10 Oct When Should You Get a Mammogram? A Screening Guide
Introduction
October is Breast Cancer Awareness Month, and it is a good time to ask an important question: when should you get a mammogram, and how often? Over the years, guidelines have changed, and different medical organizations offer slightly different advice. That can leave many women unsure about what to do.
At Broadway Imaging Center in Glendale, CA, we provide digital mammography to help detect breast changes early. This guide explains current screening recommendations, who may need earlier or more frequent imaging, and what to expect at your appointment.
When Should You Start Getting Mammograms?
For women at average risk, major U.S. guidelines now agree that screening can begin at age 40. In 2024, the U.S. Preventive Services Task Force (USPSTF) updated its recommendation to screening mammograms every two years for women ages 40 to 74, an earlier start than its 2016 advice of age 50.
Here is how the leading organizations compare:
Organization | When to start | How often |
|---|---|---|
Age 40 | Every 2 years, ages 40 to 74 | |
Option to start at 40; recommended by 45 | Every year from 45 to 54; every 1 to 2 years from 55 | |
Age 40, no later than 50 | Every 1 to 2 years | |
American College of Radiology (ACR) | Age 40 | Every year |
The best schedule for you depends on your personal risk, health history, and preferences. Talk with your doctor about when to start and how often to return.
Do You Need Earlier or More Frequent Screening?
The guidelines above are for women at average risk. Your doctor may recommend starting earlier, screening more often, or adding other imaging if you have:
- A strong family history of breast cancer, especially a mother, sister, or daughter
- A known genetic mutation, such as BRCA1 or BRCA2
- Radiation therapy to the chest at a young age
- A personal history of breast cancer or certain high-risk biopsy results
- Dense breast tissue
What Does It Mean to Have Dense Breasts?
Dense breasts have more fibrous and glandular tissue than fatty tissue. Dense breasts are common and normal, but they can make some changes harder to see on a mammogram. Your mammogram report will indicate your breast density. If you have dense breasts, ask your doctor whether additional imaging, such as a breast ultrasound, is right for you.
Screening vs. Diagnostic Mammograms
- Screening mammogram: A routine exam for women with no breast symptoms. Its goal is to find changes early, often before they can be felt.
- Diagnostic mammogram: A more detailed exam used when there is a symptom, such as a lump, pain, nipple discharge, or skin change, or when a screening mammogram needs a closer look.
If you notice any breast changes, do not wait for your next routine screening. Contact your doctor promptly.
What Is Digital Mammography?
Digital mammography captures breast images electronically instead of on film. The images can be enhanced, magnified, and reviewed on a computer, which helps the radiologist examine fine details. Digital images are also easy to store and compare with your previous exams over time.
How to Prepare for Your Mammogram
- Skip deodorant, powder, and lotion on your underarms and chest the day of your exam. These products can appear as spots on the images.
- Wear a two-piece outfit so you only need to remove your top.
- Schedule wisely. If your breasts become tender before your period, try booking about a week after it ends.
- Bring prior mammogram records if you had them elsewhere, so the radiologist can compare.
- Share your history. Tell the technologist about breast symptoms, surgeries, implants, or a family history of breast cancer.
See our Procedure Preparation page for full instructions.
What to Expect During the Exam
A technologist will position one breast at a time on the mammography unit. A clear plate gently compresses the breast for a few seconds while the image is taken. Compression spreads the tissue so the image is clearer and uses a lower radiation dose.
Some women feel pressure or brief discomfort. Let the technologist know if you are uncomfortable. The entire appointment is usually quick.
Getting Your Results
A radiologist reviews your images and sends a report to your doctor. Sometimes you may be asked to return for additional images. A callback is common and does not necessarily mean cancer. It often means the radiologist needs a clearer view of an area.
Frequently Asked Questions About Mammograms
At what age should I get my first mammogram?
For women at average risk, current U.S. guidelines support starting at age 40. If you have a higher risk, your doctor may recommend starting earlier.
How often should I get a mammogram?
Recommendations range from every year to every two years, depending on the organization and your age and risk. Your doctor can help you choose the right schedule.
Does a mammogram hurt?
Most women feel pressure for a few seconds during compression. Some feel brief discomfort, but it passes quickly.
Is the radiation from a mammogram safe?
Mammograms use a low dose of radiation. For most women, the benefit of finding breast cancer early outweighs the small risk. Tell the technologist if you are pregnant or may be pregnant.
Do I need a referral for a mammogram?
Requirements depend on your insurance and the type of exam. Visit our Insurance Information page or call us to check.
Can I get a mammogram if I have breast implants?
Yes. Let the team know when you schedule so the technologist can use special positioning techniques.
Schedule Your Mammogram in Glendale, CA
Early detection matters. Whether this is your first mammogram or your next routine screening, Breast Cancer Awareness Month is a great reminder to book it.
Broadway Imaging Center
140 N Glendale Ave
Glendale, CA 91206
Phone: 818-548-0022
Learn more about our Digital Mammography services or contact us to schedule.
Medical disclaimer: This article provides general educational information and is not a substitute for medical advice. Talk with your physician about the screening schedule that is right for you.
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