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      COVID-2019 Alert

      Information about the 2019 Novel Coronavirus. Read the latest >

      Información sobre el coronavirus 2019 (COVID-19). Aprenda más >

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      Prevention Guidelines for Men 40 to 49

      Here are the screening tests and immunizations that most men ages 40 to 49 need. A screening test is done to find possible disorders or diseases in people who don't have any symptoms. The goal is to find a disease early so lifestyle changes can be made and you can be watched more closely to reduce the risk of disease, or to detect it early enough to treat it most effectively. Screening tests are not considered diagnostic, but are used to determine if more testing is needed. Although you and your healthcare 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

      Yearly checkup if your blood pressure is normal*

      Normal blood pressure is less than 120/80 mm Hg*

      If your blood pressure reading is higher than normal, follow the advice of your healthcare provider

      Depression

      All men in this age group

      At routine exams

      Type 2 diabetes or prediabetes

      All men beginning at age 45 and men without symptoms at any age who are overweight or obese and have 1 or more additional risk factors for diabetes

      At least every 3 years (annually if blood sugar is already rising)

      Type 2 diabetes

      All men with prediabetes

      Every year

      Hepatitis C

      Anyone at increased risk

      At routine exams

      HIV

      All men

      At routine exams

      High cholesterol and triglycerides

      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

      Prostate cancer

      Starting at age 45, talk to healthcare provider about risks and benefits of digital rectal exam (DRE) and prostate-specific antigen (PSA) screening***

      At routine exams

      Colorectal cancer

      Men of average risk ages 45 and older

      Several tests are available and used at different times.

      Tests include:

      • Flexible sigmoidoscopy every 5 years, or

      • CT colonography (virtual colonoscopy) every 5 years, or

      • Colonoscopy every 10 years, or

      • Yearly fecal occult blood test, or

      • Yearly fecal immunochemical test every year, or

      • Stool DNA test, every 3 years

      You will need a follow-up colonoscopy if you choose any test other than a colonoscopy and you have an abnormal result. Screening recommendations vary among expert groups. Talk with your doctor about which test is best for you.

      Some people should be screened using a different schedule because of their personal or family history. Talk with your doctor about your health history and what colorectal cancer screening schedule is best for you.

      Syphilis

      Anyone at increased risk for infection

      At routine exams

      Tuberculosis

      Anyone at increased risk for infection

      Check with your healthcare provider

      Vision

      All adults1

      Every 2 to 4 years if no risk factors for eye disease

      Counseling

      Who needs it

      How often

      Diet and exercise,

      Adults who are overweight or obese

      When diagnosed and at routine exams

      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 healthcare provider before starting

      Sexually transmitted infection prevention

      Anyone at increased risk for infection

      At routine exams

      Tobacco use and tobacco-related disease

      All adults

      Every exam

      Immunization

      Who needs it

      How often

      Tetanus/diphtheria/
      pertussis (Td/Tdap) booster

      All adults

      Td: every 10 years

      Tdap: substitute a 1-time dose of Tdap for a Td booster after age 18, then boost with Td every 10 years

      Measles, mumps, rubella (MMR)

      All adults in this age group who have no record of previous infection or vaccines**

      1 or 2 doses

      Chickenpox (varicella)

      All adults in this age group who have no record of previous infection or vaccines**

      2 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 risk 2

      2 doses given at least 6 months apart

      Hepatitis B

      People at risk 3

      3 doses; the second dose should be given 1 month after the first dose, and the third dose should be given at least 2 months after the second dose (or at least 4 months after the first dose)

      Haemophilus influenza Type B (HIB)

      People at risk

      1 to 3 doses

      Meningococcal

      People at risk**

      1 or more doses

      Pneumococcal conjugate vaccine (PCV13) and pneumococcal polysaccharide vaccine (PPSV23)

      People at risk 4

      PCV13: 1 dose ages 19 to 65 (protects against 13 types of pneumococcal bacteria)

       

      PPSV23: 1 to 2 doses through age 64, or 1 dose at 65 or older (protects against 23 types of pneumococcal bacteria)

       

      *Recommendation from the American College of Cardiology and the American Heart Association Task Force on Clinical Practice Guidelines

      **Exceptions may exist; discuss with your healthcare provider

      ***National Comprehensive Cancer Network

      1Recommendation from the American Academy of Ophthalmology

      2For complete list, see the CDC website

      3For complete list, see the CDC website

      4For complete list, see the CDC website

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

      Immunization schedule from the CDC

      Related Topics

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      • Multiple Sclerosis (MS)
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