Colon Cancer Screening: Why It Matters and When to Start

Colon cancer is one of the most common cancers in the U.S. and the second leading cause of cancer-related deaths. But there's good news, when caught early, it's highly treatable and the chances of survival are much greater. That is why screening is so important.

For many years, doctors recommended that people start regular colon cancer screenings at age 50. However, with more cases being found in younger adults, the guidelines have changed. Now, the American Cancer Society recommends starting screenings at age 45 for people at average risk.

Men and women with a higher risk of colorectal cancer, such as family history or those with inflammatory bowel disease, should ask their physician to determine the best age to start their screening and what screening schedule to follow based on individual risk.

People who are in good health should continue having regular colorectal cancer screenings through age 75. For people ages 76 through 85, the decision to be screened should be made jointly with your primary care physician and patient preferences.

Colorectal cancer is most treatable when found early, and there are several different test options. Here are the most common:

• Colonoscopy: This is the most thorough option, where a doctor uses a tiny camera to check your colon and remove any suspicious growths. Recommended every 10 years (or sooner if needed).
• Stool DNA test (such as Cologuard®): This test looks for abnormal DNA and blood in your stool. Recommended every 3 years.
• Fecal Immunochemical Test (FIT): This simple at-home test checks for hidden blood in your stool. Recommended once a year.

The most important thing is to get screened, no matter which test you choose. If you receive any abnormal test results on non-colonoscopy screening tests, you should then follow up with a timely colonoscopy. If you have questions, speak with your doctor about which screening might be a good option for you. Most colon cancer screening tests are covered by insurance, including Medicare. It is always recommended that you check with your insurance provider about your individual coverage.

Colon Cancer Often Has No Symptoms at First

Unlike some other cancers, colon cancer can take a prolonged amount of time to develop, often 10-15 years. In the early stages of colon cancer there are often no symptoms, which is why screening is so important. Getting screened regularly may increase your chances of finding, treating, and potentially surviving colon cancer. Because the risk of colon cancer increases with age, even if you have been screened in the past, you should follow the schedule of recommended screenings in the future. How often you screen depends on which test you choose and your individual risk.

Don't Put It Off. Make This the Year You Get Screened!

Many people are behind on their colon cancer screenings, but it's one of the best things you can do for your health. Make this the year that you put your health first and get screened for colon cancer.

Early detection saves lives!