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.
|
Screening |
Who needs it |
How often |
|---|---|---|
|
Alcohol misuse |
All adults |
At routine exams |
|
Blood pressure |
All adults |
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* |
|
Men diagnosed with specific inherited syndromes and inflammatory bowel disease |
Discuss with your health care provider to make an informed decision about screening based on your family history, current medical condition, and personal values |
|
|
All adults with access to a clinical practice with staff and systems in place to assure accurate diagnosis, effective treatment, and follow-up |
At routine exams |
|
|
Diabetes mellitus, type 2 |
Adults who are asymptomatic and have sustained blood pressure (treated or untreated) greater than 135/80 mm Hg |
At routine exams |
|
Anyone at increased risk |
At routine exams |
|
|
Lipid disorders |
All men age 35 and older, and younger men at high risk for coronary artery disease |
At least every five years |
|
All adults |
At routine exams |
|
|
Anyone at increased risk for infection |
At routine exams |
|
|
Tuberculosis |
Anyone at increased risk for infection |
Check with your health care provider |
|
Counseling |
Who needs it |
How often |
|
Diet, behavioral counseling |
Adults with hyperlipidemia and other known risk factors for cardiovascular and diet-related chronic disease |
When diagnosed |
|
Aspirin for primary prevention of cardiovascular events |
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 |
When diagnosed with risk for cardiovascular/heart disease |
|
Tobacco use and tobacco-related disease |
All adults |
Every visit |
|
Immunization |
Who needs it |
How often |
|
Tetanus/diphtheria/pertussis (Td/Tdap) booster |
All adults |
Td: Every 10 years Tdap: Substitute a one-time dose of Tdap for a Td booster after age 18 |
|
Measles, mumps, rubella (MMR) |
All adults ages 19 to 49 who lack evidence of immunity (no documentation of prior infection or vaccinations)** |
One or two doses |
|
Chickenpox (varicella) |
All adults ages 19 to 49 who lack evidence of immunity (no documentation of prior infection or vaccinations)** |
Two doses; the second dose should be given 4 to 8 weeks after the first dose |
|
Flu (seasonal) |
People at risk** |
Yearly during flu season |
|
People at risk** |
Two doses: For Havrix, at zero and 6 to 12 months; or for Vaqta, at zero and 6 to 18 months |
|
|
People at risk** |
Three doses; the second dose should be given 1 to 2 months after the first dose and the third dose given 6 months after the first dose |
|
|
Meningococcal |
People at risk** |
One or more doses |
|
Pneumococcal (polysaccharide) |
People at risk** |
One or more doses |
* Recommendation from the Joint National Committee on Prevention, Detection, and Treatment of High Blood Pressure
** Exceptions may exist; discuss with your health care provider
Screening guidelines from the U.S. Preventive Services Task Force
Immunization schedule from the Centers for Disease Control and Prevention (CDC)
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