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How Often Should You Get a Colonoscopy​?

How Often Should You Get a Colonoscopy

Colorectal cancer often begins quietly, without symptoms. It may be there for months or years before you notice. By then, it might be too late.

Fortunately, there’s a solution.

A colonoscopy is a life-saving screening tool. And it’s the most effective. When done at the right time, it can prevent cancer or catch it early, when treatment is more effective and less invasive.

And how often should you get a colonoscopy? The answer: it depends.

Why Colonoscopy Matters

Colorectal cancer is the second leading cause of cancer deaths in the U.S., but it’s also one of the most preventable. Routine screening can:

  • Find precancerous polyps early so they can be removed
  • Detect cancer at an early stage, when it’s easier to treat
  • Lower your risk of dying from colorectal cancer

A colonoscopy allows your doctor to view the entire colon and remove any suspicious areas during the same procedure. This dual purpose, along with its accuracy, is what makes colonoscopy the gold standard.

How Often Should You Get a Colonoscopy?

People at average risk should start regular colonoscopy screening at age 45. If your results are normal and no polyps are found, you typically only need a colonoscopy once every 10 years.

However, this does not apply to everyone.

Your screening frequency may vary depending on your health history and risk level. Here are five instances where you may need screening more often or at an earlier age.

  1. History of polyps. If you’ve had polyps removed in the past, your doctor may suggest screening every 3 to 5 years, depending on the size, number, and type.
  2. Family history of colorectal cancer or advanced polyps. If a close relative has been diagnosed, you may need to start at:
    • Age 40, or
    • 10 years before their diagnosis,
    • The test will need to be repeated every 5 years or as recommended.
  3. Inflammatory bowel disease (Crohn’s disease or ulcerative colitis). Long-term inflammation increases risk, so you may need to start screening earlier and do it more often. Your specialist will create a plan that fits your needs.
  4. Genetic syndromes such as Lynch syndrome or familial adenomatous polyposis. These inherited conditions can raise your risk significantly. Screening might begin in your 20s and continue every 1 to 2 years.
  5. Previous colorectal cancer. If you’ve had colorectal cancer before, you’ll likely need a more frequent follow-up schedule to monitor for recurrence.

Why the Starting Age Dropped from 50 to 45

Doctors used to recommend beginning colorectal cancer screening at age 50. But in recent years, more cases are showing up in younger adults. That’s why screening guidelines now recommend starting at age 45, even if you have no symptoms or family history. It’s a step toward catching cancer earlier, and sometimes even preventing it altogether.

Are There Colon Cancer Symptoms?

Most people with early-stage colorectal cancer feel completely fine. That’s why waiting for symptoms is risky. When symptoms do occur, they may include:

  • Blood in your stool or toilet
  • Unexplained weight loss
  • Changes in bowel habits
  • Ongoing abdominal discomfort

But again, many people have no warning signs until the cancer is advanced. That’s why getting screened is so important.

Protect Your Health and Schedule a Colonoscopy

Colonoscopy is more than just a test; it’s a powerful tool for cancer prevention. If you’re 45 or older, or if you have risk factors, talk to your doctor or a gastroenterologist about getting screened.

Don’t continue to wonder how often you should get a colonoscopy – schedule an appointment and get personalized recommendations.

Request Appointment

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