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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

*Recommendation from the Joint National Committee on Prevention, Detection, and Treatment of High Blood Pressure

**Exceptions may exist; discuss with your health care provider

1Recommendation from the American Academy of Ophthalmology

2For complete list, see the CDC website

3For complete list, see the CDC website

4People ages 19 to 21 years and who are first-year college students or have one of several medical conditions

5For complete list, see the CDC website

Screening guidelines from the U.S. Preventive Services Task Force

Immunization schedule from the CDC

Online Medical Reviewer: Berry, Judith, PhD, APRN
Online Medical Reviewer: Fraser, Marianne, MSN, RN
Online Medical Reviewer: Godsey, Cynthia, MSN, APRN, MSHE, FNP-BC
Date Last Reviewed: 3/22/2012
© 2000-2014 The StayWell Company, LLC. 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.
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