Health & Wellness > Prevention Guidelines

Prevention Guidelines for Men 40 to 49

Here are the screening tests and immunizations that most men ages 40 to 49 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*

Depression

All men in this age group

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

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 health care provider about risks and benefits of digital rectal exam (DRE) and prostate-specific antigen (PSA) screening***

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

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 health care 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 risk2

2 doses given at least 6 months apart

Hepatitis B

People at risk3

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 risk4

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 Joint National Committee on Prevention, Detection, and Treatment of High Blood Pressure

**Exceptions may exist; discuss with your health care 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

Last Reviewed Date: 03/30/2015
© 2000-2015 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.
Health & Wellness
Home
Library
Quizzes & Calculators
Multimedia
Health Centers