Health Screening Guidelines, Men Ages 40 to 49

Health Screening Guidelines, Men Ages 40 to 49

Screening tests and health counseling are a key part of managing your health. A screening test is done to find disorders or diseases in people who don't have any symptoms. Screening tests are not used to diagnose. They are used to find out if more testing is needed. The goal may be to find a disease early so it can be treated with more success. Or the goal may be to find a disease early so you can make lifestyle changes. You may need regular checkups to help you reduce your risk of disease.

Below are guidelines for men ages 40 to 49. Talk with your healthcare provider. Make sure you’re up-to-date on what you need.

We understand gender is a spectrum. We may use gendered terms to talk about anatomy and health risk. Please use this information in a way that works best for you and your provider as you talk about your care.

Screening

Who needs it

How often

Alcohol misuse

All men in this age group

At routine exams

Blood pressure

All men in this age group

Once a year if your blood pressure is normal. Normal blood pressure is less than 120/80 mm Hg. If your blood pressure is higher than this, follow the advice of your healthcare provider.

Depression

All men in this age group

At routine exams

Type 2 diabetes or prediabetes

All men age 45 and older. Younger men with no symptoms who are overweight or obese and have 1 or more other risk factors for diabetes.

At least every 3 years (yearly if blood sugar has begun to rise)

BMI (body mass index) All men in this age group Every year, to help find out if you are at a healthy weight for your height

Type 2 diabetes

All men with prediabetes

Every year

Hepatitis C

All men in this age group

At least 1 time. If you have a higher risk of infection or liver disease, talk with your healthcare provider.

High cholesterol or triglycerides

All men in this age group

At least every 5 years

HIV

All men in this age group

At routine exams

Obesity

All men in this age group

At routine exams

Prostate cancer

Starting at age 45, talk with your healthcare provider about the risks and benefits of a digital rectal exam (DRE) and prostate-specific antigen (PSA) screening.

At routine exams

Colorectal cancer Men age 45 and older at average risk Talk with your healthcare provider about which test below is right for you:
  • Colonoscopy every 10 years
  • Flexible sigmoidoscopy every 5 years (or every 10 with yearly fecal immunochemical test (FIT) stool test)
  • CT colonography (virtual colonoscopy) every 5 years
  • Yearly fecal occult blood test
  • Yearly FIT
  • Stool DNA test every 1 to 3 years

If you have a test that is not a colonoscopy and have an abnormal test result, you will need a colonoscopy.

You may need to be screened more or less often. This is based on personal or family health history. Talk with your healthcare provider.

Syphilis

Men who are at higher risk for infection. Talk with your healthcare provider.

At routine exams

Tuberculosis

Men who are at higher risk for infection. Talk with your healthcare provider.

Talk with your healthcare provider

Vision

All men in this age group

Every 2 to 4 years if no risk factors for eye disease. Ask your healthcare provider if you need glaucoma screening with a dilated eye exam every 2 years. 2

Health counseling

Who needs it

How often

Diet and exercise

Men who are overweight or obese

When diagnosed, and then at routine exams

Sexually transmitted infection (STI) prevention

Men who are at higher risk of infection. Talk with your healthcare provider.

At routine exams

Daily low-dose aspirin

All men in this age group who are at high risk for cardiovascular problems and not at increased risk for bleeding. Talk with your healthcare provider.

At routine exams

Use of statins All men in this age group with an LDL-C level of more than 190 mg/dl At routine exams. More often if directed by your healthcare provider.

Use of tobacco and the health effects it can cause

All men in this age group

Every exam

Online Medical Reviewer: Robert Hurd MD

Online Medical Reviewer: Marianne Fraser MSN RN

Online Medical Reviewer: L Renee Watson MSN RN

Date Last Reviewed: 5/1/2021

© 2000-2022 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.