By Dana Donofree, Founder of AnaOno
Breast health has always been personal for me, not just because of my experience as a breast cancer survivor, but because it’s part of the reason I founded AnaOno. I wanted to create space for conversations about our bodies, our health, and yes—our bras. And just like updating your lingerie drawer regularly, your breast health routine deserves that same level of care and attention.
Recently, there’s been a lot of talk about changes in mammography screening guidelines. These shifts include updates to the age women are advised to start mammograms and new insights about dense breast tissue, which can make traditional screenings less effective. It’s a lot to digest, but understanding your options and staying proactive can make all the difference.
Mammograms and Beyond: Screening Options You Should Know
Dense breast tissue, which refers to having more fibrous or glandular tissue than fatty tissue in your breasts, can make it harder to spot abnormalities on a standard mammogram. About 40% of women have dense breasts, and this can increase the risk of developing breast cancer. If you’ve been told you have dense breast tissue—or even if you haven’t—it’s important to know that there are other screening tools available. Be sure to consult your doctor to know what ones are right for you:
Breast MRI: Recommended for those at high risk, an MRI provides highly detailed images but is typically reserved for more specific cases due to its cost and sensitivity. MRI scans can sometimes be built into your annual routine alternating between mammography screenings. If you have undergone a cosmetic surgery, especially with implants, you may be receiving MRI to monitor and detect the integrity of an implant and natural breast tissue.
Ultrasound (Sonogram): This uses sound waves to create images of breast tissue. For dense breasts, it can sometimes detect lumps that mammograms might miss and is often used as a complimentary option to mammography to further investigate lumps or bumps in the breast tissue.
3D Mammography (Tomosynthesis): A more advanced version of the traditional mammogram, this creates a three-dimensional image of the breast, making it easier to spot irregularities in dense tissue. Access and coverage may be limited, so it is very important to ask questions if this is an appropriate screening tool for your breast health screening.
QT Imaging: A new, FDA cleared, screening tool using low frequency soundwaves that is radiation-free and creates detailed breast images, especially helpful for dense tissue. This new technology is limited by area and may not be covered by insurance which may limit access.
Handheld or Automated Breast Ultrasounds (ABUS): These are also designed for those with dense breasts and can be used alongside mammograms for more comprehensive screening. Handheld detection devices are on the rise and often provided in remote and hard to reach screening areas for underserved populations.
Diagnostic Tools Are Different
It’s important to note that diagnostic tools vary depending on whether you’re having routine screening or investigating a lump. For example, if you or your care team find a lump, further diagnostics—such as a targeted ultrasound, biopsy, or MRI—may be necessary. This is why conversations with your healthcare provider are crucial; they can tailor recommendations based on your unique situation. So, if you feel something, say something.
How Often Should You Screen?
The frequency of breast screenings depends on your age, personal risk factors, and family history. For most women, annual mammograms begin at age 40, but some guidelines now suggest starting earlier. If you have dense breasts or other risk factors, your care team may recommend additional screenings like MRI or ultrasound. Unsure of where to start, be sure to address your family history with your medical team to get on the right track.
Health Is the Best Accessory
Routine screenings are just one piece of the puzzle. Staying healthy overall—through exercise, a balanced diet, reduced alcohol, lowering stress, and regular check-ups—plays a significant role in reducing your risk of breast cancer and catching it early if it does develop.
Ready to schedule your screening? Here are some resources:
- Visit Living Beyond Breast Cancer to learn more about screening options
- Visit Breast Cancer Research Foundation to learn more about dense breasts
