause of death in men. Risk factors accumulate with age: high cholesterol, hypertension, obesity, stress, and sedentary lifestyle.

Tests included:

• Resting ECG: Baseline heart rhythm and electrical activity
• Exercise stress test: Treadmill test to evaluate heart under exertion, detect coronary artery disease
• Echocardiography: Ultrasound of heart chambers, valves, pumping efficiency
• Coronary calcium scoring (CT): Quantifies plaque buildup in coronary arteries (for high-risk patients)
• Lipid profile: Total cholesterol, LDL, HDL, triglycerides
• Carotid Doppler ultrasound: Stroke risk assessment

Interpretation:
A cardiologist reviews all results and calculates 10-year cardiovascular risk score. If elevated risk detected, preventive medications (statins, blood pressure control) or further testing (coronary angiography) may be recommended.

Urology & Prostate Health

Why critical after 40:
Prostate enlargement (BPH) and prostate cancer risk increase significantly. Early detection is key.

Tests included:

• PSA (Prostate-Specific Antigen): Total and free PSA blood test
• Digital rectal examination (DRE): Urologist physically examines prostate
• Transrectal ultrasound (TRUS): Imaging of prostate size and structure
• Uroflowmetry: Measures urine flow rate (screens for obstruction)
• Post-void residual urine test: Checks if bladder empties completely

PSA interpretation:

• 0-4 ng/mL: Normal range (but not absolute – cancer can exist with normal PSA)
• 4-10 ng/mL: Gray zone – free/total PSA ratio helps differentiate BPH from cancer
• >10 ng/mL: High concern – biopsy usually recommended

Free/Total PSA ratio:

• >25%: Likely benign (BPH)
• 10-25%: Intermediate risk
• <10%: High suspicion of cancer

If PSA elevated or abnormal findings on ultrasound, urologist discusses MRI or biopsy.

Hormonal Profile (Testosterone & Male Hormones)

Why important:
Low testosterone ("male menopause" or andropause) affects energy, libido, mood, muscle mass, and bone density.

Tests included:

• Total testosterone: Overall hormone level
• Free testosterone: Biologically active portion (not bound to proteins)
• DHEA-S: Adrenal hormone precursor
• FSH & LH: Pituitary hormones that regulate testicular function
• Prolactin: High levels suppress testosterone
• SHBG (Sex Hormone Binding Globulin): Affects free testosterone availability

Normal ranges (approximate):

• Total testosterone: 300-1000 ng/dL
• Free testosterone: 50-200 pg/mL

Symptoms of low testosterone:

• Decreased libido and erectile dysfunction
• Fatigue and low energy
• Depression or mood changes
• Loss of muscle mass, increased body fat
• Reduced bone density

Treatment options if low:
Testosterone replacement therapy (injections, gels, patches) under endocrinologist supervision. Lifestyle modifications (weight loss, exercise, sleep improvement) also boost levels naturally.

Cancer Screening Beyond Prostate

Why comprehensive:
Men over 40 face increased risk of lung, colorectal, and other cancers.

Tests included:

• Low-dose CT chest scan: Screens for lung cancer (especially for current/former smokers)
• Fecal occult blood test (FOBT): Detects hidden blood in stool (colorectal cancer screening)
• Colonoscopy (if FOBT positive or age >50): Direct visualization of colon
• Abdominal CT or ultrasound: Liver, pancreas, kidney cancer screening
• Tumor markers: CEA (colorectal), AFP (liver), CA 19-9 (pancreatic)

Colonoscopy guidelines:

• Age 45-50: First screening recommended
• Every 10 years: If normal results
• More frequent: If polyps found or family history

General Health Panel

Complete blood workup:

• Complete blood count (CBC): Detects anemia, infections, blood disorders
• Comprehensive metabolic panel: Liver enzymes, kidney function, electrolytes
• Lipid profile: Cholesterol, triglycerides
• Diabetes screening: Fasting glucose, HbA1c
• Thyroid function: TSH, T3, T4
• Vitamins: Vitamin D, B12, folate
• Inflammation markers: CRP, ESR

Additional ultrasound imaging:

• Abdominal ultrasound: Liver, gallbladder, spleen, kidneys, pancreas
• Thyroid ultrasound: Nodules, enlargement

Same-Day Results & Consultation

The entire program is completed in one day (approximately 8-9 hours). A urologist and cardiologist personally evaluate the results with the patient the same evening.

What happens if issues detected:

• Elevated PSA: Immediate MRI scheduling or biopsy discussion
• Low testosterone: Endocrinologist referral, treatment plan
• Coronary artery disease risk: Medication prescription, lifestyle counseling, possible angiography
• Positive cancer screening: Oncologist consultation, staging workup

Who Should Get Men's Check-Up?

Especially recommended for:

✅ All men over 40 (annual screening)
✅ Family history of prostate cancer, heart disease, or early death in male relatives
✅ Symptoms: Erectile dysfunction, urinary problems, chest pain, shortness of breath
✅ Lifestyle factors: Smoking, obesity, sedentary work, high stress
✅ Chronic conditions: Diabetes, hypertension, high cholesterol
✅ Professional requirements: Pilots, drivers, executives needing health certificates

Red flags requiring immediate check-up:

• Difficulty urinating, weak urine stream, frequent nighttime urination
• Blood in urine or semen
• Erectile dysfunction or decreased libido
• Chest pain, palpitations, or shortness of breath during exercise
• Unexplained fatigue or weight loss

International Patient Experience

Language support:
Russian, English, Arabic-speaking urologists and coordinators available.

Same-day completion:
Arrive morning (fasting), all tests done by afternoon, results discussion evening.

Report delivery:

• Comprehensive written report (translated to Russian/English)
• Digital copy (USB + email)
• Direct urologist contact for follow-up questions

Logistics assistance:

• Airport transfer
• Hotel recommendations
• Follow-up appointment scheduling
• Medication prescriptions valid internationally

Why Acıbadem for Men's Health?

• JCI accreditation: International quality standards
• Experienced urology team: Specializing in prostate cancer and male hormones
• Advanced technology: 3 Tesla MRI, robotic surgery capabilities if treatment needed
• Integrated approach: Cardiology + urology + endocrinology collaboration
• Fast results: Laboratory and imaging processed same day

For more information about all available programs, check our comprehensive guide on Acıbadem Check-Up Programs in Istanbul 2025. To schedule your men's check-up at Acıbadem Istanbul, contact HealthCheckTR coordination team.

Related Articles:

• Check-Up Prices Guide 2025
• One-Day Check-Up Experience
• Understanding Your Check-Up Results
• Istanbul Check-Up Technologies 2025: How Acıbadem Uses Advanced Diagnostic Systems

Published: November 21, 2025
Category: Guide • 7 min read

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