At Gastroenterology Associates of Rochester, LLP, we believe that screening is one of the most powerful tools in the fight against colon cancer. While it may not be a topic many people rush to discuss, knowing when to begin screening—and understanding what to expect—can make a real difference in long-term health. If you’re in the Rochester, NY area and wondering if it’s time, here’s what you need to know.

When Should You Begin Screening?

The recommended age to begin colon cancer screening for average-risk adults is 45. This guideline, updated in recent years, reflects the rise in colorectal cancer among younger adults. If you have a family history of colon cancer, a personal history of inflammatory bowel disease, or certain genetic conditions, your doctor may suggest starting earlier.

Colon cancer often develops slowly, beginning as small polyps in the colon or rectum. These polyps don’t typically cause symptoms at first, which is why routine screening is so critical—it helps detect issues before they become serious.

Types of Screening Options

There are several screening tests available, and your doctor will help determine which is best for you based on your risk level and preferences. Common options include:

• Colonoscopy: This is the most thorough method and the gold standard for detecting and removing precancerous polyps. It’s typically performed every 10 years if results are normal.
• Stool Tests: These include the FIT (Fecal Immunochemical Test) or the stool DNA test. These are noninvasive and done more frequently—often annually or every three years.
• Flexible Sigmoidoscopy or CT Colonography: These are less commonly used but may be appropriate in certain cases.

If a noninvasive test shows abnormal results, a follow-up colonoscopy is usually recommended.

What to Expect During a Colonoscopy

A colonoscopy may sound intimidating, but it’s a routine, outpatient procedure performed under sedation. The day before, you’ll follow a preparation process to cleanse the colon. This typically includes a clear liquid diet and a prescribed laxative. While not the most pleasant part, it’s crucial for a successful exam.

During the procedure, a thin, flexible tube with a camera is used to examine the lining of your colon. If any polyps are found, they can often be removed during the same visit. Most patients don’t remember the procedure itself and can return home the same day.

Why It Matters

Colon cancer is one of the most preventable cancers with early detection. When caught early, it’s highly treatable. Regular screenings allow doctors to remove precancerous growths before they develop into cancer, reducing both your risk and the potential need for more aggressive treatment down the line.

Schedule Your Screening With Us

If you're approaching 45—or have risk factors that warrant earlier screening—now is the time to talk with a specialist. The team at Gastroenterology Associates of Rochester, LLP is here to guide you through the process with expert care and personal attention.

Call us at (585) 720-1550 to schedule your appointment and take a proactive step toward protecting your health.