Colorectal Cancer in Women: Signs, Screenings, and Why Early Detection Matters

 

Have you ever wondered if women need colonoscopies, too? The short answer is yes, everyone does, and for good reason. Colorectal cancer doesn’t just affect men. It can impact anyone, and many women don’t realize they’re at risk.

Here in Alabama, that risk is especially important to take seriously. Our state has higher rates of colorectal cancer deaths than the national average, and fewer people are getting screened than experts recommend. 

The good news is that early screening can save lives. In this post, we’ll talk about the signs of colorectal cancer in women, who should get screened, how factors like family history can affect your risk, and what you can expect at a local clinic so you feel informed and confident about taking the next step.

At a Glance 

• Yes — women can get colorectal cancer and deserve screening.
• Start screening at age 45 for average-risk adults and talk to your doctor about earlier testing if you have risk factors.
• Watch for these signs of colorectal cancer in women: changes in bowel habits, rectal bleeding, unexplained fatigue, and weight loss.
• Family history, personal cancer history (including breast cancer), and certain lifestyle factors raise risk.

What Colorectal Cancer Looks Like in Women

Colorectal cancer starts in the colon or rectum, usually from small growths called polyps. However, a colonoscopy can spot and remove those polyps long before they turn into cancer. And yes, women can absolutely get colorectal cancer, which is why early detection is so important.

The tricky part is that early signs can be easy to miss. Things like fatigue or mild stomach discomfort might seem like stress, digestion issues, or even menopause symptoms. It’s no wonder many women put off getting checked. But if something feels off or a change doesn’t go away, trust your instincts and talk to your doctor. Paying attention early can make all the difference.

Common Signs of Colorectal Cancer in Women:

• A new change in bowel habits (longer constipation, diarrhea, or narrower stools).
• Blood in the stool or rectal bleeding.
• Ongoing belly pain, cramps, or bloating.
• Unexplained weight loss or lasting fatigue.
• Anemia found on routine bloodwork.

If you have any of these, call your provider. Don’t assume it’s just a temporary issue. Early checks can catch problems early.

When Should a Woman Get a Colonoscopy?

Most people should start colorectal cancer screening at age 45,  and that includes women. Both the American Cancer Society and the U.S. Preventive Services Task Force recently lowered the age from 50 to 45 because more younger adults are being diagnosed. If you haven’t talked with your doctor yet, this is a great time to ask which test is right for you.

You might need to start sooner or get screened more often if you have:

• A close family member (parent, sibling, or child) who’s had colorectal cancer or advanced polyps.
• A personal history of inflammatory bowel disease, such as ulcerative colitis or Crohn’s disease.
• A history of pelvic radiation or a known hereditary condition like Lynch syndrome or familial adenomatous polyposis.
• A prior cancer, such as breast cancer, that might increase your risk; your provider can help you decide on the best timing.

For women in Alabama, it’s especially important to stay on top of screening. Our state’s colorectal cancer rates are higher than average, which means every test helps.

How Does a Colonoscopy Work?

Before your colonoscopy, you’ll get clear instructions for the bowel prep. It’s the part most people worry about, but the good news is it only lasts about a day, and it’s worth it. 

During the exam, you’ll usually be sedated, so you’ll be relaxed and comfortable. Your doctor uses a thin, flexible scope to look for and remove any polyps right then and there. Most people head home the same day and feel back to normal within 24 hours.

Why a Colonoscopy Can Make a Difference:

• It finds and removes polyps before they can turn into cancer.
• It helps doctors detect cancer early, when treatment works best.
• It lowers your risk of developing colorectal cancer in the future.

If the idea of a colonoscopy makes you nervous, that’s completely normal. Ask your clinic about sedation options and what to expect at each step. Knowing what’s ahead can make the whole process feel a lot easier.

Lifestyle and Other Health Factors That Affect Risk

You can lower risk with real, practical steps:

• Eat more vegetables, fruits, and fiber.
• Cut back on red and processed meats.
• Move your body most days of the week.
• Avoid smoking and limit alcohol.

Also, let your doctor know if you have had breast cancer or other cancers. Some genetic factors increase risk across cancer types. Genetic counseling can help clarify what screening plan fits you.

Quick FAQs

Do colonoscopies detect cancer early?

Yes. They can find polyps and early cancers when treatments work best. 

Are there other screening options?

Yes. Stool-based tests exist and work well for some people. A positive non-invasive test should lead to a colonoscopy. Talk with your doctor about the pros and cons. 

How often do I need screening?

It depends on the test and your risk. A colonoscopy every 10 years is common for average risk. Your doctor may suggest a different schedule based on results and history.

Taking Control of Your Health With Colorectal Screening

Colorectal cancer isn’t just a concern for men; it can affect women, too, and sometimes at a younger age than you might expect. If you’re 45 or older, it’s time to start regular screenings. And if you have a family history or other risk factors, talk with your doctor about beginning sooner.

Don’t ignore changes in your body or brush off symptoms that don’t feel right. Early screening can catch problems long before they turn serious, and that can truly save lives.

If you’re ready to take the next step, the team at Alabama Colon & Rectal Institute in Birmingham makes it easy to schedule your colonoscopy. Our experienced specialists offer compassionate, expert care to help you stay healthy and confident about your screening.

Schedule Your Colonoscopy with Alabama Colon & Rectal Institute

Don’t wait to make your health a priority. At Alabama Colon & Rectal Institute, our specialists provide compassionate, expert care to help women stay proactive about colorectal health. If you’re due for your first colonoscopy or need to discuss your family history and risk factors, our team is here to guide you every step of the way. Schedule your screening today and take an important step toward protecting your long-term wellness.

 

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