It’s a well-known trend: men are far less likely than women to keep up with routine doctor visits and preventive health care. Studies show women are nearly three times more likely to undergo annual health screenings than men. That’s a problem—not because men are tougher or healthier, but because avoiding medical care can lead to serious consequences, especially when it comes to preventable diseases like colon cancer.
Dr. Bhavin Dave, a board-certified gastroenterologist, wants men to change that trend by prioritizing preventive care—starting with colon cancer screenings.
Why Colon Cancer Screenings Matter
Screening Saves Lives—Before Cancer Even Begins
Colon cancer is one of the most preventable yet deadly cancers in the United States. The key to prevention lies in detecting and removing precancerous polyps before they develop into cancer. According to Dr. Dave, colon screenings aren’t just about finding cancer—they’re about preventing it altogether.
The Role of Colonoscopies in Prevention
A colonoscopy remains the gold standard for colon screening. It allows doctors to view the inner lining of your colon and rectum, identify abnormal growths (polyps), and remove them on the spot if necessary. Many of these polyps, if left untreated, could turn into malignant tumors over time.
When Should You Get Screened?
General Guidelines for Colon Screening
The average risk individual should start getting screened for colon cancer at age 50. However, this age can vary depending on your personal and family health history.
Higher Risk? Screen Sooner
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African-American men should begin screening at age 45, as they face a higher risk of developing colon cancer and tend to have worse outcomes.
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If you have a family history of colon cancer, you should begin screening 10 years earlier than the age your relative was when they were diagnosed.
Early detection significantly improves survival rates, so knowing when to begin is crucial.
Making Sure Your Colonoscopy Was Done Right
Not all colonoscopies are equally effective. According to Dr. Dave, there are three key questions every patient should ask their doctor after the procedure to evaluate its quality:
1. What Was the Withdrawal Time?
This refers to the time the doctor spent examining your colon after the scope reached the cecum (beginning of the colon). A withdrawal time of six to eight minutes is optimal—it allows enough time to thoroughly inspect and remove any hidden polyps.
2. How Effective Was My Prep?
Your colon needs to be completely clean of stool for your doctor to spot even the flattest or smallest polyps, some of which are more aggressive. If your bowel prep wasn’t ideal, your doctor may recommend repeating the screening sooner.
3. What Type of Polyps Were Removed?
If polyps were removed during your colonoscopy, ask what type they were. Some are benign, while others carry a higher risk of turning into cancer. This information determines your follow-up schedule and potential lifestyle changes.
Understanding Your Risk for Colon Cancer
What’s the Average Risk?
In the U.S., the lifetime risk of developing colon cancer is about 5%. That means 1 in 20 people will be diagnosed, with men facing slightly higher odds than women. While the number may not seem alarming, consider this: colon cancer is the second leading cause of cancer-related deaths in the country. Each year, 150,000 new cases are diagnosed—and many are avoidable.
Key Risk Factors
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Smoking
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Excessive alcohol consumption
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Diets high in red and processed meats
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Low physical activity levels
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Obesity
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Family history of colon cancer
Steps You Can Take to Lower Your Risk
1. Get Screened Regularly
Following the screening guidelines for your age and risk group is the most effective way to prevent colon cancer.
2. Eat a High-Fiber Diet
Incorporate fruits, vegetables, whole grains, legumes, and nuts into your daily meals. Fiber helps keep your digestive system healthy and reduces colon cancer risk.
3. Exercise Regularly
Engaging in at least 30 minutes of physical activity most days of the week helps reduce cancer risk and improves gut motility.
4. Limit Red and Processed Meats
Frequent consumption of foods like bacon, hot dogs, and red meats is associated with a higher risk of colon cancer.
5. Consider Daily Aspirin (Under Doctor’s Advice)
For some high-risk individuals, a daily low-dose aspirin may be recommended as part of a cancer-prevention strategy. Always consult with your doctor before beginning any medication regimen.
Don’t Wait—Your Health Is Worth the Effort
The reluctance many men feel about going to the doctor can have life-altering consequences. A colonoscopy may be uncomfortable or awkward, but it could save your life. Colon cancer is one of the few cancers that is almost entirely preventable—but only if you catch it in time.
So fellas, if you’re over 45 or have a family history, schedule that appointment today. Your future self will thank you.
Frequently Asked Questions :
Q1: At what age should men start getting colon cancer screenings?
A: Most men should start at age 50, but African-American men and those with a family history should begin earlier, typically around age 45.
Q2: Is colon cancer really preventable?
A: Yes. Colon cancer is one of the most preventable cancers if caught early through screenings like colonoscopy, which can remove precancerous polyps.
Q3: How do I know if my colonoscopy was done properly?
A: Ask about the withdrawal time (ideally 6–8 minutes), the quality of your bowel prep, and the type of polyps found during the procedure.
Q4: What are signs of colon cancer?
A: Many early cases show no symptoms. Advanced signs include blood in stool, unexplained weight loss, fatigue, and changes in bowel habits.
Q5: How can I reduce my colon cancer risk?
A: Eat a fiber-rich diet, exercise regularly, avoid smoking and alcohol, limit red meat, and get screened on schedule.
