Reaching age 40 marks a milestone for breast health. It’s the age at which the National Comprehensive Cancer Network and other leading breast health experts and physician organizations recommend starting annual 3D screening mammograms if you are at average risk for breast cancer. One question, however, may lead you to avoid scheduling this important annual screening exam for women: Do mammograms hurt?
Not to worry. Despite what you may have heard from friends or on social media, mammograms typically cause only mild discomfort for most women. For a few seconds of compression, you can gain the priceless benefits of peace of mind and early detection.
Compression for a Good Cause
First, a brief reminder of the value of annual screening mammograms. Simply put, they save lives. Starting these yearly screenings at age 40 — or earlier, if you have a family history of breast cancer, BRCA gene mutations or other factors that put you at higher risk — can help identify disease in its earliest stages, and in some cases up to 3 years before you or your physician could feel a lump. Detecting breast cancer early stage is critical as it can mean less invasive treatments and improved survivorship, according to the American Cancer Society.
Take the Quiz: Put Your Mammogram Knowledge to the Test
Hurt Hype: How Mammograms Really Feel
Have you ever wondered why a 3D screening mammogram compresses your breasts? The imaging technology is designed to gently flatten the breast tissue to help produce clearer images for the radiologist to review. The scan itself takes pictures of your breast tissue in multiple layers so that it can be viewed dimensionally from different angles. On average, 3D screening mammograms take five to 10 minutes in total, and the amount of time your breasts are compressed during the scan is mere seconds.
Don’t let concerns about pain or discomfort during those few seconds stop you from scheduling your mammogram. Mammograms are only slightly uncomfortable and not painful. Pain levels vary among women based on several factors, including breast size and hormone-related sensitivity, for example, tenderness during your period. Most women, however, report only slight discomfort. Your Charlotte Radiology mammography technologist will take care to gently position your breasts to help minimize any discomfort.
Minimize the Hurt: Tips for a More Comfortable Mammogram
You can take steps to reduce mammogram-related discomfort at every stage of the process.
Before Your Test
- Schedule with your menstrual cycle in mind. Your breasts may be tender the week before and during your period, which can make compression more uncomfortable. Avoid getting your mammogram during those times.
- Take over-the-counter pain medicine before your appointment. Being proactive about pain relief can help you stay as comfortable as possible.
During Your Test
- Practice calming techniques. Breathe slowly and deeply when you can. The technologist may ask you to hold your breath and stand still when taking the images. Think of a favorite place that relaxes you.
- Speak up if you feel pain. Your technologist may be able to adjust the positioning of your breasts or take other steps to make you more comfortable.
After Your Test
- Use a heating pad or cool compress. Your breasts may hurt after your mammogram, but the sensation likely won’t last long. Apply mild heat or cold to your breasts to help soothe any discomfort.
- Support your breasts. Wear a supportive bra to keep your breasts comfortable.
Other Mammogram Questions You’re Afraid to Ask
Wondering whether mammograms hurt may not be your only question about this important screening. Let’s answer some other common questions.
- Why do I have to remove my shirt for a mammogram? Since each breast must be placed between two plates for compression during the exam, it is not possible to leave your shirt or bra on during a mammogram. Before your mammogram, you will change into a gown on top. You will leave your pants and shoes on.
- Why can’t I wear deodorant or lotion during a mammogram? You should skip wearing deodorant or lotion on the day of your mammogram if possible. Particles of these substances can sometimes migrate to the surface of your breasts and show up on mammograms looking like breast calcifications, which can require additional imaging. You can apply deodorant after your exam.
- How does a mammogram work with large breasts? While bra shopping may be a hassle, getting a mammogram is easy, no matter the size of your breasts. The mammography technology is designed to accommodate breasts well above a D cup. However, some women with larger breasts may need more than the standard two images per breast to ensure full coverage.
- How does a mammogram work with small breasts? Even if you think your breasts are too small to fit on the mammography paddle, you really do have enough breast tissue for a mammogram. As is the case for larger breasts, Charlotte Radiology technologists position your breasts to help maximize imaging of your breast tissue and minimize discomfort.
- How does a mammogram work with breast implants? If you have breast implants, it’s important to inform your technologist before your mammogram. Special techniques may be used to perform additional views, ensuring that both the breast tissue and the implants are properly examined. This helps to clearly visualize any potential concerns without compromising the safety of the implants.
- How does a mammogram work with breastfeeding? If you are breastfeeding, you can still get a mammogram, but timing is key. It’s best to have your exam a few weeks after breastfeeding sessions have ended to allow your breasts to return to their usual size and reduce tenderness. Inform your technologist that you are breastfeeding, as this can help them better prepare for your exam and minimize discomfort.
