Colorectal Cancer Awareness Month: Why Women Can't Afford to Skip Screenings

A woman holding a paper cut-out of a colon.

March is Colorectal Cancer Awareness Month, a crucial time to emphasize the importance of regular screenings for early detection and prevention. While many women associate cancer screenings with mammograms and Pap smears, colorectal cancer is the third most common cancer in the United States and affects both men and women. Despite this, many women delay or overlook their screenings, assuming that colorectal cancer is primarily a concern for men. In reality, early detection through regular screenings can significantly reduce the risk of colorectal cancer, making it an essential aspect of preventive healthcare for women.

Understanding Colorectal Cancer Risks for Women 

Colorectal cancer occurs when abnormal growths, known as polyps, develop in the colon or rectum. Over time, these polyps can become cancerous, leading to serious health consequences if left untreated. While the overall risk factors for colorectal cancer are similar in both men and women, there are certain factors unique to women that make screenings even more vital:

  • Hormonal Changes: Estrogen is believed to play a protective role in colon health. However, as women go through menopause and estrogen levels decline, the risk of colorectal cancer may increase.

  • Family History and Genetics: A history of colorectal cancer or polyps in close family members significantly raises the risk.

  • Lifestyle Factors: A diet low in fiber, high in processed foods, sedentary habits, and excessive alcohol consumption can contribute to a higher risk of developing colorectal cancer.

  • Underlying Health Conditions: Women with conditions like inflammatory bowel disease (IBD), Type 2 diabetes, or obesity may have an increased risk of colorectal cancer.

Signs and Symptoms Women Should Not Ignore 

Colorectal cancer often develops silently, without noticeable symptoms in its early stages. However, as it progresses, women may experience:

  • Persistent changes in bowel habits (diarrhea, constipation, or narrow stools)

  • Unexplained weight loss

  • Blood in the stool or rectal bleeding

  • Abdominal pain or cramping

  • Fatigue or weakness

  • A feeling that the bowel does not completely empty

Since these symptoms can often be mistaken for less serious conditions, such as hemorrhoids or irritable bowel syndrome (IBS), many women delay seeking medical attention. This makes regular screenings all the more essential, as they can detect precancerous polyps before symptoms even appear.

Why Early Detection Matters 

Colorectal cancer is highly treatable when detected early. According to the American Cancer Society, the five-year survival rate for localized colorectal cancer is around 90%, meaning that most patients survive when the disease is caught at an early stage. However, once the cancer spreads to distant parts of the body, the survival rate drops significantly. Regular screenings allow doctors to remove polyps before they become cancerous, preventing colorectal cancer from developing in the first place.

Screening Guidelines for Women 

The U.S. Preventive Services Task Force (USPSTF) recommends that adults at average risk of colorectal cancer begin screening at age 45. Women at higher risk—such as those with a family history, IBD, or genetic conditions like Lynch syndrome—may need to start earlier and be screened more frequently. Common screening methods include:

  • Colonoscopy: Considered the gold standard, a colonoscopy allows doctors to detect and remove polyps in one procedure. It is recommended every 10 years for those at average risk.

  • Stool-Based Tests: These include the FIT (fecal immunochemical test) and the Cologuard test, which detect blood or DNA changes in stool samples. These are less invasive but must be done more frequently.

  • CT Colonography (Virtual Colonoscopy): A less invasive imaging test that can identify polyps or abnormalities in the colon.

Women should discuss their risk factors and the best screening options with their physician to determine an appropriate screening schedule.

How Concierge Medicine Supports Preventive Care

One of the key benefits of concierge medicine is the emphasis on preventive care and personalized attention. At Premier Medicine and Wellness, Dr. Jennifer Kostacos, MD, ensures that women receive proactive, patient-centered care, including comprehensive screenings for colorectal cancer. Unlike traditional primary care settings where patients may face long wait times and rushed appointments, concierge medicine offers:

  • Extended Appointments: Allowing time for in-depth discussions about personal risk factors and lifestyle changes.

  • Direct Access to Your Doctor: Enabling open communication and quick scheduling of screenings.

  • Personalized Prevention Plans: Tailored recommendations based on medical history, lifestyle, and genetic risk.

  • Coordination of Care: Seamless referrals to top specialists and follow-up care to ensure timely screening and treatment.

By choosing concierge medicine, women can take a proactive approach to their health, ensuring they receive the preventive care needed to reduce their risk of colorectal cancer.

Colorectal cancer is preventable and highly treatable when detected early, yet many women delay screenings due to misconceptions about risk or fear of the procedure. With March being Colorectal Cancer Awareness Month, now is the time to take action. Scheduling a screening, understanding personal risk factors, and prioritizing gut health are essential steps toward long-term well-being. At Premier Medicine and Wellness, Dr. Jennifer Kostacos, MD, provides the comprehensive, personalized care needed to empower women in their health journey. Contact us today to schedule your preventive screening and take control of your health.


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