Health screenings for men ages 18 to 39
Definition
You should visit your health care provider regularly, even if you feel healthy. The purpose of these visits is to:
- Screen for medical issues
- Assess your risk for future medical problems
- Encourage a healthy lifestyle
- Update vaccinations and other preventive care services
- Help you get to know your provider in case of an illness
Alternative Names
Health maintenance visit - men - ages 18 to 39; Physical exam - men - ages 18 to 39; Yearly exam - men - ages 18 to 39; Checkup - men - ages 18 to 39; Men's health - ages 18 to 39; Preventive care exam - men - ages 18 to 39
Information
Even if you feel fine, you should still see your provider for regular checkups. These visits can help you 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. Simple blood tests can check for these conditions.
There are specific times when you should see your provider or receive specific health screenings. The US Preventive Services Task Force (USPSTF) publishes a list of recommended screenings, and these are updated as needed. Below are screening guidelines for men ages 18 to 39.
BLOOD PRESSURE SCREENING
Your blood pressure should be checked at least once every 3 to 5 years. Watch for blood pressure screenings in your area. Ask your provider if you can stop in to have your blood pressure checked. You can also check your blood pressure using the automated machines that are often located at local grocery stores, pharmacies, and urgent care centers.
Ask your provider if you need your blood pressure checked more often if:
- You have diabetes, heart disease, kidney problems, are overweight or have obesity, or have certain other health conditions
- You have a first-degree relative with high blood pressure
- You are Black
- The top number is from 120 to 129 mm Hg or the bottom number is from 70 to 79 mm Hg
If the top number is 130 mm Hg or greater, but lower than 140 mm Hg, or the bottom number is 80 mm Hg or greater, but lower than 90 mm Hg, this is considered stage 1 hypertension. Readings above these are considered stage 2 hypertension. Schedule an appointment with your provider to learn how you can reduce your blood pressure. Record your blood pressure numbers and bring this information to share with your provider.
Watch for blood pressure screenings in your neighborhood or workplace. Ask your provider if you can stop in to have your blood pressure checked.
CHOLESTEROL SCREENING
The American Heart Association recommends beginning cholesterol screening at:
- Age 20 for all men with no known risk factors for coronary heart disease and repeat every 4 to 6 years
Repeat cholesterol screening should take place more often if:
- Changes occur in lifestyle (including weight gain and diet)
- You have diabetes, heart disease, kidney problems, stroke, blood flow problems in the legs or feet, or certain other conditions
- Your provider recommends it because you are taking medicines to control high cholesterol
DENTAL EXAM
- Go to the dentist once or twice every year for an exam and cleaning. Your dentist will evaluate if you have a need for more frequent visits.
PREDIABETES AND TYPE 2 DIABETES SCREENING
You should be screened for prediabetes and type 2 diabetes starting at age 35 if you are overweight or have obesity. Screening should be repeated every 3 years if you still are overweight or have obesity.
Screening may need to start earlier and be repeated more often if you have other risk factors for diabetes, such as:
- You have a first degree relative with diabetes
- You have high blood pressure, prediabetes, or a history of heart disease
EYE EXAM
- Have an eye exam every 5 to 10 years before age 40.
- If you have vision problems, have an eye exam every 2 years, or more often if recommended by your provider.
- If you wear contact lenses, have a yearly eye exam.
- You should have an eye exam that includes an examination of your retina (back of your eye) at least every year if you have diabetes.
IMMUNIZATIONS
Commonly recommended vaccines include:
- Flu shot: you should get one every year.
- COVID-19 vaccine: recommended for all people age 6 months and older. Talk with your provider about what is best for you.
- Tetanus-diphtheria and acellular pertussis (Tdap) vaccine: have one at or after age 19 as one of your tetanus-diphtheria vaccines if you did not receive it as an adolescent.
- Tetanus-diphtheria: have a booster (Td or Tdap) every 10 years.
- Varicella vaccine: receive 2 doses if you never had chickenpox or the varicella vaccine.
- Hepatitis B vaccine: receive 2, 3, or 4 doses, depending on your exact circumstances.
- Measles, mumps, and rubella (MMR) vaccine: receive one to two doses if you are not already immune to MMR. Your provider can tell you if you are immune.
Ask your provider about the human papillomavirus (HPV) vaccine if:
- You have not received the HPV vaccine in the past
- You have not completed the full vaccine series (you should catch up on this shot)
Ask your provider if you should receive other immunizations if you have certain medical conditions, such as diabetes or are at increased risk for some diseases, such as pneumonia.
INFECTIOUS DISEASE SCREENING
- All adults ages 18 to 79 should get a one-time test for hepatitis C.
- All people ages 15 to 65 should get a one-time test for human immunodeficiency virus (HIV).
- Annual HV screening is recommended for people at increased risk, such as being sexually active with men of unknown HIV status or having other risk factors such as injection drug use.
Depending on your lifestyle and medical history, you may need to be screened for infections such as syphilis, chlamydia, and other infections.
PHYSICAL EXAM
Your blood pressure, height, weight, and body mass index (BMI) should be checked at every exam.
During your exam, your provider may ask you about:
- Depression and anxiety
- Diet and exercise
- Alcohol, tobacco, and drug use
- Safety, such as use of seat belts, smoke detectors, and intimate partner violence
- Your medicines and risk for interactions
TESTICULAR EXAM
- The USPSTF recommends against performing testicular screening. Doing testicular exams has been shown to have little to no benefit.
SKIN EXAM
Your provider may check your skin for signs of skin cancer, especially if you're at high risk. You may be at high risk if you:
- Have had skin cancer before
- Have close relatives with skin cancer
- Have a weakened immune system
Professional organizations do not recommend for or against performing a skin self-exam.
OTHER SCREENING
- Talk with your provider about colon cancer screening if you have a strong family history of colon cancer or polyps, or if you have had inflammatory bowel disease or polyps yourself.
References
American Academy of Ophthalmology website. Clinical statement: Comprehensive adult medical eye examination PPP 2020. www.aao.org/education/preferred-practice-pattern/comprehensive-adult-medical-eye-evaluation-ppp. Updated November 2020. Accessed October 24, 2025.
American Dental Association website. Your top 9 questions about going to the dentist -- answered! www.mouthhealthy.org/dental-care/questions-about-going-to-the-dentist/. Accessed July 17, 2025.
American Diabetes Association Professional Practice Committee. 2. Diagnosis and Classification of Diabetes: Standards of Care in Diabetes-2025. Diabetes Care. 2025;48(1 Suppl 1):S27-S49. PMID: 39651986 pubmed.ncbi.nlm.nih.gov/39651986/.
American Heart Association website. How to get your cholesterol tested. www.heart.org/en/health-topics/cholesterol/how-to-get-your-cholesterol-tested. Last reviewed February 19, 2024. Accessed November 1, 2025.
Barton MB, Wolff TA. The preventive health visit. In: Goldman L, Cooney KA, eds. Goldman-Cecil Medicine. 27th ed. Philadelphia, PA: Elsevier; 2024:chap 12.
Bushnell C, Kernan WN, Sharrief AZ, et al. 2024 Guideline for the primary prevention of stroke: a guideline from the American Heart Association/American Stroke Association. Stroke. 2024;55(12):e344-e424. PMID: 39429201 pubmed.ncbi.nlm.nih.gov/39429201/.
Centers for Disease Control and Prevention website. Recommended vaccinations for adults. Recommended immunizations for adults aged 19 years and older, United States, 2024. www.cdc.gov/vaccines/imz-schedules/adult-easyread.html. Updated July 1, 2025. Accessed July 18, 2025.
Grundy SM, Stone NJ, Bailey AL, et al. 2018 AHA/ACC/AACVPR/AAPA/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the management of blood cholesterol: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. J Am Coll Cardiol. 2019;73(24):e285-e350. PMID: 30423393 pubmed.ncbi.nlm.nih.gov/30423393/.
Mora S, Libby P, Ridker PM. Primary prevention of cardiovascular disease. In: Libby P, Bonow RO, Mann DL, Tomaselli GF, Bhatt DL, Solomon SD, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 12th ed. Philadelphia, PA: Elsevier; 2022:chap 25.Â
US Preventive Services Task Force website. A and B recommendations. www.uspreventiveservicestaskforce.org/uspstf/recommendation-topics/uspstf-a-and-b-recommendations. Accessed July 18, 2025.
US Preventive Services Task Force website. Final recommendation statement. Hepatitis C virus infection in adolescents and adults: screening. www.uspreventiveservicestaskforce.org/uspstf/recommendation/hepatitis-c-screening. Published March 2, 2020. Accessed October 24, 2025.
US Preventive Services Task Force website. Final recommendation statement. Human immunodeficiency virus (HIV) infection: screening. www.uspreventiveservicestaskforce.org/uspstf/recommendation/human-immunodeficiency-virus-hiv-infection-screening. Published June 11, 2019. Accessed October 24, 2025.
US Preventive Services Task Force website. Final recommendation statement. Hypertension in adults: screening. www.uspreventiveservicestaskforce.org/uspstf/recommendation/hypertension-in-adults-screening. Published April 27, 2021. Accessed October 24, 2025.
US Preventive Services Task Force website. Final recommendation statement: Osteoporosis to prevent fracture: screening. www.uspreventiveservicestaskforce.org/uspstf/recommendation/osteoporosis-screening. Updated June 26, 2018. Accessed October 24, 2025.
US Preventive Services Task Force website. Final recommendation statement. Prediabetes and type 2 diabetes: screening. www.uspreventiveservicestaskforce.org/uspstf/recommendation/screening-for-prediabetes-and-type-2-diabetes. Updated August 24, 2021. Accessed October 24, 2025.
US Preventive Services Task Force website. Final recommendation statement. Skin cancer: screening. www.uspreventiveservicestaskforce.org/uspstf/recommendation/skin-cancer-screening. Updated April 18, 2023. Accessed October 24, 2025.
US Preventive Services Task Force website. Final recommendation statement. Testicular cancer: screening. www.uspreventiveservicestaskforce.org/uspstf/recommendation/testicular-cancer-screening. Published April 15, 2011. Accessed October 24, 2025.
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Review Date:
7/1/2025 Reviewed By: Frank D. Brodkey, MD, FCCM, Associate Professor, Section of Pulmonary and Critical Care Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team. |
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