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Prevention Guidelines for Men 40-49

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Prevention Guidelines for Men 40–49

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 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 about screening based on your family history, current medical condition, and personal values
Depression	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 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	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	Baseline comprehensive exam at age 40; if you have a chronic disease, check with your health care provider for exam frequency
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 problems	Men ages 45 to 79, when potential benefits from a decrease in heart attacks outweigh the harm or risks from an increase in gastrointestinal hemorrhage	When diagnosed with risk for cardiovascular/heart disease; check with your health care provider before starting
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 weeks 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; the second dose should be given 1 month after the first dose, and the third dose given at least 2 months after the second dose (or at least 4 months after the first dose)
Meningococcal	People at risk**	One or more doses
Pneumococcal (polysaccharide)	People at risk⁴	One or more doses