My First Mammogram at 40+: What to Expect When You Get a Referral
Hello gorgeous gals!
Back in the spring this year, I got a referral to have a mammogram from my gynecologist. Last year I turned 40, and as it turns out, all women over 40 are recommended to get a mammogram once every two years. So, that's exactly what my gynecologist told me: go get it done, and then bring me the results, we'll take a look.
She immediately warned me to get the mammogram between the 8th and 16th day of my cycle. I set a reminder for myself and when my period came around, I scheduled a time to visit the X-ray room where the magic happens.
Before heading out for this investigation, I read up on reviews and looked into some online info. I'll share a quick rundown of what I found out about mammograms.
❓What is a mammogram, anyway?
A mammogram is an examination of the breast tissue aimed at detecting new growths (both benign and malignant) and other pathological changes – calcifications and cysts.
❓ When and how often should I get a mammogram?
They do the procedure during routine check-ups:
From 35 years old – the lower age limit for the examination. Before 35, breast tissue is too dense, so a mammogram won't give you an accurate result. Between 35 and 40, you should get at least one mammogram done.
From 40 years old – once every two years. Women between 40 and 55 are at a higher risk of developing breast cancer.
I've been getting mammograms since I was 50, and I've done it once a year. After 60, the frequency depends on individual factors and recommendations from my gynecologist.
What are the reasons for a mammogram?
Annual screening for women over 40Suspicions of benign and malignant tumorsDifferential diagnosis of breast lumpsFollow-up on tumor treatmentInfertilityI walked into the X-ray room with a bit of trepidation, clutching my referral letter. I arrived early, feeling somewhat anxious, so I decided to wait in line and chat with the others. Reading about the mammography process beforehand, I knew I wasn't in for a relaxing massage.
When I reached the X-ray room doors at 10:50, I was the third in line. At 11:30, the X-ray technician came over and chuckled, 'You're all so young, I'm flattered!' She glanced at her watch and suggested we start a bit earlier. 'Girls, the first ones, please, put on your lead aprons.'
So, it was my turn. Let me tell you, there's no special preparation needed for a mammogram. Just in case, I left my necklace at home, remembering my previous experiences with fluorography or regular X-rays. When the technician asks you to remove your necklace or put it in your mouth, it's best to be prepared.
I handed over my referral letter, and while the technician was filling out the paperwork, she asked me to undress down to my waist, removing my bra, of course. Then, she helped me put on a special protective vest around my waist. You can see it in the photo below – it's a heavy, green one attached to the equipment. I was worried it would fall off, but it stayed put.
I have to start from the beginning, I guess. So, I've got a small bust, and I asked the doc if it's going to be a problem. She just smiled and said, 'Don't worry, let's find something to fill this up.' With that, she sprayed some antiseptic and wiped it down with a towel on the mammography machine. On the photo, the breast platform is black. It was a bit chilly to touch, and I wasn't looking forward to putting my breast on it.
Next, the X-ray lab technician inserted the cassette with the film into a special slot on the breast platform.
After that, the technician explained to me how to position my breast, showed me, helped me. She also showed me how to hold the device in a specific position. My little ones actually lay down on the film plate, took up a bit of space. When researching, you need to stand in front of the mammograph. The technician took each breast separately. She took two projections of the right one and two of the left one. While doing this, she would turn the mammograph for each individual projection so that the platform with the breast was positioned correctly and at a specific angle.
The whole process took around 15 minutes, and the actual X-ray exposure only lasted a few seconds per breast per projection.
I have to admit, the procedure was really tough for me... My sensitive breast was squished down on the film plate by the mammograph, it was literally flattened and squeezed. But the X-ray was taken quickly, and the pressure was released right away. It was also a bit of a mental challenge to watch my breast go through this process. Luckily, I was distracted and didn't have to see it all happen...
When I was getting dressed, the lab technician next to me was performing some manipulations with the mammograph, and she told me that this kind of examination is a torture for a living person. The specialist just smiled and said that in about 30-40 years, it won't hurt much anymore, and grandmas will just stand there quietly with their baskets. But by the time she said 'in about 30-40 years it won't hurt much anymore', I had already thought that medicine would make progress and the procedure would become less painful, more gentle...
A few days later, I came to pick up the results of the examination and went to the gynecologist's appointment on the same day. As a result, the radiolab technician gave me a description on an A4 sheet with the words that everything is normal, so she didn't print the scan for the doctor.
The gynecologist looked at it, nodded in satisfaction, and said that everything is normal. I asked if I could skip this torture the next time and do an ultrasound of the breasts instead. I had been doing ultrasounds for a long time, and they're relatively painless compared to mammograms. No, you need to do a mammogram every two years, and we'll look into the ultrasound later.
That's my impression of doing a mammogram. The examination is undoubtedly important and necessary for women. It might be a bit painful, but it's not that hard to get through, and there's no special preparation needed - only if you mentally prepare yourself for the repeat examination, knowing what's going on behind closed doors.
Thanks for reading. Stay healthy!