Health screenings for men ages 18 to 39
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
Video Transcript
Physical exam frequency - Animation
When you feel perfectly fine, the last thing you want to think about is seeing your health care provider. But that's exactly when you should be thinking about getting a checkup. Regular checkups, as well as certain health screenings and vaccinations, can be powerful ways to protect your health. Checkups are also called physical exams, annual wellness visits, and routine exams. Many conditions that threaten your health don't have any symptoms. For example, you might have no idea that you have high blood pressure or high cholesterol, until they make you sick. How often you need checkups and what screening tests you get, depends on your age and sex. If you are age 18 to 64, you should see your provider once every 1 to 5 years depending on what health conditions you have. Starting at age 65, you'll want to visit your provider at least once a year. At each checkup, your height, weight, and blood pressure will be checked. Your provider will also talk with you about any health screenings and vaccinations you may need. All adults age 18 and older should have their blood pressure checked every year. Have it checked during a checkup, or look for blood pressure screenings at health fairs or drug stores in your area. If you have a history of high blood pressure readings, or you have risk factors for high blood pressure, such as diabetes or heart disease, you may need your blood pressure checked more often. Your health care provider may ask you about any symptoms of depression and anxiety, your diet and exercise habits, alcohol, tobacco, and drug use, safety issues, such as using seat belts, smoke detectors, and intimate partner violence, your medicines and risk for interactions, and health screenings and vaccinations you may need. If you are age 35 and are overweight or have obesity, you should have your blood sugar tested for prediabetes, and type 2 diabetes. After this, you should have this screening test every 3 years if you are overweight or have obesity. Starting at age 35 for men, and 45 for women, you should have a cholesterol test once every 5 years. People with certain health conditions may need to have their cholesterol checked more often. Starting at age 45, everyone should be screened for colon cancer. You have several options for the type of colon cancer screening you can have. Your options include, a colonoscopy every 10 years, a stool test, either a fecal occult blood test, FOBT, or a fecal immunochemical test, FIT, every year, a stool DNA FIT test every 1 to 3 years, a flexible sigmoidoscopy every 5 years, or every 10 years with yearly stool testing, and a CT colonography every 5 years. You should have an annual screening for lung cancer with low-dose computed tomography, LDCT, if you are age 50 to 80 years, AND you have a 20 pack-year smoking history, AND you currently smoke or have quit within the past 15 years. Women need a Pap test to check for cervical cancer starting at age 21, and then every 3 years until age 65 if test results are normal. Women ages 30 to 65 can have either a Pap test every three years, or the HPV test every 5 years. Starting at age 40, women should have a mammogram to check for breast cancer every 1 to 2 years. Because bones can become brittle with age, women ages 65 and older should have a bone density scan. Younger women and men should talk to their provider about whether they need a bone density test based on their risks. If you are male, and age 55 through 69 years old, talk to your provider about the pros and cons of having a prostate specific antigen blood test. Ask your provider whether screening decreases your chance of dying from prostate cancer, whether there is any harm from prostate cancer screening, such as side effects from testing or overtreatment of cancer when discovered, and whether you have a higher risk of prostate cancer than others. One of the best ways to avoid unexpected visits to your provider, and protect your health, is to get the vaccines that are right for you. Vaccines aren't just for children. Everyone ages 6 months and older should get a flu vaccine each fall or early winter to protect them for the whole season. You can also get a vaccine to protect against COVID-19 at the same time. Once every 10 years, get a T dap vaccine, which protects against tetanus, diphtheria, and acellular pertussis. Older adults also need to get vaccinated against pneumonia, (pneumococcal infection), and shingles. Ask your provider about other vaccines you may need. To keep your teeth strong and healthy, visit your dentist twice a year for a cleaning and exam. Eye exams are also important, especially if you have glaucoma or another vision problem. All adults age 65 and older should have a comprehensive eye exam every year. If you are under age 65, check with your provider for advice about eye exams. Seeing your provider for regular checkups and screenings, can help prevent and find potential problems before you have a chance to get sick. Being proactive is the best way to protect your health.
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 level also may not have any symptoms in the early stages. Simple blood tests can check for these conditions.
High blood pressure
Blood pressure is a measurement of the force exerted against the walls of your arteries as your heart pumps blood to your body. Hypertension is the ...

High cholesterol
Cholesterol is a fat (also called a lipid) that your body needs to work properly. Too much bad cholesterol in your blood can increase your chance of...

There are specific times when you should see your provider or receive specific health screenings. The US Preventive Services Task Force publishes a list of recommended screenings. 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 if:
- Your blood pressure is in the normal range (top number less than 120 mm Hg and bottom number less than 80 mm Hg)
Blood pressure
Blood pressure is a measurement of the force on the walls of your arteries as your heart pumps blood through your body. You can measure your blood pr...
ImageRead Article Now Book Mark Article - You don't have risk factors for high blood pressure
Ask your provider if you need your blood pressure checked more often if:
- The top number is from 120 to 129 mm Hg or the bottom number is from 70 to 79 mm Hg
- You have diabetes, heart disease, kidney problems, are overweight, or have certain other health conditions
Diabetes
Diabetes is a long-term (chronic) disease in which the body cannot regulate the amount of sugar in the blood.
ImageRead Article Now Book Mark ArticleHeart disease
Coronary heart disease is a narrowing of the blood vessels that supply blood and oxygen to the heart. Coronary heart disease (CHD) is also called co...
ImageRead Article Now Book Mark ArticleKidney problems
Chronic kidney disease is the slow loss of kidney function over time. The main job of the kidneys is to remove wastes and excess water from the body...
ImageRead Article Now Book Mark Article - You have a first-degree relative with high blood pressure
- You are Black
If the top number is 130 mm Hg or greater or the bottom number is 80 mm Hg or greater, this is considered stage 1 hypertension. Schedule an appointment with your provider to learn how you can reduce your blood pressure.
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
Cholesterol screening should begin at:
Cholesterol screening
Cholesterol is a soft, wax-like substance found in all parts of the body. Your body needs cholesterol to work properly. But too much cholesterol ca...

- Age 35 for men with no known risk factors for coronary heart disease
- Age 20 for men with known risk factors for coronary heart disease
Repeat cholesterol screening should take place:
- Every 5 years for men with normal cholesterol levels
- More often if changes occur in lifestyle (including weight gain and diet)
- More often if you have diabetes, heart disease, kidney problems, or certain other conditions
DIABETES SCREENING
You should be screened for diabetes starting at age 35 and then repeated every 3 years if you have no risk factors for diabetes.
Diabetes
Diabetes is a long-term (chronic) disease in which the body cannot regulate the amount of sugar in the blood.

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 are overweight or have obesity.
- You have high blood pressure, prediabetes, or a history of heart disease.
- 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.
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.
- 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 needed vaccines include:
-
Flu shot: get one every year.
Flu
The flu (influenza) is a viral respiratory illness that causes fever, chills, runny nose, body aches, and cough. It spreads easily from person to pe...
ImageRead Article Now Book Mark Article - COVID-19 vaccine: ask your provider 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 and acellular pertus...
All content below is taken in its entirety from the Centers for Disease Control (CDC) Tdap Vaccine Information Statement (VIS): www. cdc. gov/vaccine...
ImageRead Article Now Book Mark Article - Tetanus-diphtheria: have a booster (or Tdap) every 10 years.
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Varicella vaccine: receive two doses if you never had chickenpox or the varicella vaccine.
Chickenpox
Chickenpox is a viral infection in which a person develops very itchy blisters all over the body. It was more common in the past. The illness is ra...
ImageRead Article Now Book Mark Article - 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 doctor can tell you if you are immune
Measles, mumps, and rubella (MMR)
All content below is taken in its entirety from the CDC MMR (Measles, Mumps, & Rubella) Vaccine Information Statement (VIS): www. cdc. gov/vaccines/h...
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Ask your provider about the human papillomavirus (HPV) vaccine if you have:
Human papillomavirus (HPV)
All content below is taken in its entirety from the CDC HPV (Human Papillomavirus) Vaccine Information Statement (VIS): HPV (Human Papillomavirus) Va...

- Not received the HPV vaccine in the past
- 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.
Hepatitis C
Hepatitis C is a viral disease that leads to swelling (inflammation) of the liver. Other types of viral hepatitis include:Hepatitis AHepatitis BHepat...
ImageRead Article Now Book Mark Article - All people ages 15 to 65 should get a one-time test for human immunodeficiency virus (HIV)
HIV
Human immunodeficiency virus (HIV) is the virus that causes acquired immunodeficiency syndrome (AIDS). When a person becomes infected with HIV, the ...
ImageRead Article Now Book Mark Article - Depending on your lifestyle and medical history, you may need to be screened for infections such as syphilis, chlamydia, and other infections.
PHYSICAL EXAM
All adults should visit their provider from time to time, even if they are healthy. The purpose of these visits is to:
- Screen for diseases
- Assess risk of future medical problems
- Encourage a healthy lifestyle
- Update vaccinations and other preventive care services
- Maintain a relationship with a provider in case of an illness
Your height, weight, and BMI should be checked at every exam.
BMI
A good way to decide if your weight is healthy for your height is to figure out your body mass index (BMI). You and your health care provider can us...

During your exam, your provider may ask you about:
-
Depression and anxiety
Depression
Depression may be described as feeling sad, blue, unhappy, miserable, or down in the dumps. Most of us feel this way at one time or another for shor...
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- Alcohol and tobacco use
- Safety, such as use of seat belts and smoke detectors
- Your medicines and risk for interactions
TESTICULAR EXAM
- The US Preventive Services Task Force recommends against performing testicular self-exam. Doing testicular exams has been shown to have little to no benefit.
SKIN SELF-EXAM
- Your provider may check your skin for signs of skin cancer, especially if you're at high risk, such as if you have had skin cancer before.
Skin cancer
Squamous cell skin cancer is the second most common type of cancer in the United States. Other common types of skin cancer are:Basal cell cancerMelan...
ImageRead Article Now Book Mark Article - Have close relatives with skin cancer.
- Have a weakened immune system.
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.
Reviewed By
David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team. Editorial update 04/18/2023. Internal review and update on 08/01/23. Editorial update 09/26/2024/.
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