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Breast Screening

Understand your screening options and when to have a breast change checked.

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Understanding breast screening

Breast screening is part of preventive care, even when you haven’t noticed a change. A conversation about your health history can help you understand which tests are appropriate and when they are due.

Screening looks for cancer before symptoms appear. A new lump or another breast change needs its own evaluation, even if your last mammogram was normal.

Mammograms and other breast tests

A mammogram is an X-ray of the breast. A screening mammogram checks for changes in someone without symptoms. A diagnostic mammogram takes a closer look at a symptom or a finding from an earlier test.

Ultrasound or MRI may be recommended in certain situations. These tests serve different purposes and are not automatically needed for everyone.

What should I discuss with my provider?

Bring up your questions about screening, along with:

  • Previous mammograms, breast biopsies or other breast testing
  • A personal or family history of breast or ovarian cancer
  • Any known inherited cancer risk in your family
  • Changes in how your breasts look or feel

Screening has benefits and limitations. It can find cancer earlier, but it can also lead to additional testing for findings that are not cancer. Your provider can help you weigh those considerations.

If you notice a change

Contact a healthcare professional about a new lump, nipple discharge, skin dimpling or another new breast change. Do not wait for your next routine screening appointment to mention it.

Preparing for the conversation

If you have prior imaging reports, bring them or ask how they can be shared. Write down when you first noticed any symptoms and whether they have changed. Before leaving, make sure you understand the next step and how you will receive results.

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Common questions

When should I start having mammograms?

For women at average risk, the U.S. Preventive Services Task Force recommends a mammogram every two years from ages 40 through 74. Other guidelines recommend different intervals, and higher-risk patients may need an earlier start or additional imaging. Your provider can help you choose a schedule based on your age, health history and risk factors.

Does a breast exam replace a mammogram?

No. An exam and a mammogram provide different information. Mammograms can find changes before they can be felt, so a normal exam does not replace recommended imaging.

What if I’m called back after a mammogram?

A callback means more information is needed. It does not by itself mean cancer. Additional pictures, ultrasound or other testing may help clarify the finding. Ask what follow-up is recommended and how to arrange it.