Follow-Up After Positive Cologuard Test
A colonoscopy is absolutely necessary following your positive Cologuard test result, and should be scheduled within the next 3 months to minimize your risk of advanced colorectal cancer. 1
Why Your Positive Test Result Matters
Your Cologuard test detected abnormal DNA and/or blood in your stool sample, which could indicate the presence of:
- Colorectal cancer
- Precancerous polyps
- Other abnormalities requiring medical attention
It's important to understand that Cologuard is a screening test, not a diagnostic test. The screening process is not complete until you undergo a colonoscopy to determine the cause of your positive result.
Timing Is Critical
Research shows that delaying colonoscopy after a positive stool test significantly increases risks:
- Delays beyond 6 months are associated with higher risk of colorectal cancer 1
- Delays beyond 9 months (270 days) significantly increase the risk of finding cancer (48% higher odds) 1
- The risk continues to rise with longer delays 1
What to Expect During Colonoscopy
A colonoscopy is a procedure that:
- Allows direct visualization of your entire colon
- Can remove polyps during the same procedure
- Is the gold standard for colorectal cancer detection
- Usually takes 30-60 minutes to complete
- Requires bowel preparation the day before
Common Concerns About Colonoscopy
Many patients have concerns about colonoscopy that can be addressed:
- Fear of discomfort: Sedation is provided to ensure comfort during the procedure
- Bowel preparation: While challenging, modern prep solutions are more tolerable than in the past
- Time commitment: The procedure itself is relatively quick, though you'll need someone to drive you home
- Travel concerns: If travel is required, please let us know so we can help coordinate care 2
Next Steps
- Our office will contact you within the next week to schedule your colonoscopy
- Once scheduled, you'll receive detailed instructions for bowel preparation
- Please arrange for someone to drive you home after the procedure
- Let us know if you have any questions or concerns about the procedure
Why This Is Important
Colorectal cancer is highly treatable when caught early. The five-year survival rate for localized colorectal cancer is over 90%, but drops significantly when diagnosed at later stages. Your prompt follow-up with colonoscopy gives you the best chance for early detection and treatment.
Please call our office at [phone number] if you have any questions or concerns.