Getting a mammogram: What to expect and how to prepare

While the idea of breast compression might sound a little intimidating (yes, we’ve all heard the “pancake” jokes), the reality is much more manageable and way more empowering.

Why Mammograms Matter

Mammograms are one of the best tools we have for detecting breast cancer early, often before any physical symptoms appear.

The American College of Obstetricians and Gynecologists recommends you begin having mammograms at age 40.
For those with a family history, doctors may recommend starting screenings earlier than usual. A baseline mammogram, typically done between ages 30–35, helps create a reference for future exams.

Making the Appointment

You deserve care that makes you feel comfortable, supported, and confident. If you're not sure where to go, your physician can help guide you to a facility that fits your needs and makes you feel at ease.

How to Prepare

Typically, you need to bring your photo ID, health insurance card, and the referral slip from your physician if you have one.

On the day of your exam, it’s important to skip:

• Deodorant
• Lotion
• Perfume

These can show up on the scan and cause confusion so it’s best to go fragrance-free! If you’re unsure about anything, call the imaging center ahead of time. They’re used to answering questions and want you to feel at ease.

You’ll also want to make sure you know if your family has a history of breast cancer. If it does, they’ll want to know if family members were diagnosed pre- or post-menopause. This is information you’ll want to gather before going for your exam.

What to Expect (Spoiler: It’s Quick!)

After checking in, you’ll answer a few health history questions. These might include:

• Family history of breast cancer
• Menstrual cycle details
• Pregnancy and birth history
• Any previous breast concerns
• Whether you do self-exams

You’ll be guided to change into a gown, then the technician will gently position each breast on a platform and apply light compression. A robotic arm swings in an arc to take quick images taking just seconds each. The whole thing usually wraps up in about 10 minutes, and your technician will walk you through it with care.

You might feel some pressure or brief discomfort, often more in the chest or neck than the breast. Tenderness can happen, especially with dense tissue or larger breasts, but technicians are trained to keep things as smooth and comfortable as possible.

Mammograms are one of our most powerful tools for detecting breast cancer early, often before any symptoms appear.
For women with dense breast tissue, we often recommend a supplemental ultrasound as well, since dense tissue can make it harder to spot abnormalities on a mammogram alone.
— Dr. Erin Conway, Senior Medical Director

Getting Your Results

After your mammogram, results may be available the same day or within a few days, depending on the facility. The images are reviewed by a radiologist and may also be analyzed using computer-aided detection (CAD)—a smart technology that helps spot any abnormalities.

Sometimes, your results may show that you have dense breast tissue. This is completely normal and very common! However, dense tissue can make it harder for mammograms to detect certain changes. If this is the case, your healthcare provider might recommend additional imaging, like a breast ultrasound, to get a clearer view.

This extra step isn’t cause for concern—it’s part of making sure your screening is as accurate and thorough as possible. The goal is always to give you the best information about your breast health.

Tips for a Smooth Experience

• Schedule your appointment for the week after your period to reduce breast sensitivity.
• Wear a two-piece outfit so you only need to remove your top.
• Avoid jewelry and bring a hair tie to keep your hair out of the way.
• Bring a friend or support person if you’re feeling nervous—it can make the day feel lighter and more positive.

You've Got This!

Your first mammogram doesn’t have to be scary. With the right information and support, it can be a smooth, empowering experience. You’re taking an important step in caring for yourself and that’s something to be proud of.

If you’re thinking about scheduling your first mammogram, talk to your healthcare provider. It’s a small moment that can make a big difference.

Contact:
Kimberlee Hickok kimberlee.hickok@univerahealthcare.com