What is a mammogram And when do you need one

Thinking about getting a mammogram? Not sure when or why it’s needed?Mammography is one of the most essential medical tools for the early detection of breast cancer, saving thousands of women every year by identifying tumors at an early stage.In this article from Dalily Medical, we take you on a comprehensive journey to understand the mammogram exam — including its types, importance, procedure, when it’s recommended, and how to interpret the results.

✅ What Is Mammography?

Mammography is a low-dose X-ray imaging test used to create detailed images of breast tissue. It helps detect abnormalities or lumps that may be benign or cancerous, even before physical symptoms appear.

✅ Types of Mammography

1. Diagnostic Mammogram

Performed when symptoms are present (e.g., a lump, breast pain, or nipple discharge).
Focuses on a specific area of the breast in greater detail.

2. Screening Mammogram

Used for healthy women with no symptoms to detect early-stage breast cancer.
Usually done every 1–2 years, depending on age and risk factors.

✅ When Should You Get a Mammogram?

Women aged 40–74: Recommended to have a mammogram annually or biennially.
Before age 40: Advised if you have a family history of breast cancer.

Consider getting a mammogram if you notice:

A lump or swelling in the breast or underarm.
Changes in the shape of the nipple or breast skin.
Unusual nipple discharge.
Persistent or unexplained breast pain.

✅ How Is a Mammogram Performed?

Preparation:

Best done after your period to minimize discomfort.
Avoid deodorants or powders on the day of the exam.

During the Exam:

The breast is gently compressed between two clear plates for better image clarity.
At least two images per breast are taken (top-down and side views).
The test takes only a few minutes.

Is it painful?

You may feel mild discomfort or pressure, but it's temporary and usually well-tolerated.

✅ Is Mammography Safe?

Yes. The radiation dose used is very low and considered safe, especially when performed according to medical guidelines.

✅ Mammogram vs. Breast MRI

Feature	Mammogram	MRI of the Breast
Radiation Type	X-ray	Magnetic waves
Common Use	Routine screening & diagnostics	High-risk women or dense tissue
Accuracy	Excellent for solid tumors	Better for dense breast tissue
Cost	Lower	Higher and more specialized

✅ Understanding Mammogram Results (BI-RADS System)

Results are categorized using the BI-RADS scoring system (0 to 6):

BI-RADS	Meaning	Next Step
0	Incomplete, more testing needed	Additional imaging required
1	Normal	Continue routine screening
2	Benign findings	No intervention needed
3	Probably benign	Follow-up in 6 months
4	Suspicious abnormality	Biopsy recommended
5	Highly suggestive of malignancy	Immediate biopsy and diagnosis
6	Known malignancy (from prior test)	Treatment planning

✅ Does Mammography Detect All Breast Cancers?

While mammography is highly effective, it may:

Miss tumors in women with dense breast tissue.
Not detect rare or atypical cancer types.

That's why additional tools like ultrasound or MRI may be used when necessary.

✅ Benefits of Mammography

Early detection before symptoms arise.
Reduces breast cancer mortality by up to 40%.
Detects benign changes or cysts that may need monitoring.
Helps tailor the best treatment approach based on tumor type and size.

✅ Are There Any Risks?

Temporary discomfort or pressure during the exam.
False positives or negatives may occur.
Minimal exposure to radiation (safe when used correctly).

✅ Tips Before Your Mammogram

Wear comfortable clothes—preferably a two-piece outfit.
Avoid deodorant, powders, or lotions on your chest or underarms.
Inform the technician if you're pregnant or breastfeeding.
Bring previous mammogram results (if available) for comparison.

✅ Frequently Asked Questions

Do I need to fast before a mammogram?
❌ No, fasting is not required.

Can I have a mammogram during my period?
✅ Yes, but it’s best after your period to reduce sensitivity.

How often should I get a mammogram?
Every 1–2 years for women over 40, or as advised by your doctor.

✅ Conclusion

Mammography is your first line of defense against breast cancer.
Regular screening could save your life by detecting tumors before they progress. Don’t wait for symptoms to appear—book your mammogram today and take a proactive step toward your health.