Breast cancer is the second leading cause of cancer deaths for women in the United States, but it is incredibly treatable when discovered early. In fact, death rates have been steadily declining since 1989, thanks to better treatments and earlier detection. The average woman has about a 1 in 8 risk of developing breast cancer in her lifetime, making it vital for all women to be properly screened. But many women are unsure when they should get a mammogram and how often, as well as what to expect. Let’s take a look at how you can establish a healthy screening routine. 

What is a mammogram? 

A mammogram is simply a special X-ray of your breast. Your technician will gently place your breast between two plastic plates that flatten it and hold it in place while the X-ray pictures are taken. Many women feel some discomfort, but the process is over quickly. If anything potentially abnormal is found, you may be referred to a specialist for follow-up. 

When should I get my first mammogram? 

Until recently, women at average risk were told to get a baseline mammogram at age 50. However, the U.S. Preventive Services Task Force now recommends that women get an initial mammogram at age 40. But there is still some debate in the medical community on whether to start at age 40 or 45. In addition, women at higher risk for breast cancer may need to start screening even earlier, perhaps as soon as age 30. Talk to your doctor about what’s best for you. 

How often do I need a mammogram? 

Healthy women at average risk should plan to get a mammogram every two years. Depending on your personal risk factors, you may need an annual screening. Plan to keep up your mammogram schedule through age 74, unless anything changes in your personal health profile. Mammograms are generally not recommended for women aged 75 and above, although this is not a hard and fast rule. Your doctor will provide personalized guidance for you. 

Are mammograms covered by insurance? 

Mammograms are considered an essential health benefit under the Patient Protection and Affordable Care Act (Obamacare). This means they’re covered at no charge for all women ages 40-74. This is true regardless of whether you have employer-sponsored healthcare, government insurance such as Medicare or Medicaid, or insurance purchased on the healthcare exchange. You can have a mammogram every year or every two years, depending on your doctor’s recommendations. Mammograms are always included in your annual exam with EHE Health.

What other breast cancer screening tools are available? 

Mammograms are currently considered the gold standard for breast cancer screening for most women. However, depending on your individual profile, your doctor may also recommend clinical breast examinations, MRIs, and/or at-home breast checks. These tools can be helpful as additional screening measures in women at higher risk, but they cannot take the place of mammograms. 

Tips for maintaining your mammogram schedule 

It can be hard to remember when your next mammogram is due, so here are a few tips to help you keep track: 

  • Put it on your phone calendar with a reminder notification 
  • Pair it with your ob-gyn visits (if annual mammograms are appropriate for you) 
  • Make your next appointment before leaving the facility, and ask them to send a reminder 
  • Plan a small reward after each screening, which can help motivate you to keep your appointments 

Breast cancer can be dangerous, but early detection is the key to successful treatment. Mammograms can be unpleasant, but they don’t take long, they’re fully covered by insurance, and they can literally save your life. Talk to your doctor about the schedule that’s right for you. 

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