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.
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Screening
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Who needs it
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How often
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Alcohol misuse
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All adults
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At routine exams
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Blood pressure
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All adults
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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*
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Colorectal cancer
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Men diagnosed with specific inherited syndromes and inflammatory bowel disease
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Discuss with your health care provider to make an informed decision based on your family history, current medical condition, and personal values
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Depression
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All adults who have access to clinical practices with staff and systems in place to assure accurate diagnosis, effective treatment, and follow-up
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At routine exams
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Diabetes mellitus, type 2
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Adults who have no symptoms and have sustained blood pressure (treated or untreated) greater than 135/80 mm Hg
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At least every 3 years
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HIV
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Anyone at increased risk for infection
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At routine exams
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Lipid disorders
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All men ages 35 and older, and younger men at high risk for coronary artery disease
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At least every 5 years
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Obesity
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All adults
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At routine exams
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Syphilis
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Anyone at increased risk for infection
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At routine exams
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Tuberculosis
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Anyone at increased risk for infection
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Check with your health care provider
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Vision
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All adults1
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At least one complete exam in your 20s and two in your 30s
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Counseling
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Who needs it
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How often
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Diet, behavioral counseling
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Adults with hyperlipidemia and other known risk factors for cardiovascular and diet-related chronic disease
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When diagnosed
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Tobacco use and tobacco-related disease
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All adults
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Every visit
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Immunization
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Who needs it
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How often
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Tetanus/diphtheria/pertussis (Td/Tdap) booster
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All adults
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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
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Measles, mumps, rubella (MMR)
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All adults ages 19 to 49 who have no documentation of previous infection or vaccinations**
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One or two doses
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Chickenpox (varicella)
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All adults ages 19 to 49 who have no documentation of previous infection or vaccinations**
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Two doses; the second dose should be given at least 4 after the first dose
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Flu (seasonal)
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All adults
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Yearly, when the vaccine becomes available in the community
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Hepatitis A
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People at risk2
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Two doses given at least 6 months apart
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Hepatitis B
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People at risk3
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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)
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Human papillomavirus (HPV4)
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Men ages 22 to 26
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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
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Meningococcal
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People at risk4
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One or more doses
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Pneumococcal (polysaccharide)
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People at risk5
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One or more doses
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*Recommendation from the Joint National Committee on Prevention, Detection, and Treatment of High Blood Pressure
Screening guidelines from the U.S. Preventive Services Task Force
