Mammograms are a generally safe and effective way to help detect breast cancer. Although they do expose people to small amounts of radiation, they typically will not cause harm.

This article reviews mammograms and their relationship to cancer. It also looks at other myths and facts related to mammograms.

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Mammograms are low dose X-rays of the breast.

Exposure to radiation can increase the risk of developing cancer. The National Cancer Institute (NCI) notes that radiation exposure is a potential risk associated with mammograms. The risk is greatest when a person experiences exposure to repeated chest X-rays.

Researchers behind a 2016 study examined the effects of yearly or 2-yearly mammograms on women 40 to 74 years old. They note that exposure to repeated mammography can increase the risk of developing breast cancer, and that this risk may be higher for those with larger breasts.

However, the 2016 study and more recent reviews conclude that the benefits of screening outweigh the potential risks.

In addition, although mammograms do expose a person to radiation, the amount of radiation is low.

The American College of Radiology notes that a screening digital mammography is equivalent to 26 days of natural background radiation, and a screening digital breast tomosynthesis (3D mammogram) is equivalent to 33 days.

The Food and Drug Administration (FDA), the Mammography Quality and Standards Act, and other agencies regulate equipment and radiation exposure, helping keep exposure levels within a safe range.

The NCI also notes that the benefits of early detection outweigh the potential risks associated with mammograms. Regular mammograms have helped reduce the total number of deaths from breast cancer.

If a person is concerned about the risks involved, they can speak with a doctor.

Mammogram procedures are safe. They are a crucial tool in cancer detection.

The NCI, American Cancer Society (ACS), and other agencies and organizations support regular mammogram screenings to help detect cancer. The amount of radiation exposure from a mammogram is lower than that of a standard X-ray and well within safe ranges for everyone.

In a practice bulletin from 2017, the American College of Obstetricians and Gynecologists (ACOG) notes that mammograms are generally safe for people with an average risk.

However, ACOG adds that higher breast densities may cause other issues, including false positives, that can have other health effects, such as overtreating a growth that does not require treatment.

The main benefit of undergoing mammograms is that they can help detect breast cancer early.

According to the ACS, mammograms can find changes in the breast that could be cancer long before any physical symptoms appear. It notes that those who undergo regular mammograms are:

  • more likely to have breast cancer detected early
  • less likely to require aggressive treatment, such as surgery
  • more likely to have any cancer cured

According to the NCI, some potential risks and drawbacks associated with mammograms include:

  • False positives: These can occur when a radiologist notices an irregularity on the mammogram but no cancer is present.
  • Overdiagnosis and treatment: The test could find noninvasive and nonthreatening tumors that do not need treatment.
  • False negatives: These occur in about 20% of cases and can lead to delays in diagnosis and treatment.
  • Early detection might not reduce the chance of death: A fast-growing tumor may have already spread to other parts of the body.

There are no specific guidelines on when a person should begin getting mammograms. Suggestions from different agencies can differ.

The Centers for Disease Control and Prevention (CDC) recommends people 40 to 74 years old get screenings every 2 years. People in their 40s should also speak with a doctor to discuss the benefits and risks of screening.

The 2016 study mentioned earlier notes that the benefit-to-harm ratio could improve if people start getting screenings at age 50 as opposed to age 40.

However, it is important for a person to consider their personal risk factors, such as family history or genetics, when they and their doctor decide when to start undergoing mammograms.

There are a lot of myths and misconceptions about mammograms. The following are some of the more common myths that a person may come across.

Myth: Mammograms are guaranteed to find all early signs of breast cancer

The reality is that no test is perfect.

In fact, mammograms can miss an average of 20% of cases. A person who is at risk of breast cancer should speak with a doctor if they have concerns that the mammogram may have missed something.

Myth: A person needs a referral for a mammogram

Starting at 40 years old, a person can request a mammogram.

They do not need a prescription, recommendation, or any other referral from a primary care doctor. However, the person may want to discuss their medical history with a doctor and talk about when they should begin breast cancer screening.

Myth: A person does not need a screening every year if they have a normal test

Many agencies, including the ACS, recommend annual screening for average-risk people ages 45 to 54 years, regardless of whether the previous year’s test was negative.

If a test comes back with positive results, a person should speak with a doctor about the next steps for diagnosis.

Mammograms expose a person to small amounts of radiation. However, this exposure is limited. It will not cause cancer unless the person is exposed to frequent testing.

The potential benefits of earlier detection outweigh the concerns of exposure as well as other issues, such as false positives.

A person should discuss their risk factors for breast cancer with a doctor. They should consider undergoing screening starting at 40 or 50 years old, or sooner, based on individual risk.