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When Should Men Get a Colonoscopy? Gastro FAQ

When should men get a colonoscopy

Colorectal cancer is one of the most common cancers in men. It often starts without any symptoms, which means you may not know anything is wrong. Small growths, called polyps, can form in the colon or rectum. Over time, some polyps can turn into cancer.

This is why many people ask, “When should men get a colonoscopy?” A colonoscopy is the only test that can find polyps and remove them during the same visit. This helps stop cancer before it starts and gives men peace of mind about their health.

When Should Men Get a Colonoscopy?

Knowing the right time to schedule this test can make a big difference.

For many years, age 50 was considered the standard starting point. But experts have lowered the age as more young adults have been diagnosed. They now recommend that men at average risk begin colon cancer screening at age 45. But some men need to start screening sooner.

Once you start screening, it’s usually done every 10 years with a colonoscopy, unless there are concerning findings.

Screening can still be useful after age 75. But the choice to pursue it depends on each person’s overall health and past screening results.

Over 85, screening is no longer routinely advised, as the risks outweigh the benefits in most people.

Who Should Get a Colonoscopy Earlier?

Men who are considered higher risk should not wait until 45 to schedule their first colonoscopy. These include men with:

  • A first-degree relative diagnosed with colorectal cancer or advanced polyps before age 60. A first-degree relative is a father, mother, brother, or sister. These men should start colorectal cancer screening at age 40 or 10 years before the earliest family diagnosis, whichever is earlier. Certain inherited conditions, like Lynch syndrome or familial adenomatous polyposis. These conditions significantly increase cancer risk and require earlier and more frequent testing.
  • Ulcerative colitis and Crohn’s disease involving the colon.
  • A personal history of colon polyps, even if benign. It raises the likelihood of future growths, making earlier follow-up necessary.

What Does a Colonoscopy Involve?

A colonoscopy is a routine outpatient procedure that includes these steps:

  • Preparation. The colon must be clean for the doctor to see the lining clearly. This step involves a special diet and a bowel preparation solution the day before the procedure.
  • The exam. A colonoscopy is performed under light sedation. A thin, flexible scope with a camera is inserted through the rectum and guided through the colon. While watching a monitor, the doctor inspects the colon’s lining for polyps or other changes. If polyps are found, they can often be removed immediately. Tissue samples may also be taken for further testing.
  • Recovery. After a colonoscopy, most men go home the same day. Due to sedation, a driver is required. Mild cramping or bloating may be experienced for a few hours, but normal activities can usually resume by the next day.

Colonoscopy is one of the few cancer screenings that can prevent cancer, not just detect it. For men, the key is to begin at the recommended age of 45, or sooner if risk factors are present.

Don’t Wait to Get a Colonoscopy

If you have a family history of colorectal cancer, inflammatory bowel disease, or other risks, talk with your doctor about a plan that fits your needs. Staying on schedule may feel inconvenient, but it can be lifesaving. If you’re wondering “when should men get a colonoscopy?,” the safest answer is to speak with your provider and get checked on time. If you need guidance or care, our gastroenterologists in San Antonio can help you understand your risks and choose the right next step. Schedule an appointment today.

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