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Women’s Health7 minute read

10 Things You Should Know Before Getting Your First Mammogram

Doctor looking at a mammogram
Reviewed By: Dr. Alia Abdulla
Published: Monday Oct. 9, 2023
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Mammograms are lifesaving because they can detect breast cancer at an early stage, when treatment is more effective. However, the idea of getting a mammogram can be scary, especially if it's your first time. Knowing what to expect can help calm your nerves and make sure you're ready. It's important to remember that the actual procedure is usually quick, and most people only feel a little discomfort. Talking to your doctor about any questions or worries before your appointment can give you the information and reassurance you need. Here are ten important things to know before getting a mammogram.

1. Mammograms save lives.

Mammograms play a crucial role in the early detection of breast cancer. They can identify abnormalities or changes in breast tissue that are often too small or subtle to be felt. This allows for earlier intervention, which significantly improves treatment options and the likelihood of a successful recovery. The National Cancer Institute estimates that mammography has helped reduce breast cancer mortality rates by 40% since 1990. It's vital to understand that postponing your mammogram can delay the detection of potential issues. Even if you are not experiencing symptoms or discomfort, regular mammograms should be part of your healthcare routine. Remember, early detection is the best defense against breast cancer.

2. Your menstrual cycle can affect mammogram results.

Scheduling your mammogram for the week following your menstrual period can help ensure the most accurate results. This is due to the natural fluctuations in hormonal levels and breast tissue density that occur during different stages of the menstrual cycle. In the week following your period, hormonal levels are relatively low and breast tissue is less dense, improving the clarity of mammogram images and making it easier to detect any abnormalities. It's also worth noting that having a mammogram during this time can minimize any potential discomfort, as breasts tend to be less tender after menstruation.

3. Schedule your appointment early in the day.

Consider scheduling your mammogram appointment early in the day. Mammograms require that you don't wear deodorant, powder, lotion, or ointment around your chest area on the day of the exam. These substances can show up on the X-ray images and may be confused for a problem in the breast tissue. By scheduling your appointment in the morning, you can avoid the discomfort of going through the rest of your day without these products. If you accidentally apply any of these items, please inform the technologist before the exam so they can provide appropriate advice to ensure the most accurate results.

4. Wear a two-piece outfit on the day of your mammogram.

When preparing for your mammogram, it's advisable to wear a two-piece outfit. This will enable you to only remove your top for the procedure, keeping you comfortable and maintaining your privacy. The healthcare provider will provide you with a gown to wear during the examination, ensuring that only the necessary areas are exposed for the mammogram. This small but important tip can greatly enhance your comfort and ease any potential stress or anxiety associated with the procedure.

5. Mammograms don't usually take a long time.

The process of getting a mammogram is relatively quick and straightforward. It typically takes about 15–30 minutes from start to finish. During the procedure, each breast is compressed and imaged one at a time, with two images taken of each breast. While the compression may cause some discomfort, it's necessary to ensure clear, detailed images. The entire process is overseen by a skilled radiologic technologist, and the images are later examined by a radiologist. It's important not to let fear of discomfort or time constraints prevent you from scheduling your regular mammograms. Regular screenings are vital to maintaining your breast health and catching any potential issues early.

6. Your mammogram technologist will guide you through every step of the process.

Throughout the mammogram procedure, your technologist will be there to guide and support you. They are trained professionals who understand that you may feel nervous or uneasy. They will walk you through every step, explaining what they're doing and why. You will be positioned in front of the mammogram machine, and they will adjust your breast on the machine's plate. They are there to ensure your comfort and safety and to answer any questions or concerns you may have. Remember, their primary goal is to get the best images for your healthcare provider to review, putting you on a path to the earliest and most effective treatment, if needed. Let your technologist know if you're in discomfort at any point; they may be able to adjust the machine or your position to make you more comfortable. They are your allies in this process, working with you to ensure your breast health.

7. Most unusual findings aren't cancer.

While mammograms are highly effective at detecting unusual changes or growths in breast tissue, it's important to understand that most of these findings are not cancer. A mammogram might detect benign (non-cancerous) abnormalities like benign breast lumps, cysts, or calcifications. These findings, while important to monitor, do not mean you have cancer. In fact, according to the American Cancer Society, only 2 to 4 screening mammograms out of 1,000 lead to a diagnosis of breast cancer. This is why, even if an abnormality is found, it's crucial not to panic. Your healthcare provider will guide you through the necessary follow-up steps, which may include additional mammography, an ultrasound, or a biopsy to examine the cells more closely. Remember, abnormal doesn't mean malignant, and early detection provides the best chance for successful treatment if it is cancer.

8. Previous exam results are important for comparison.

It's important to note that in certain situations, a patient may be called back after a mammogram not because they have cancer, but often because the radiologist does not have previous mammogram results for comparison. In such cases, the radiologist may need more detailed images or a follow-up mammogram to determine whether a detected spot is harmless or requires further tests. This is why keeping a record of your mammogram results and ensuring they are available for future reference can be beneficial. It allows the radiologist to compare your mammograms over time and identify any significant changes or patterns more accurately. Remember, these additional tests are a normal part of the process and are crucial to maintaining your breast health.

9. Find an imaging center you like and stick with it.

Choosing an imaging center that you are comfortable with is an essential step in the mammogram process. You should find a center that prioritizes patient communication, respect, and comfort. Once you find a center that meets your expectations, consider making it your regular destination for mammograms. This will ensure your mammogram results can be easily and consistently compared over the years. This is crucial for identifying any changes in your breast tissue that may indicate a problem. In addition, having a consistent team take care of you can also make your mammogram experience less stressful. They will know your medical history and understand your specific needs and concerns, which can make a big difference in your healthcare journey. Therefore, finding an imaging center you like and sticking with it is integral to your long-term breast health.

10. Mammograms give you peace of mind.

The clarity and reassurance that a mammogram brings cannot be overstated. While the procedure may cause temporary discomfort, the peace of mind that comes from knowing you are being proactive about your health far outweighs this. It's the knowledge that you are taking control, taking steps to detect any potential issues early, and giving yourself the best possible chance of successful treatment should any problems be found. Having a mammogram can be an empowering experience, as it enables you to make informed decisions about your health. The reassurance of a negative result, or, in the event of a positive one, the ability to take swift action, makes the procedure invaluable. So, regardless of any concerns or fears, remember that a mammogram is a crucial tool in maintaining your health, and the peace of mind it brings is worth every moment.

Key Takeaways

Getting a mammogram is an important step in maintaining your breast health, and understanding what to expect before the procedure can help ease any anxiety. It's important to remember that most unusual findings detected by a mammogram are not cancer, and that staying consistent with one imaging center allows for a more accurate comparison of results over time. Furthermore, mammograms are a relatively quick and straightforward process that is overseen by skilled professionals, with steps taken to ensure your comfort. Most of all, mammograms can provide peace of mind about your breast health and the knowledge that you are taking control of it. So don't let fear stop you from making sure your breasts get checked regularly; mammograms save lives.

Broward Health, providing service for more than 85 years, is a nationally recognized system in South Florida that offers world-class healthcare to all. The Broward Health system includes the statutory teaching hospital Broward Health Medical Center, Broward Health North, Broward Health Imperial Point, Broward Health Coral Springs, Salah Foundation Children’s Hospital, Broward Health Weston, Broward HealthPoint, Broward Health Physician Group, Broward Health Urgent Care, Broward Health International, and Broward Health Foundation. For more information, visit BrowardHealth.org.