Mammogram Screening for First-Time Patients

first time mammogram services

Age 40 is a key milestone for breast health. Most national guidelines recommend beginning routine mammograms at 40. A mammogram is a low-dose X-ray that can find breast cancer early—often before you or your clinician can feel a change.

Some people should start screening earlier based on personal or family history, dense breast tissue, or genetic risk. If that may be you, review your risk factors and ask about Genetic Counseling & Testing.

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Mammograms can detect breast cancer early, when it’s most treatable. Fill out this form and a CHRISTUS representative will reach out via phone or email within 1-2 business days.

Why Start Mammograms at 40?

  • Risk increases with age: The chance of developing breast cancer rises in your 40s and beyond.
  • Early detection saves lives: Finding cancer earlier usually means simpler treatment and better outcomes.
  • Clearer images over time: Breast tissue often becomes less dense with age, improving mammogram accuracy.

Some people should start earlier based on personal or family history. Talk with your clinician to personalize your plan.


How Often Should I Get Screened?

For people at average risk, many clinicians recommend yearly screening beginning at 40. Others may recommend every other year. Your schedule should fit your risk level and preferences.

  • Average risk: Discuss annual vs. every-other-year mammograms with your clinician.
  • Higher risk: You may need earlier and/or additional screening (for example, breast MRI). Consider Genetic Counseling & Testing to clarify your plan.

How to Prepare for Your First Mammogram

  • Pick timing: If you menstruate, schedule about a week after your period, when breasts are usually less tender.
  • Skip products that day: Do not use deodorant, antiperspirant, lotions, creams, or powders on the chest/underarms.
  • Wear a two-piece outfit: You’ll remove your top and bra for the exam.
  • Bring prior imaging: If you’ve had mammograms elsewhere, share the images/reports so the radiologist can compare.
  • Tell us about symptoms: Mention any new breast changes, pain, or concerns when you arrive.
  • If at higher risk: Ask your clinician whether additional views or MRI are recommended for your first visit.

When to Consider Additional Imaging

If you have dense breast tissue, a strong family history, prior abnormal results, or known genetic risk, your clinician may recommend:

  • Breast MRI for enhanced detail
  • Ultrasound to evaluate specific areas
  • 3D Mammography (tomosynthesis) for clearer images in dense tissue

Healthy Habits That Lower Risk

  • Maintain a healthy weight—especially after menopause.
  • Be active—aim for 150 minutes of moderate exercise each week.
  • Limit alcohol and avoid smoking.
  • Choose a balanced diet rich in fruits, vegetables, whole grains, and lean proteins.

Not Sure Where to Start?

If you’re turning 40—or have questions about starting earlier—talk with a clinician who can coordinate your plan.

Turning 40

Embracing a New Chapter in Breast Health Awareness

Mammograms can detect abnormalities before they can be felt, making them an essential tool for your health. Find out why screening usually begins at age 40 and how to prepare for your first appointment.

Read Your Screening Guide

Frequently Asked Questions

When should I start getting mammograms? 
Most women should begin annual mammograms at age 40. However, those with a higher risk for breast cancer, such as family history or genetic mutations, may need to start earlier. Your clinician can help set the right schedule.
How often should I get a mammogram after 40? 
For most people, a yearly screening is recommended starting at age 40. Some women may choose every other year depending on health history and personal preference.
What is the difference between a screening mammogram and a diagnostic mammogram? 
A screening mammogram is routine, for women with no symptoms. A diagnostic mammogram is ordered when there’s a specific concern, such as a lump or pain.
Are mammograms safe? 
Yes. Mammograms use a very low dose of radiation — about the same as a few weeks of natural background exposure. The benefits of early detection far outweigh the risks.
Will a mammogram hurt? 
You may feel brief pressure during compression, but it only lasts a few seconds. If you’re uncomfortable, tell your technologist — they can adjust positioning.
What if I have dense breast tissue? 
Dense tissue can make mammograms harder to read. Your provider may recommend 3D mammography (tomosynthesis) or a breast MRI for clearer imaging.
What if my mammogram shows an abnormal result? 
Don’t panic, most abnormal results are not cancer. You may need additional imaging such as diagnostic mammography, ultrasound, or MRI for clarification.
How long does a mammogram take? 
The screening itself usually takes 15–20 minutes, with results typically available within a few days.
Can I get a mammogram if I have breast implants? 
Yes. Mammograms are safe for women with implants. Be sure to let the technologist know so they can take special imaging views.
How should I prepare for my first mammogram? 
Avoid wearing deodorant, lotion, or powder on your chest or underarms on the day of your exam. Schedule your appointment about a week after your period for maximum comfort.
Does insurance cover mammograms?  
Most insurance plans, including Medicare, cover annual screening mammograms starting at age 40. Check with your provider for details.
What if I don’t have insurance?  
Many CHRISTUS facilities and community programs offer low-cost or free mammograms for those who qualify. Call your local CHRISTUS breast imaging center for assistance.

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We provide the technology and resources for early cancer detection, providing educational materials, guidance, and advanced screening technologies that can help detect and diagnose any abnormalities.

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Health Screenings in Your 30s and 40s

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