Health Provider Checklist for Adolescent and Young Adult Males

Physical Examination and Labs

Labs and Immunzations

Who

What

When

 

 

 

Sexually active adolescent and young adult (AYA) males

HIV testing

Annually (high risk)

 

 

At least once by age 16 to 18

 

 

With other STI testing

 

Chlamydia urine testing

When patient has painful urination (dysuria) and/or urethral discharge

 

 

Routinely, depending on prevalence within community

 

Gonorrhea urine testing

When patient has painful urination (dysuria) and/or urethral discharge

 

 

Routinely, depending on prevalence within community

 

Trichomonas urine testing

When patient has painful urination (dysuria) and/or urethral discharge

 

 

Routinely, depending on prevalence within community

AYA males who report sexual behavior with another male

HIV testing

If HIV negative or not tested within the past year

 

Syphilis serologic testing

AYA males  who have had insertive sex with another male during the preceding year

 

Test for urethral infection with chlamydia and gonorrhea

AYA males  who have had insertive sex with another male during the preceding year

 

Test for rectal infection with chlamydia and gonorrhea

AYA males who have had receptive anal sex during the preceding year

 

Test for pharyngeal infection for gonorrhea

AYA males who have had receptive oral sex during the preceding year

 

Hepatitis A vaccine1

 

AYA males

HPV vaccine
Three doses total; the second dose given two months after the first dose, and the third dose given six months after the first dose

Males age 11 or 12

 

 

Male teens not previously vaccinated (all three doses), through age 21

 

 

Gay and bisexual men

 

 

AYA males with compromised immune systems (including people living with HIV/AIDS) through age 26, if they did not get fully vaccinated when they were younger

Males 20 and over

Fasting lipid profile: total cholesterol, LDL cholesterol, HDL cholesterol, triglycerides. AHA recommendations.2

Annual

Males under age 19

Hepatitis A

If not previously vaccinated

HIV positive males

Hepatitis C testing

Routinely

 

The CDC’s sexually transmitted diseases treatment guidelines  and the AAP’s Red Book are updated on a regular basis and provide the most up- to-date screening, testing, and treatment recommendations. Health care providers should also encourage STI treatment of their partners through provision of expedited partner therapy, if allowed by state law; bringing the partner in for testing and  treatment; or referral to local public health facilities.3

Health care providers are encouraged to communicate to their patients and families that the delivery of sexual/reproductive health services, including STI/HIV testing, is a standard and routine part of adolescent clinical services. State mandates that require an explanation of benefits to be sent to parents of adolescent patients might conflict with patients’ rights to confidential care and minor consent. Adolescents who are seeking confidential testing for STIs might require referral to settings that provide confidential STI testing, such as local public health clinics or Planned Parenthood centers. Informed and proactive health care providers can ensure that their patient’s confidentiality is maintained.4

Sources

Marcell, AV, Wibbelsman, C, Seigel, WM and the Committee on Adolescence. Male Adolescent Sexual and Reproductive Health Care.  Pediatrics. 2011.

Hopkins Medicine. Prevention Guidelines for Men 18–39.

Hopkins Medicine. Prevention Guidelines for Children and Teenagers.

3 Marcell, AV, Wibbelsman, C, Seigel, WM and the Committee on Adolescence. Male Adolescent Sexual and Reproductive Health Care.  Pediatrics. 2011.

4 Ibid