In our 20s, most of us feel young, active and healthy. Cancer is the last thing we imagine dealing with at this age. But the truth is, healthy habits and regular check-ups in your 20s and 30s build the foundation for long-term wellbeing. Starting screening early doesn’t mean you’re sick, this simply means you are smart, aware and taking responsibility for your future health.

Cancer screening is a way to detect early changes in the body before symptoms appear. Many cancers do not cause pain or discomfort in the beginning. By the time symptoms show, the disease may already be advanced. That is why early screening is important as it detects problems when they are small, treatable and easy to manage. 

Why Start in Our 20s?

  1. Lifestyle habits begin early: The lifestyle we follow in our 20s, which includes food choices, physical activity, sleep habits, smoking, alcohol use and stress levels, plays a major role in cancer risk. Screening helps us to understand our body and gives us a chance to correct unhealthy routines before they cause harm.
  2. Incidence of some cancers are increasing in younger adults: Today, cancers like breast cancer, cervical cancer, colon cancer, and thyroid cancer are being detected at younger ages. Doctors around the world have observed a steady rise in early-onset cancers in people under 40. This makes early awareness and screening even more important.
  3. Family history matters: If any person has a family history of cancer, especially breast, ovarian, colon, or prostate cancer, he/she may be at higher risk. Even if they feel perfectly fine, early screening helps them stay one step ahead.
  4. Many screening tests are simple and quick: Several early screening tests are non-invasive, painless and take only a few minutes. Regular tests help doctor in creating a health baseline for you.

Recommended Screening Tests for People in Their 20s & 30s

  1. Cervical Cancer Screening (Pap Test) For Women: A Pap smear is recommended starting from age 21. It detects early changes in the cervix that can turn into cancer. Women should repeat this test every 3 years or as recommended by their doctor. 
  2. HPV Test For Women: Human Papillomavirus (HPV) is a major cause of cervical cancer.  An HPV test may be recommended along with the Pap test depending on age and medical history.
  3. Breast Health Check: Women should learn breast self-examination in their 20s.  A clinical breast exam by a doctor is also helpful in early detection.  If there is a family history of breast cancer, screening may start even earlier with ultrasound or MRI.
  4. Testicular Exam For Men: Testicular cancer is most common between ages 20 to 35. Men should do a simple monthly self-exam.  A clinical exam by a doctor is also advised during annual check-ups.
  5. Skin Cancer Screening: We should check for moles, unusual spots, or skin changes.  People with high sun exposure or fair skin should be more careful.  A dermatologist can evaluate suspicious marks.
  6. Colon Cancer Screening: While routine screening starts at 45, people with symptoms like chronic constipation, rectal bleeding, or family history may need earlier evaluation.
  7. Thyroid Screening: A simple neck exam and blood test can detect thyroid abnormalities early.  This is especially useful for women, who are at higher risk.
    General Health Screening
  8. General Health Screening

These tests may not be cancer-specific, but help detect conditions that increase cancer risk:

  • Blood sugar
  • Cholesterol
  • Liver function test
  • Vitamin D levels
  • Ultrasound abdomen (if advised by doctor) 

Takeaway!

Cancer screening in your 20s is not about expecting disease, BUT it’s about preventing it. Early checks give you peace of mind and help you stay healthier for the future. When you understand your body early, you stay in control of your health for life. If you have any question regarding cancer, you can visit Aakash Healthcare and consult our cancer experts for best guidance and treatment.

with Dr. Arun Giri

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