Here are the screening tests and immunizations that most men ages 40 to 49 need. Although you and your health care provider may decide that a different schedule is best for you, this plan can guide your discussion.
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Screening
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Who needs it
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How often
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Alcohol misuse
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All adults
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At routine exams
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Blood pressure
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All adults
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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*
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Colorectal cancer
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Men diagnosed with specific inherited syndromes and inflammatory bowel disease
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Discuss with your health care provider to make an informed decision about screening based on your family history, current medical condition, and personal values
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Depression
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All adults with access to a clinical practice with staff and systems in place to assure accurate diagnosis, effective treatment, and follow-up
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At routine exams
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Diabetes mellitus, type 2
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Adults who are asymptomatic and have sustained blood pressure (treated or untreated) greater than 135/80 mm Hg
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At routine exams
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HIV
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Anyone at increased risk
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At routine exams
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Lipid disorders
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All men age 35 and older, and younger men at high risk for coronary artery disease
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At least every five years
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Obesity
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All adults
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At routine exams
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Syphilis
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Anyone at increased risk for infection
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At routine exams
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Tuberculosis
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Anyone at increased risk for infection
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Check with your health care provider
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Counseling
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Who needs it
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How often
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Diet, behavioral counseling
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Adults with hyperlipidemia and other known risk factors for cardiovascular and diet-related chronic disease
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When diagnosed
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Aspirin for primary prevention of cardiovascular events
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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
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When diagnosed with risk for cardiovascular/
heart disease
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Tobacco use and tobacco-related disease
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All adults
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Every visit
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Immunization
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Who needs it
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How often
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Tetanus/diphtheria/
pertussis (Td/Tdap) booster
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All adults
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Td: Every 10 years
Tdap: Substitute a one-time dose of Tdap for a Td booster after age 18
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Measles, mumps, rubella (MMR)
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All adults ages 19 to 49 who lack evidence of immunity (no documentation of prior infection or vaccinations)**
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One or two doses
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Chickenpox (varicella)
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All adults ages 19 to 49 who lack evidence of immunity (no documentation of prior infection or vaccinations)**
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Two doses; the second dose should be given four to eight weeks after the first dose
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Flu (seasonal)
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People at risk**
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Yearly during flu season
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Hepatitis A
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People at risk**
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Two doses: For Havrix, at zero and 6 to 12 months; or for Vaqta, at zero and 6 to 18 months
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Hepatitis B
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People at risk**
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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
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Meningococcal
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People at risk**
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One or more doses
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Pneumococcal (polysaccharide)
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People at risk**
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One or more doses
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* Recommendation from the Joint National Committee on Prevention, Detection, and Treatment of High Blood Pressure
Screening guidelines from the U.S. Preventive Services Task Force
