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This page last updated 11/9/06.


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A Mammogram, Step-By-Step

Mammography is simply an x-ray examination of the breast. At UT Medical Group, our licensed and specially-trained radiologic technologists use state-of-the-art equipment to detect and diagnose breast disease.

Before the exam, the technologist will take a detailed history from you, in order to better interpret your mammogram. She will ask you about your family history, your previous mammograms or breast operations, any skin abnormalities (like scars, warts, or moles), hormonal usage, and the start and end of your last menstrual cycle. It may be helpful to write down this information before your appointment, so that you have it readily available.

Because your mammogram is compared with past mammograms, it is important to obtain and bring any previous mammograms (over the past five years) performed at other institutions with you.

For your comfort, it is a good idea to avoid caffeine for ten days prior to your exam--caffeine can make breasts more tender and lumpy. On the day of the exam, you'll want to wear a blouse or sweater rather than a dress so that it is easier to undress. Also, don't use any deodorant, powder, perfume, cream, oil, or lotion in your underarm or breast area. They can leave residue that may be picked up by the x-ray and interfere with the mammogram.

During the exam, you will be asked to slip one shoulder out of your robe, and your breast will be placed on a flat surface which will be adjusted to your height. The technologist will then lower a plate to compress the breast to a uniform thickness. This compression may be uncomfortable, but it may be helpful for you to know that because of the compression, the pictures will be much clearer and require less radiation. Don't be alarmed, the compression is not dangerous and produces no long-term discomfort.

You will need to hold your breath during the exposure (it will only take a few seconds). When the exposure is complete, the compression paddle will immediately release. After both breasts have been filmed, you can sit and relax while the films are developed. The whole process takes only 15 - 30 minutes. After the mammograms are developed, a radiologist will interpret them, and send a report to your doctor.

You can help detect lumps early. It is important that you do breast self-examinations at least once a month, and have your breasts examined by a doctor once each year. You should tell your doctor if you notice pain, discharge, lumps, or skin changes (even if you've had a normal mammogram recently). And remember, you need to have mammograms at regular intervals:

    By age 40 - Have one baseline mammogram

    Age 40 and up - Have an annual mammogram


Six Simple Steps

  1. Monitor your breast health.
    • Check your breasts monthly. Call your doctor if you notice a lump, thickening, discharge, or change in skin texture and color.
    • Have an annual breast exam performed by a doctor.
    • Have mammograms annually at age 40+.
  2. Make yourself comfortable.
    • Schedule your mammogram when your breasts are least tender. Try to avoid the week right before your period, for less discomfort.
  3. Be informed.
    • What your radiologist needs to know:
      • Your name, address, phone number, and age.
      • Your medical and family history regarding breast disease.
      • Name, address, and phone number of your current doctor and of any facility where you've had a mammogram in the past.
      • Whether you are pregnant or nursing.
      • Date of your last period or onset of menopause.
    • What you need to know beforehand:
      • How and when you will receive the results.
      • What you need to do to get ready for the exam.
  4. Know what to expect.
    • You'll be less anxious if you understand what happens during a mammogram. Don't be afraid to ask your doctor questions.
  5. Prepare yourself. On the day of the exam:
    • Don't use deodorant, talcum powder, or lotion under your arms or around your breasts--it may appear on the x-ray.
    • Wear a two-piece outfit, so you'll only have to remove your top.
    • Don't forget to bring the information in step 3 for the radiologist.
    • If possible, bring past mammograms for comparison with your new mammogram.
    • Bring a list of any questions you may have.
    • If you're concerned about discomfort, you may want to take a mild pain reliever about an hour beforehand.
  6. Follow up on your results.
    • Be sure to get a report from your doctor (not from the radiologist).


    Information and links found on the UT Medical Group, Inc. web site are neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition. If you think you may have a medical emergency call your healthcare provider immediately.      Bookmark and Share