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Health screening - men - age 18 to 39

All adults should visit their health care provider regularly, even if they feel healthy. The purpose of these visits is to:

  • Screen for diseases
  • Assess risk of future medical problems
  • Help develop a healthy lifestyle
  • Update vaccinations
  • Maintain a relationship with a doctor in case of an illness

Alternative Names

Health maintenance visit - men - age 18 to 39; Physical exam - men - age 18 to 39; Yearly exam - men - age 18 to 39; Checkup - men - age 18 to 39; Men's health - age 18 to 39

Information

Even if you feel fine, you should still see your health care provider for regular checkups. These visits can avoid problems in the future. For example, the only way to find out if you have high blood pressure is to have it checked regularly. High blood sugar and high cholesterol levels also may not have any symptoms in the early stages.

There are certain times when you should see your health care provider.

BLOOD PRESSURE

  • Have your blood pressure checked every 2 years unless it is 120-139/80-89 Hg or higher. Then have it checked every year.
  • Watch for blood pressure screenings in your area. Ask your health care provider if you can stop into the office to have your blood pressure checked. Check your blood pressure using the machines at local grocery stores and drug stores.
  • Call your doctor if the top number (systolic number) is greater than 130 or the bottom number (diastolic number) is greater than 85.
  • If you have diabetes, heart disease, kidney problems, or certain other conditions, you may need to be checked more often.

CHOLESTEROL AND HEART DISEASE

  • Men 35 or older should be checked every 5 years.
  • Start screenings at age 20 if you have risk factors for heart disease, such as diabetes.
  • If you have diabetes, heart disease, kidney problems, or certain other conditions, you may need to checked more often.

EYE EXAM

  • Have an eye exam every 2 years if you have vision problems.

IMMUNIZATIONS

  • After age 19, you should have a tetanus-diphtheria and acellular pertussis (Tdap) vaccine once as part of your tetanus-diphtheria vaccines.
  • You should have a tetanus-diphtheria booster every 10 years.
  • You should get a flu shot each year.
  • You should get the HPV vaccine if you have not already had the vaccine and are age 26 or younger.
  • Your doctor may recommend other immunizations if you have certain medical conditions, such as diabetes.

INFECTIOUS DISEASES

  • You may need to be screened for infections such as syphilis, chlamydia, and other infections. Screening will depend on your lifestyle and medical history.
  • The U.S. Preventive Services Task Force recommends screening all adults up to age 65 for HIV infection unless the prevalence is known to be less than 1 in 1000 people.

PREVENTIVE HEALTH VISITS

  • You should have these screenings every 2 years.
  • Your weight and height will be checked.
  • You will be screened for alcohol and tobacco use and for depression.

References

Atkins D, Barton M. The periodic health examination. In: Goldman L, Schafer AI, eds. Goldman's Cecil Medicine. 24th ed. Philadelphia, PA: Saunders Elsevier; 2011:chap 14.

Centers for Disease Control and Prevention. Advisory Committee on Immunization Practices (ACIP) recommended immunization schedule for adults aged 19 and older - United States, 2013. MMWR supplement 2013;62(1):9-19. Accessed May 12, 2013.

Greenland P, Alpert JS, Beller GA, et al. 2010 ACCF/AHA guideline for assessment of cardiovascular risk in asymptomatic adults: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Circulation. 2010;122(25):e584-e636.

U.S. Preventive Services Task Force. Recommendations for adults. Rockville, MD: Agency for Healthcare Research and Quality; 2013. Accessed May 12, 2013.

Updated: 5/13/2013

David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine, Seattle, WA. Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, Bethanne Black, Stephanie Slon, and Nissi Wang.


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