The 2021 recommendation
In 2021, the U.S. Preventive Services Task Force recommended colorectal cancer screening for adults ages 45 to 75 at average risk, lowering its prior recommended starting age from 50 to 45. The recommendation followed evidence of increasing colorectal cancer incidence among adults under 50 and that screening can reduce colorectal cancer incidence and deaths.
Your screening options
Screening isn't one-size-fits-all. Options include colonoscopy and stool-based tests such as the FIT test. Each has different preparation, timing and follow-up — your primary care provider can help you choose the one that fits your health history and comfort level.
Some people should start earlier
A family history of colorectal cancer or polyps, inflammatory bowel disease, or certain inherited conditions can mean starting before 45. If any of these apply to you, bring them up at your next visit so your screening timeline matches your risk.
The takeaway
Screening can detect precancerous polyps and cancer early. If you're 45 to 75 and haven't been screened, add it to your next appointment conversation. For adults ages 76 to 85, screening decisions depend on health, prior screening and personal preferences; discuss your individual situation with your provider.
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