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.
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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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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
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Depression
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All men in this age group
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At routine exams
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Type 2 diabetes or prediabetes
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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
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At least every 3 years (annually if blood sugar is already rising)
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Type 2 diabetes
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All men with prediabetes
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Every year
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Hepatitis C
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Anyone at increased risk
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At routine exams
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HIV
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All men
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At routine exams
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High cholesterol and triglycerides
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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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Prostate cancer
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Starting at age 45, talk to healthcare provider about risks and benefits of digital
rectal exam (DRE) and prostate-specific antigen (PSA) screening***
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At routine exams
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Colorectal cancer
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Men of average risk ages 45 and older
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Several tests are available and used at different times.
Possible tests include:
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Colonoscopy every 10 years, or
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Flexible sigmoidoscopy every 5 years (or every 10 years with yearly FIT stool test),
or
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CT colonography (virtual colonoscopy) every 5 years, or
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Colonoscopy every 10 years, or
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Yearly fecal occult blood test, or
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Yearly fecal immunochemical test (FIT), or
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Stool DNA test, every 1 to 3 years
You will need a follow-up colonoscopy if you choose any test other than a colonoscopy
and you have an abnormal result. Talk with your doctor about which tests are best
for you.
Some people should be screened using a different schedule because of their personal or
family health history. Talk with your provider about your health history.
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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 healthcare provider
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Vision
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All adults1
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Every 2 to 4 years if no risk factors for eye disease
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Counseling
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Who needs it
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How often
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Diet and exercise,
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Adults who are overweight or obese
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When diagnosed and at routine exams
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Aspirin for primary prevention of cardiovascular problems
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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
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When diagnosed with risk for cardiovascular/heart disease; check with your healthcare
provider before starting
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Sexually transmitted infection prevention
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Anyone at increased risk for infection
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At routine exams
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Tobacco use and tobacco-related disease
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All adults
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Every exam
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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 1-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 in this age group who have no record of previous infection or vaccines**
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1 or 2 doses
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Chickenpox (varicella)
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All adults in this age group who have no record of previous infection or vaccines**
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2 doses; the second dose should be given at least 4 weeks 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 risk 2
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2 doses given at least 6 months apart
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Hepatitis B
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People at risk 3
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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)
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Haemophilus influenza Type B (HIB)
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People at risk
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1 to 3 doses
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Meningococcal
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People at risk**
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1 or more doses
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Pneumococcal conjugate vaccine (PCV13) and pneumococcal polysaccharide vaccine (PPSV23)
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People at risk 4
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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)
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*Recommendation from the American College of Cardiology and the American Heart Association
Task Force on Clinical Practice Guidelines
Screening guidelines from the U.S. Preventive Services Task Force