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 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*

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 are asymptomatic and have sustained blood pressure (treated or untreated) greater than 135/80 mm Hg

At routine exams

HIV

Anyone at increased risk for infection

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

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

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

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

Hepatitis A

People at risk**

Two doses: For Havrix, at zero and 6 to 12 months; or for Vaqta, at zero and 6 to 18 months

Hepatitis B

People at risk**

Three doses over six months

Human papillomavirus (HPV4)

Men ages 19 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 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)

Online Medical Reviewer: Chang, Alice Y. MD
Online Medical Reviewer: Oken, Emily MD
Online Medical Reviewer: Pierce-Smith, Daphne RN, MSN, CCRC, FNP
Last Review Date: 1/25/2010

© 2000-2011 Krames StayWell, 780 Township Line Road, Yardley, PA 19067. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.