What To Expect When Your Doctor Orders A Mammogram

Mammograms are one of the most effective tools for detecting breast cancer early, often before symptoms even appear. Your provider may order a mammogram as a part of your routine health screenings or if further diagnostic information is needed. As Breast Cancer Awareness Month draws to a close, let’s review how these screenings work and what to expect.

What Is A Mammogram?

A mammogram is a specialized X-ray used to examine breast tissue. It helps detect abnormal growths, lumps, or changes that may indicate breast cancer or other conditions. During the procedure, each breast is gently compressed between two plates. This flattens the tissue so the X-ray can capture clearer images and use less radiation. Radiologists look for patterns or structures that stand out from normal tissue.

Why Would My Doctor Order A Mammogram?

There are two main reasons your doctor may recommend this test: as part of a routine screening or as part of a diagnostic evaluation.:

Screening

A screening mammogram is performed routinely in women who have no symptoms. It’s designed to catch signs of breast cancer at an early stage, often before a lump can be felt. Most women begin screening at age 40, though your provider may recommend earlier testing if you have a family history of breast cancer or other risk factors.

Diagnostic

A diagnostic mammogram is ordered when there’s a specific concern, such as a lump, nipple discharge, breast pain, or an abnormal finding from a routine screening. It provides more detailed images from multiple angles to help your healthcare provider better evaluate any suspicious areas.

Mammograms vs Ultrasound

While mammograms and ultrasounds can evaluate breast tissue, they serve slightly different purposes and work in different ways.

• Mammograms use X-rays to detect calcifications or masses that may indicate early breast cancer.
• Ultrasounds use sound waves and are typically used to further investigate findings from a routine screening or to examine dense breast tissue.

Your provider may recommend both tests for a more comprehensive view of your breast health.

Are There Different Types Of Mammograms?

There are two different types of mammograms: 2D and 3D.

2D Mammograms

2D mammograms capture flat images of the breast from two angles (top and side). Sometimes the image can overlap and make it hard to spot lumps or abnormalities.

3D Mammograms

3D mammograms provide multiple images from various angles to create a three-dimensional view. 3D mammograms are more effective at detecting small cancers, especially in women with dense breast tissue. It allows the radiologists to examine the scans layer by layer. This allows for a more effective and accurate view of your breasts and any abnormalities that may be present.

How Often Do I Need A Mammogram?

It’s recommended for most women to get annual mammograms starting at age 40. However, your provider at The Crane Center will help determine the right schedule based on your personal risk factors, such as age, family history, and breast density.

What Is The New Rule Regarding Breast Density Reporting?

As of September 2024, the FDA requires all mammogram providers to inform patients about their breast density. Dense breast tissue can make it harder to detect abnormalities and may slightly increase breast cancer risk. If you have dense breasts, your provider may recommend additional screening to ensure a thorough evaluation.

Prepping For Your Mammogram

To ensure your maximum comfort and the most accurate results, you can use the following checklist:

Schedule Smartly
Try to book your screening for about a week after your period, when breasts are less tender and swollen. Avoid scheduling during your period week if you tend to have breast soreness.

Avoid Deodorants or Lotions
On the day of the test, don’t use deodorant, antiperspirant, lotion, perfume, or powder under your arms or on your breasts.These products can leave tiny particles that show up as white spots on the X-ray and may be mistaken for calcifications. If you accidentally forget, be sure to tell the technician. He or she can help you clean off any residue that may interfere.

Clothing Choice
Wear a two-piece outfit (like a shirt and pants or skirt), since you’ll need to remove your top and bra.

Bring Prior Mammograms (if any):
If you’ve had previous mammograms at another clinic, bring those images or ensure they’re sent over. Radiologists compare your new results with older ones to detect subtle changes.

Pain Management (optional):
If you have sensitive breasts, you may wish to take an over-the-counter pain reliever (like ibuprofen or acetaminophen) about 30 to 60 minutes before your appointment to pre-empt discomfort.

Your Top Gynecologist In Destin and Panama City Beach

Your breast health is an important part of your overall well-being. At The Crane Center, we offer comprehensive care to help you stay healthy at every stage of life. Schedule your women’s wellness appointment with Dr. Jones at our Panama City Beach location or with Jordan Campbell at our Destin office.