Compare your situation with these common patterns. Each card shows when screening usually starts and what to discuss with your doctor.
A
Average risk, no family history
Typical start: Age 45
Most people fall here. Begin regular screening at 45 with a colonoscopy every 10 years or a stool test every 1-3 years.
If you have multiple personal risk factors (smoking, obesity, heavy alcohol use), talk to your doctor about starting a bit earlier.
B
One first-degree relative diagnosed before 60
Typical start: Age 40, or 10 years before the youngest case in the family (whichever is earlier)
This is one of the most common reasons to screen earlier. A colonoscopy is usually the preferred first test.
Make sure your doctor knows the exact age your relative was diagnosed. That number changes the timeline.
C
One first-degree relative diagnosed at 60 or older
Typical start: Age 40
The risk increase is smaller than with a younger diagnosis, but earlier screening is still commonly recommended.
Some guidelines treat this closer to average risk. Ask your doctor which approach fits your full picture.
D
Two or more first-degree relatives affected
Typical start: Age 40, or 10 years before the youngest case (whichever is earlier)
Multiple affected relatives significantly raise your risk. Genetic counseling may be recommended in addition to early colonoscopy.
If you have not already, ask about genetic testing for Lynch syndrome or other hereditary conditions.
E
Inflammatory bowel disease (IBD)
Typical start: 8 years after diagnosis of extensive colitis, or 12 years after left-sided colitis
IBD-related screening follows a different clock. It is based on how long you have had the disease and how much of the colon is affected.
Work with a gastroenterologist who understands IBD surveillance. Standard screening timelines do not apply here.
F
Known hereditary syndrome (FAP, Lynch)
Typical start: Teens to early 20s, depending on the syndrome
Hereditary syndromes require specialized surveillance plans. Screening often starts in adolescence and repeats every 1-2 years.
If you carry one of these gene changes, your doctor will build a custom plan. This checker cannot replace that process.