What to Expect at Your First Mammogram

Do thoughts of scheduling your mammogram make your heart race and your palms sweat? You've heard that mammograms are a painful procedure. You're scared of how much it might hurt, and even more scared about getting negative results.

It might ease your fears to know what's involved in a typical mammogram procedure. I've had two mammograms, and the second procedure was much easier than the first, largely in part because I knew what was going to happen.

First and foremost - don't delay scheduling your mammogram. It's proven that early detection saves lives. Talk to your doctor about when you should get your first (baseline) mammogram. Typically women have their first test when they turn 40. Depending on your health and family history, your doctor might suggest one earlier.

Before the procedure, make sure that you don't use any deodorant, or creams, or lotions on your chest and underarm area, as they might interfere with the results. I like to throw a deodorant stick into my handbag so I can use it as soon as the procedure is completed.

Many clinic offer changing areas with plenty of privacy for you to change into gowns. Lockers are often provided so you can store your belongings during the procedure. You'll be led to the procedure room, which includes not only the mammogram equipment, but a lot of informational pamphlets regarding breast health. The technician will ask you a few questions regarding your breast health, and a family history.

During my baseline mammogram, the technician had me lower my gown to check on breast symmetry and abnormalities. If you're shy about showing your breasts, remember that the technician sees lots of them during the day. Tell her if you're uncomfortable in any way, and there's a good chance that she'll reassure you. Asking her questions throughout the entire procedure is also another great way to calm your fears.

Next is the actual mammogram, which involves a fairly large piece of machinery, with a ledge chest-high. The technician will help position your body so that your breast lies properly on the shelf. She will then lower the top shelf, so that your breast is compressed. I won't lie - it is a bit uncomfortable, but not unbearable. Fortunately, the technicians are fast on their feet, taking the x-ray, then releasing the shelf. The technician takes a number of pictures of both breasts, then steps out of the room to review the film with a radiologist.

For me, waiting is one of the hardest parts of any test. I "what-if" myself into an early grave in no time. Try to relax, bring a magazine, or read a novel you've brought. During my first mammogram, they needed a few more pictures after the radiologist reviewed the film.

That's it - that's the whole procedure! They let you change back into regular clothing and you can toss that crinkly paper gown.

The technician warned me that there was a good chance that I might be called in for more testing, but told me not to worry. They are just being extremely thorough for a baseline procedure. Indeed, I was called in for an ultrasound test, which was not painless at all. After a six-month follow-up mammogram, I was told that I didn't have to come in for another year.

I know many, many women who are afraid to get their first mammogram. It is honestly not all that painful, and preventative medicine is always a great idea. You are worth good health.