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When Should You Get Your First Colonoscopy?

Screening guidelines have changed in recent years — here's what the current recommendations mean for you.

Jul 10, 20264 min readScreening
When Should You Get Your First Colonoscopy?

Image: National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), NIH

Screening guidelines have changed in recent years — here's what the current recommendations mean for you.

The current recommendation

Major medical organizations now recommend that most average-risk adults begin colon cancer screening at age 45, a change from the previous guideline of 50. This shift reflects rising colon cancer rates among younger adults.

When to start earlier

If you have a family history of colon cancer or polyps, a personal history of inflammatory bowel disease, or certain genetic conditions, we may recommend starting screening earlier — sometimes by a decade or more.

What if I notice symptoms sooner?

Regardless of age or screening schedule, symptoms like rectal bleeding, unexplained changes in bowel habits, or unintended weight loss should always prompt a conversation with your doctor right away.

Reviewed by Dr. Anthony Marchetti, MD
Last updated: Jul 10, 2026
This content is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.
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