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Prevention Guidelines for Men 18–39

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Prevention Guidelines for Men 18–39

Here are the screening tests and immunizations that most men ages 18 to 39 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 2 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*
Colorectal cancer	Men diagnosed with specific inherited syndromes and inflammatory bowel disease	Discuss with your health care provider to make an informed decision based on your family history, current medical condition, and personal values
Depression	All adults who have access to clinical practices with staff and systems in place to assure accurate diagnosis, effective treatment, and follow-up	At routine exams
Diabetes mellitus, type 2	Adults who have no symptoms and have sustained blood pressure (treated or untreated) greater than 135/80 mm Hg	At least every 3 years
HIV	Anyone at increased risk for infection	At routine exams
Lipid disorders	All men ages 35 and older, and younger men at high risk for coronary artery disease	At least every 5 years
Obesity	All adults	At routine exams
Syphilis	Anyone at increased risk for infection	At routine exams
Tuberculosis	Anyone at increased risk for infection	Check with your health care provider
Vision	All adults¹	At least one complete exam in your 20s and two in your 30s
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
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, then boost with Td every 10 years
Measles, mumps, rubella (MMR)	All adults ages 19 to 49 who have no documentation of previous infection or vaccinations**	One or two doses
Chickenpox (varicella)	All adults ages 19 to 49 who have no documentation of previous infection or vaccinations**	Two doses; the second dose should be given at least 4 after the first dose
Flu (seasonal)	All adults	Yearly, when the vaccine becomes available in the community
Hepatitis A	People at risk²	Two doses given at least 6 months apart
Hepatitis B	People at risk³	Three doses over 6 months; second dose should be given 1 month after the first dose; the third dose should be given at least 2 months after the second dose (and at least 4 months after the first dose)
Human papillomavirus (HPV4)	Men ages 22 to 26	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 risk⁴	One or more doses
Pneumococcal (polysaccharide)	People at risk⁵	One or more doses