Skip main navigation

Military Health System

Clear Your Browser Cache

This website has recently undergone changes. Users finding unexpected concerns may care to clear their browser's cache to ensure a seamless experience.

Ask the Doc: How Often Do I Need Mammograms to Fight Breast Cancer?

Image of Ask the Doc: How Often Do I Need Mammograms to Fight Breast Cancer?. Amanda Lapointe, a mammography technologist at Naval Hospital Jacksonville, assists a patient during a mammogram on Sept. 15, 2023. Lapointe, a native of Jacksonville, Florida, says, “Early detection saves lives.” (U.S. Navy photo by Deidre Smith, Naval Hospital Jacksonville)

Dear Doc,

I try to practice self-care, but sometimes I’m not as focused on myself as I am on my service duties and making my family’s hectic schedules work. How often should I be checking my breasts for lumps and bumps, and what’s the current recommendation for getting a mammogram? Didn’t it change? I’m 40.

— U.S. Army Chief Warrant Officer 3 Winnie No

Dear Chief No,

Those are good questions. The U.S. Preventive Services Task Force recently changed its guidance, and now recommends mammograms every other year beginning at age 40. Other national organizations also recommend starting mammograms at age 40 annually or every other year.

U.S. Navy Capt. (Dr.) Monica Lutgendorf is an expert on breast health and when you need mammograms. She’s an OB-GYN and the department chair for Gynecologic Surgery and Obstetrics at the Uniformed Services University of the Health Sciences in Bethesda, Maryland. Lutgendorf recently filmed a video about the importance of mammograms and new guidelines. Here’s what she had to say:

___________________________________

It's really important, even as busy mothers and family members, to take time for our health and to take care of ourselves.

Breast self-awareness is important. You should be familiar with your breasts, so you understand what's normal and promptly report changes or concerns such as new lumps, bumps, pain, a mass, new onset of nipple discharge, or redness in your breasts.

If you notice new breast changes, I recommend discussing these with your doctor. Although most breast changes detected as part of breast self-awareness have benign causes, some changes may signal something serious, such as breast cancer.

Cancer medical organizations say health care provider breast examinations may be offered every 1–3 years for individuals between the ages of 25–39 and annually for individuals 40 and older.

It's especially important for all individuals between the ages of 40 and 74 to get a mammogram every other year or annually. If you use TRICARE, the process through the Military Health System is pretty approachable. Just call to get an appointment. The appointments are pretty quick as far as getting the imaging done. The results are available in the MHS GENESIS patient portal, so it's very easy to schedule the follow up.

The actual mammogram is not a very painful procedure, in my opinion. If you're concerned about the discomfort, I would say that although that can vary from one person to the next, in general, it's a relatively quick and painless procedure.

The most important thing is to identify breast cancer at its earliest stage so you and your health care provider can arrange appropriate treatments. It's a very preventable and treatable cancer if caught early.

It’s really important to get screenings every other year for average-risk people to make sure we’re able to identify and detect breast cancer at an early stage. If you're somebody who has increased risk factors for breast cancer in your family, your screening recommendations may change. Risk factors include family members who are diagnosed with:

  • Breast cancer at an early age (under 50)
  • Tumors in both breasts
  • Male relatives with breast cancer

If you’re at higher risk, talk to your doctor about the timing and frequency of breast cancer screening and the imaging modality recommended, as earlier, more frequent, screening and different screening modalities (such as magnetic resonance imaging) may be recommended.

Family history is important, as individuals with a concerning history for hereditary breast and ovarian cancer syndromes should be counseled and offered genetic screening-testing. For example, you should be counseled as to your options if your family has a history of the BRCA gene mutation or you are of Ashkenazi Jewish descent. Additional risk factors include:

  • Prior breast biopsy with specific diagnosis
  • Early menstrual cycle onset
  • Late Click to closemenopauseA point in time 12 months after a woman's last period. This transitional period begins between ages 45 and 55.menopause
  • Did not give birth
  • No breastfeeding
  • Menopausal hormone therapy
  • Increasing age
  • Dense breasts on mammography
  • Prior exposure to high-dose therapeutic chest irradiation when ages 10–30

I also recommend that people maintain a healthy weight, limit their alcohol consumption, and complete their regular screening. It will only take about an hour for the appointment, and it's something that can easily be worked into a busy schedule.

______________________________________________________________________________________________________

Chief,

I hope this answers your questions. Here’s some more information on breast cancer. Also, you should know that TRICARE’s well-woman exams annually cover breast exams, pelvic exams, and Pap smears as needed for women under age 65. There’s no cost-share or co-payment. Take care of yourself because you matter.

You also may be interested in...

Spotlight
Feb 5, 2024

Cancer Moonshot

Cancer Moonshot

On Feb. 2, 2024, President Biden celebrated the two-year anniversary of the reignited 2016 White House Cancer Moonshot initiative, an effort across multiple federal agencies aimed to reduce the death rate from cancer by at least 50 percent over the next 25 years. The initiative is also focused on improving the experience of people and their families ...

Article
Jan 5, 2024

Ask the Doc: How Does MHS GENESIS Improve Patient Safety?

MHS GENESIS, the advanced electronic health record, has features that help improve safety and quality care for patients. (Photo: Robyn Mincher)

The Armed Forces Health Longitudinal Technology Application worked for what we needed back in 2002. Since then, technology and requirements have changed significantly—and the platform could not keep up. When the Department of Defense set out to replace AHLTA and the other legacy EHR systems, the primary requirement was two-fold: first, patient safety ...

Video
Dec 7, 2023

Dr. Kelly Elmore Addresses Postpartum Hemorrhage

Dr Kelly Elmore Addresses Postpartum Hemorrhage

As we know, most births are very happy, wonderful experiences. However, there are times when there are complications. Now, these complications, for the most part, happen less than 5% of the time. But there is one that we want to talk to you about specifically, and that's called postpartum hemorrhage. Postpartum hemorrhage is when you have too much ...

Infographic
Nov 29, 2023

Cervical Health Awareness Month

Cervical Cancer Awareness Month

Cervical cancer is one of the most common cancers in women, but you can lower your risk through regular screenings and vaccinations. Get info on @TRICARE coverage and get screened today: www.tricare.mil/CoveredServices/IsItCovered/CancerFemaleReproductiveOrgans #CervicalHealthAwarenessMonth #WomensHealth

Article
Nov 22, 2023

Ask the Doc: Mental Health Tips for You or a Loved One

Ask the Doc: Mental Health Tips for You or a Loved One

In this edition of Ask the Doc, we get expert advice from retired U.S. Public Health Service Capt. (Dr.) Joshua Morganstein, deputy director at the Center for Study of Traumatic Stress in the Uniformed Services University of Health Sciences and vice chair of the University’s department of psychiatry, on ways to address mental health concerns when you, ...

Video
Nov 20, 2023

A Regular Pap Smear Helps Detect Cervical Cancer

A Regular Pap Smear Helps Detect Cervical Cancer

CAPT Kelly Elmore, MD, OB/GYN and Chief of Staff at Walter Reed National Military Medical Center explains the purpose of pap smears. Cervical Cancer screening is your covered TRICARE benefit. Depending on your age, a pap smear and/or HPV test are recommended to screen for cervical cancer. Make sure you take time today for your health and schedule ...

Video
Nov 20, 2023

Schedule Your Annual Well-Woman Exam Today

Schedule Your Annual Well-Woman Exam Today

CAPT Kelly Elmore, MD, OB/GYN and Chief of Staff at Walter Reed National Military Medical Center encourages you to schedule your annual well-woman exam. Cervical Cancer screening is your covered TRICARE benefit. Depending on your age, a pap smear and/or HPV test are recommended to screen for cervical cancer. Make sure you take time today for your ...

Article Around MHS
Nov 20, 2023

The Madness We Survive

U.S. Air Force Senior Airman Matilyn Million, 6th Medical Support Squadron laboratory technician, stands next to her coworkers during a chemotherapy appointment in Tampa, Florida, on Aug. 21, 2023. Million was diagnosed with stage III Hodgkin’s lymphoma in March 2023. She completed her 12th and final chemotherapy treatment on Sept. 18, 2023, and is currently cancer free. (Courtesy Photo)

A renewed spirit to resume the life she previously had consumed U.S. Air Force Senior Airman Matilyn Million as she closed her most difficult chapter. On Sept. 18, 2023, Million underwent her 12th and final chemotherapy treatment in Tampa, Florida.

Skip subpage navigation
Refine your search
Last Updated: November 15, 2023
Follow us on Instagram Follow us on LinkedIn Follow us on Facebook Follow us on X Follow us on YouTube Sign up on GovDelivery