Question- Colonoscopy

T o p i c : Colonoscopy

Q: Is it recommended for all women over fifty?

A: Current protocols for routine surveillance for colon polyps (precancerous) and colon cancer in average risk individuals include digital rectal exam, stool blood tests and flexible sigmoidoscopy for both men and women. Newer recommendations from some advisory panels and many physicians include colonoscopy for men or women after age 50. High risk individuals must follow an entirely different protocol. As with any invasive procedure, the risks and benefits must be evaluated for each individual taking into consideration their individual medical history, family history, signs or symptoms of possible illness, their desire for preventive care (that may not always be reimbursed by insurance plans) and their individual tolerance for the inconvenience and risk of the preparation and procedure. All things considered, I would recommend to the women in my family who are over 50 to consider the colonoscopy option and to discuss this matter with their primary care physician.