Navigating Your Mammogram: Essential FAQs from a Nurse Practitioner

I know firsthand that when it comes to your breast health, clarity and accurate information are key. Many women, especially as they enter their 40s and beyond, have questions about mammograms – from when to start, to what to expect, and everything in between.

It's completely normal to seek clear answers for such an important part of your health journey. My goal today is to provide those clear, practical answers to your most frequently asked questions, empowering you to approach your mammogram with confidence and peace of mind.

Let's get into the details that matter most to you! 

Answers to Your Mammogram FAQs

Q1: When should I start getting mammograms, and how often should I get them as a woman 40+?

A: For women of average risk, the prevailing medical consensus, supported by organizations like the American Cancer Society, recommends beginning annual screening mammograms at age 40. You should continue these screenings every year for as long as you are in good health. If you have a strong family history of breast cancer (especially if they are a direct relative d) or other known risk factors, your provider might recommend starting even earlier or having more frequent or specialized screenings. Always talk to your doctor about your personal and update your family history to ensure you have personalized care.

Q2: How should I prepare for my mammogram appointment to ensure the best results?

A: Preparation is simple, but important for clear images!

• No Deodorant, Antiperspirant, or Lotion: On the day of your mammogram, avoid applying these products to your underarms or breasts. Metallic particles in them can show up as white spots on the mammogram, leading to unnecessary callbacks. If you forget, we do have wipes to remove those products!
• Wear Two-Piece Clothing: This makes it easier to remove only your top when it's time for the mammogram, keeping you more comfortable.
• Be Ready to Share: Be prepared to discuss any breast concerns, recent changes, your medical and family history, and any previous breast procedures during check-in.
• Timing it Right (Optional): Some women find their breasts are less tender in the week following their menstrual period. If you have sensitive breasts, you might consider timing your appointment accordingly.

Q3: What happens during the actual mammogram procedure?

A: First, you'll change into a gown and step into the mammography room. The technologist (always a woman) will position one breast at a time on a special platform. A clear plastic plate will gently, but firmly, press down on your breast for a few seconds. This compression is crucial for spreading out the breast tissue (improving image clarity) and reducing the amount of radiation needed. They will take at least two views of each breast (top-to-bottom and side-to-side). It's quick, and the technologist will guide you through each step.

Q4: I got a call back for more imaging. Does this mean I have cancer?

A: Getting called back for additional imaging (like more mammogram views, an ultrasound, or even an MRI) is a common occurrence. It happens to about 10% of women who get screening mammograms. In the vast majority of these cases (over 95%), the follow-up tests show that everything is normal, and it was just a normal variation, dense tissue, or something benign like a cyst. A callback simply means the radiologist needs a clearer or different look at something they saw. It is more common to be called back on your first mammogram because the radiologist does not have previous results to compare with. They just may need additional imaging to establish what is normal for you.

Q5: What if I'm worried about the cost of a mammogram?

A: Most insurance plans, thanks to the Affordable Care Act, cover screening mammograms at 100% as part of preventative care, with no out-of-pocket costs to you. If you are uninsured or underinsured, please know that resources are available, such as Every Woman Matters or MDsave. Don't let cost prevent you from getting this vital screening – ask your primary care provider or search for local assistance programs.

Q6: Why is a mammogram the best option for detecting breast cancer?

A: The purpose of mammography is to evaluate the breast tissue for abnormalities. It is a very safe procedure. Specifically, mammography is critical in the diagnosis of early stage breast cancer - that which you can’t yet feel - hopefully catching a cancer sooner, when it is more treatable and needing less invasive measures. Mammography is able to identify calcifications, which can be normal or abnormal. When they are abnormally shaped or clustered together, there is a concern that there could be cancer starting to grow. Calcifications are not able to be identified with other imaging tools like ultrasound or breast MRI. 

Your Health Journey, Supported

I hope this has addressed your practical concerns and helps you feel more prepared for your mammogram. Remember, this screening is a crucial step in your long-term health and well-being. It's an act of self-care and a commitment to your future. If you're interested in learning about some mammogram myths and facts, check out Mammogram Myth Busters.

If you haven't scheduled your annual mammogram, please take a moment to do so today. Your healthy future self will thank you.