For many women, the thought of getting a first mammogram can feel intimidating. Questions often swirl: Will it hurt? How do I prepare? What if they find something? If you’ve been putting off scheduling your first screening, you’re not alone.
The good news is that with a little preparation and the right mindset, your mammogram can be a smooth and empowering step toward protecting your health.
Recently, Tina LaForge, Mammography Supervisor at FirstHealth Moore Regional Hospital in Pinehurst, joined the FirstHealth and Wellness Podcast. With more than two decades of experience, Tina has guided countless women through this important exam and knows firsthand how to make the process less stressful.
When Should You Schedule Your First Mammogram?
For women at average risk for breast cancer, the American College of Radiology recommends starting annual mammograms at age 40. If you have a family history of breast cancer or other risk factors, your provider may advise beginning earlier. The key is to talk with your health care team about the plan that’s best for you.
How to Prepare for Your First Mammogram
The right preparation can make your mammogram easier and more comfortable. Here are FirstHealth’s top recommendations:
- Choose an accredited facility. Look for an imaging center that is ACR-accredited (American College of Radiology). This ensures your mammogram meets the highest quality standards.
- Time it right. If you still have menstrual cycles, schedule your appointment for the week after your period. Breasts are typically less tender then, making the experience more comfortable.
- Skip deodorant. Deodorants, powders and some lotions can mimic calcium deposits on images, potentially confusing results. If you forget, most facilities provide wipes to remove it.
- Wear a two-piece outfit. Since you’ll only need to undress from the waist up, separates are more convenient than dresses.
- Cut back on caffeine. A week before your appointment, try reducing coffee, tea and soda. Caffeine can make breast tissue more sensitive.
What to Expect During the Exam
A standard screening mammogram takes about 20 minutes from start to finish. This includes paperwork, positioning, and capturing the images. Many women worry about discomfort, but Tina explains that while the breast is compressed briefly, it shouldn’t be painful.
The sensation is similar to the snug squeeze of a blood pressure cuff — tight, but tolerable. Each image lasts only about 20 seconds, and several images are taken.
2D vs. 3D Mammograms: Which is Best?
Most facilities now offer 3D mammograms, also known as tomosynthesis. These provide clearer images, especially for women with dense breast tissue, and can reduce the need for follow-up imaging. FirstHealth offers 3D mammography at all four of our hospital campuses and the FirstHealth Lee Campus in Sanford.
In the near future, 2D mammograms will likely become rare. If possible, request a 3D exam when scheduling.
Mammogram Results: How and When You'll Get Them
Federal law requires that all mammogram results be sent within 30 days. You’ll typically receive a letter in plain, easy-to-understand language, or you may view results through your facility’s online portal.
If your mammogram is normal, the message is simple: See you next year. If anything unusual is spotted, your provider may order additional images, an ultrasound or sometimes an MRI to get a clearer picture. Importantly, a call-back does not automatically mean cancer. Often, it’s just to clarify something that looked unclear on the first set of images.
Final Reassurance
Tina emphasizes that most of the fear around mammograms comes from the unknown. “It’s not that bad of an experience. Your tech will walk you through it,” she says. “Don’t be nervous. It’s going to be fine.”
A mammogram is one of the most powerful tools we have to detect breast cancer early, when it’s most treatable. Think of it as a gift to your future self — a brief appointment that can make a lifelong difference.
Ready to Schedule Your Mammogram?
Call 866-415-2778 to book an appointment with FirstHealth.
