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Preventive Care Guidelines

Preventive Care For Men 40-49

You and your health care provider may decide that a different preventive care plan is best for you, this preventive care for men 40-49 plan can guide your discussion.

Screening

Who needs it

How often

Alcohol misuse All adults At routine exams
Blood pressure All adults Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure recommends the following screening schedules:

  • Every 2 years if blood pressure reading < 120/80 mm Hg, or
  • Yearly if systolic blood pressure reading of 120 to 139 mm Hg or diastolic blood pressure reading of 80 to 89 mm Hg
Chlamydia Sexually active men at increased risk for infection At routine exams if at risk
Dental exam All adults Annually
Depression All adults with access to a clinical practice that has 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 (either treated or untreated) greater than 135/80 mm Hg At least every 3 years
Gonorrhea Sexually active men at increased risk for infection At routine exams if at risk
HIV Anyone at increased risk for infection At routine exams
Lipid disorders All adults age 45 and older at increased risk for coronary artery disease At least every 5 years
Lung Cancer Screening Smokers, those who have smoked Annually
Obesity All adults At routine exams
Osteoporosis Screen Adults ages 50-70 who have risk factors for osteoporosis (low body weight, smoking, heavy alcohol use, had a fracture after age 50) Consult with your provider
Prostate Cancer Screening Men age 50+ Consult with your provider
Syphilis Adults at increased risk for infection At routine exams if at risk
Tuberculosis Anyone at increased risk for infection Check with your health care provider
Vision All adults2 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
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

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
Measles, mumps, rubella (MMR) All adults ages 19 to 49 who have no documentation of previous infection or vaccinations One or two doses
Flu vaccine (seasonal) All adults Yearly, when the vaccine becomes available in the community
Hepatitis A vaccine People at risk4 Two doses given 6 months apart
Hepatitis B vaccine People at risk5 Three doses; the 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)
Meningococcal People at risk** One or more doses
Pneumococcal (polysaccharide) People at risk6 One or two doses

 

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

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

1If the test is positive, a colonoscopy should be done

2The multiple stool take-home test should be used. One test done by the doctor in the office is not adequate for testing. A colonoscopy should be done if the test is positive.

3Recommendation from the American Academy of Ophthalmology

4For complete list, see the CDC website

5For complete list, see the CDC website

6For complete list, see the CDC website

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

Immunization schedule from the CDC