Mammogram Screening for First-Time Patients
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.
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.
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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.
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Health Screenings in Your 30s and 40s
Your 30s and 40s are the perfect time to update your preventive care, so ask your clinician about mammograms, breast exams, cervical screenings, and essential checks for blood pressure, cholesterol, and diabetes. Don't forget to also review recommended vaccinations, including flu and COVID-19, to keep your health on track.