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Your doctor may suggest you have a colonoscopy every 5 years. But if you then have a colonoscopy that finds no polyps at all, you may be able to stop this screening. If you've had 3 or 4 polyps, or at least one that was more than 1cm across, you have a moderate (intermediate) risk of bowel cancer.olyps in the bowel. If you have had polyps removed from your bowel in the past, your doctor may suggest that you have a sigmoidoscopy or colonoscopy every so often. This is to pick up any more polyps before they develop into an invasive cancer.
1 If you have had colon cancer already, you need a colonoscopy every three years. 2  If you have had precancerous polyps in your colon, you need regular colonoscopies, the frequency of which is determined by the number and size of the polyps. If you are 50 years or older with no family history or personal history of polyps or cancer, then the first colonoscopy should be at 50. 2  If you are African American, your screening colonoscopy should start at age 45. 3  If that is normal, you should have one every eight years afterward.