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For me, I asked for one simply because I'm going to be 53 this year and it was time....I have always been one to take care of myself and have tests done when I should, and this was no different. The test was a piece of cake. Some people are given things like demerol or a pain medication along with a sedative, but my doctor doesn't like using any of the narcotics so I was given a sedative that I was told would induce a 'twilight' sleep, but it actually puts you out so you sleep through the whole thing. It starts with a 'P' but I don't remember what it was called. I'd have it again in a heartbeat. They gave it through my IV and all I remember is rolling over onto my left side, and then a nurse telling me to wake up, I was all done. I don't remember falling asleep or anything else. And what was great about this stuff was, I felt perfectly fine when I woke up, no grogginess like many have where they go home and sleep the rest of the day. I woke right up, felt fine, stopped on the way home for breakfast, then spent the rest of the day puttering out in my yard.
I think this is one of the important tests to have that shouldn't be put on a back burner until 'later'. Colon cancer is the only cancer that's preventable, and a 20 minute test that I'm not even awake for is a small price to pay for my life.
Some people like to be awake for the test, and that's fine for them if they're comfortable, but for me it was just easier to go to sleep for 20 minutes and not even know anything. If you're worried about being aware of what's going on (which I personally was too, because I didn't know what to expect) then being put to sleep for 15 or 20 minutes may be best for you, too.