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    Health Library Explorer
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    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 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

    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

    Type 2 diabetes or prediabetes

    All adults beginning at age 45 and adults 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)

    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

    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 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 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

    Online Medical Reviewer: Hurd, Robert, MD
    Online Medical Reviewer: Taylor, Wanda, RN, PhD
    Date Last Reviewed: 2/1/2017
    © 2000-2017 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.
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    Southern New Mexico
    Surgery Center

    2301 Indian Wells Rd. Suite B
    Alamogordo, NM 88310
    www.snmsc.org

    Phone: 575.437.0890
    Fax: 575.437.0905
    Email: info@snmsc.org

    Disclaimer