Health & Wellness

Mammography is not perfect, and it will not catch all breast cancers, but it is the only research-proven imaging study to find these cancers, with an 80% chance of success. With a screening mammogram, 15 minutes of your time can save your life.

About Mammograms

What are Current Breast Cancer Screening Guidelines?

Breast cancer screening guidelines vary widely among professional societies, which can be frustrating and confusing for patients. To keep it simple, when women begin regular screening mammograms at the age of 40, they have the greatest chance of catching cancer and saving their life. 

Ever since the American Cancer Society began recommending annual screening mammograms at the age of 40—in combination with improved cancer treatments, the overall death rate from breast cancer has decreased by 40%. Women who are at an increased risk for breast cancer, such as those who have a family history of the disease, a genetic mutation like BRCA, prior chest radiation or women of African American or Ashkenazi Jewish descent, should begin screening sooner. 

Why Are Routine Screening Mammograms Important?

Routine screening mammograms are important for many reasons. For women, establishing a normal expectation for your breast imaging will help when breast changes occur, as you and your healthcare provider will have a point of comparison. Additionally, early detection is critical for the successful treatment of breast cancer. The earlier breast cancer is caught, the better the chance of successful treatment.

Planning for a Mammogram

Discussing Your Breast Health

Taking ownership of your breast health starts with a conversation with your primary care provider and having a risk assessment by your 30th birthday.

Annie Brown, MD, FSBI, Section Chief of Breast Imaging and Associate Professor of Radiology, recommends that when discussing your breast health, it is important to detail any personal or family history of cancers, especially breast/ovarian cancer, or if you have had any breast implants or surgery. This information is helpful to see if you qualify for a screening mammogram sooner, or even supplemental screening with additional studies, such as an MRI or breast ultrasound.

Why Choose a 3D Mammogram?

Breast tomosynthesis, or a 3D mammogram, is the most preferred type of mammogram, as it allows doctors to see breast tissue more clearly and detect more cancers than a standard 2D mammogram. 

Because 3D mammograms take multiple images of the breast, the radiologist, who is the physician interpreting your mammogram images, can view the breast like flipping through the pages of a book. A 2D mammogram is a single picture, like a closed book, where all the pages overlap, making it difficult to see some breast tissue.

Dr. Brown explains: “3D mammography is proven to help us find more breast cancers at earlier stages. It also decreases the number of women called back for additional imaging, which means fewer false alarms.”

At UC Health, only 3D mammograms are offered, helping ensure your screening is as clear and accurate as possible.

How Does Insurance Coverage Work for a Screening Mammogram?

In September 2010, the Affordable Care Act required Medicare, Medicaid and all health insurance plans to cover the cost of an annual screening mammogram for women over 40 with no copay or deductible.

At UC Health, women over 30 do not need a physician order to schedule an appointment. 

Scheduling Your Mammogram

There is no specific time of the year after you turn 40 to schedule your mammogram—just schedule it when you’re ready. On or around your menstrual cycle, the breasts can be tender and more sensitive to compression, so women may want to avoid scheduling a mammogram during that time.

How Long Does a Mammogram Take?

A screening mammogram will take 15 minutes to take the pictures, but patients should anticipate being at the appointment for approximately 30 minutes. If a patient has prior mammograms at another hospital or breast center, it’s important to receive those for comparison, as this will help in getting the most accurate results.

How Will I Get My Mammogram Results?

Patients can receive results three ways—in the mail, electronically through MyChart or from their primary care provider.

At UC Health, all breast imaging is read by breast imaging experts—our fellowship-trained breast radiologists only do breast imaging. These physicians have completed additional training to subspecialize in breast imaging and intervention, which is shown in our breast imaging center’s many national accreditations, recognizing us as a center of excellence.

Your Mammogram Questions—Answered

Can I Have a Mammogram if I Have Breast Implants or if I’m Pregnant or Breastfeeding?

Yes. Mammograms are safe for women with implants and for those who are pregnant or breastfeeding.

• With implants: Let your technologist know when scheduling. Extra images (called “implant displacement views”) are taken so radiologists can clearly see breast tissue in front of the implant.
• While pregnant: If you are pregnant, it is still safe to get a mammogram for both the mother and baby but be sure to let your technologist know you are pregnant so they can provide extra shielding during the exam.
• While breastfeeding: It’s safe for both you and your baby. Breastfeed or pump about 30 minutes before your mammogram to make your breasts less full, which helps produce clearer images.

Our breast imaging technologists have specialized training to care for women with implants, breastfeeding moms, and anyone who needs extra reassurance.

Is the Radiation From a Mammogram Safe?

Yes. Mammograms use a very small amount of radiation—similar to what you would receive on a couple long plane flights from Cincinnati to Hawaii—and decades of research confirm that the benefits far outweigh the risks. This level of radiation does not increase your chance of developing breast cancer. Mammograms are the only screening test proven to reduce deaths from breast cancer by finding cancer early, when it’s most treatable.

Does a Mammogram Hurt?

A mammogram feels like a tight squeeze, but it is not painful. Women usually do not feel any discomfort after a mammogram. The compression only lasts a few seconds for each image and helps capture the clearest possible view of your breast tissue.

You can make your experience more comfortable by:

• Avoiding caffeine or salty foods for a few days before your appointment.
• Taking an over-the-counter pain reliever, like ibuprofen, about an hour before your visit if you’re sensitive to pressure.
• Letting your technologist know if you’re feeling anxious—they can adjust compression gradually and guide your breathing.

Can I Wear Deodorant or Lotion Before my Mammogram?

Patients should avoid applying deodorant or creams, as these personal care items can show up on mammograms as calcifications. Please ensure your skin is clean, but again, do not apply any personal care items.

At UC Health, our technologists are specially trained to prioritize your comfort while ensuring the best images for accurate results.

A Step-by-Step Guide to Your Screening Mammogram

Check in at the registration desk, where you will be handed a health history sheet. It is very important to be as detailed as possible with your personal and family health history, as well as any other breast symptoms you are having.

1. You will then be asked to wait in a general waiting area until your mammogram technologist is ready for you.
2. Once you technologist is ready, they will greet you at the door and walk you to a private dressing room so you can change into a gown. Here you will remove your shirt and bra and slip on the gown.
3. The technologist will then walk you to the mammogram imaging suite. They will review your history prior to the imaging. They will position your breast in the mammogram unit two separate times for each breast—most commonly, you will only have four pictures done. Occasionally more pictures will be taken if a patient has larger breasts or implants. Our goal is to see as much of the breast as possible.
4. The mammogram technologist will then escort you back to your dressing room to change into your clothes.
5. Then you’re on your way to enjoy the rest of the day, knowing you have prioritized your health!

After Your Mammogram

What’s Next?

If your first mammogram is normal, you should still have annual mammograms. If you have an abnormality on your mammogram, you may need to have additional testing, which may be a follow-up diagnostic mammogram, breast MRI or breast ultrasound.

If your mammogram shows dense breast tissue, you will get a letter explaining that having dense breasts can make it harder to find cancer on a mammogram and may also increase your risk of developing breast cancer. Having dense breast tissue is common—about half of women do.

Dense tissue simply means you have more fibrous and glandular tissue than fatty tissue, and you may benefit from additional imaging tests to screen for breast cancer, such as breast MRI, including a Fast MRI, or breast ultrasound. Ask your healthcare provider if another screening test might be useful based on your risk.

What if I Get a Call Back After My Mammogram?

Fear not! Most callbacks after a screening mammogram do not mean that there is a cancer diagnosis, but it is important to rule out breast cancer if any abnormality is noticed on the X-ray images. You may be called back for:

• A closer look at an area that wasn’t clearly visible.
• Dense breast tissue that needs additional views.
• A benign finding like a cyst or calcification.

Don’t forget to encourage your friends and family to schedule their mammogram as well! Make yearly mammograms a celebration of being a woman—taking care of ourselves and each other.

Early detection can save lives. ​To schedule an appointment with us or for questions regarding an appointment, call 513-584-PINK (7465).