Breast Cancer Prevention: When Should I Start Having Routine Screening Mammograms?

October is Breast Cancer Awareness Month, and this year, we’re shining a spotlight on the importance of early detection in saving lives. One of the most effective tools for catching breast cancer early is routine mammogram screening: a quick, noninvasive imaging test that can reveal changes in breast tissue long before they can be felt during a physical exam.

At South Valley Women's Health Care in Bluffdale, Utah, we specialize in well-woman care, and we can help you find the answers you’re seeking. Here’s what you should know about mammograms and when to start getting them.

The basics of a mammogram

A mammogram is a specialized X-ray of your breast tissue, and it’s specifically designed to detect abnormalities like lumps, calcifications, or other changes that could indicate early signs of breast cancer.  The test is highly sensitive and allows doctors to detect cancer at its earliest stages, often before symptoms like palpable lumps or pain appear.

During a mammogram, you stand in front of an X-ray machine while a technologist gently positions each breast on a flat plate. Another plate then lowers to compress your breast for just a few seconds, spreading out the tissue so the X-ray can capture a clear, detailed image.

While the pressure may feel a bit uncomfortable, it’s not harmful, and the entire process is usually done within 20 minutes. The temporary discomfort is well worth the peace of mind and the ability to catch potential issues early.

Why early detection matters

Breast cancer is most treatable in its early stages. In fact, the five-year survival rate of people with localized breast cancer that’s diagnosed and treated before it spreads outside breast tissue is more than 99%.

But breast cancer doesn't always cause symptoms in its earliest stages, which is why routine mammogram screenings are so important. Detecting cancer before it spreads increases treatment options, improves outcomes, and greatly improves survival rates.

When should you start routine mammograms?

Early detection is one of the most important ways to protect yourself against breast cancer — but if you’re wondering when you need to get your first mammogram, you’re not alone. The exact answer varies depending on your risk factors and personal health history.

Here are the guidelines:

Women at average risk

You’re generally considered at average risk if you don’t have a personal or family history of breast cancer, you don’t have BRCA gene mutations, and you didn’t have chest radiation therapy before age 30.

In these cases, you may have the option to begin annual or biennial screening between the ages of 40 and 45. Starting at age 45, you should get mammograms every year until age 55.

Women at higher risk

You may be at higher risk of breast cancer if you have a strong family history of breast cancer, certain genetic mutations, or prior chest radiation. In these cases, most experts recommend starting annual mammogram screening around the age of 30 and considering additional imaging like breast MRI.

Women over 55

After age 55, you may be able to switch to getting a mammogram every other year. However, many experts recommend continuing annual screenings as long as you’re in good health.

Your risk of breast cancer is unique to you, and you don’t have to figure out the best screening schedule for yourself. Our team offers comprehensive well-woman exams. We can discuss your personal and family medical history to determine the right age and frequency for you.

Breast Cancer Awareness Month: a reminder to take action

October serves as a reminder for women everywhere to take charge of their health. Scheduling your first mammogram and staying consistent with your routine screenings is one of the most powerful steps you can take in breast cancer prevention.

Not sure where to start? Our team can guide you through the process, answer your questions, and help you feel comfortable every step of the way. Contact us to book your first appointment.