Breast cancer is one of the most common types of cancer, and it is highly treatable in the early stages. A mammogram is an X-ray of the breast that can detect changes in breast tissue. The imaging process can involve some discomfort. However, a person can take steps to reduce it, and any pain usually passes quickly. A mammogram is quick and non-invasive. It requires no recovery time, and it can save lives.
How does a mammogram work?
A mammogram usually takes 15 to 20 minutes from start to finish. A mammographer will place the breast between two plates. One plate takes an image of the breast, and the other holds the breast in place. The images allow the radiographer and the radiologist to see whether there are unusual changes in the breast or to help identify breast cancer symptoms. If there is any indication that a change in breast tissue could be cancerous, the radiologist will recommend further tests. The mammogram machine gently compresses the breast to keep it stable and provide a clearer image of the breast tissue. Mammogram costs in South Africa can vary depending on the healthcare facility and region, among other industry-related variables.
Does a mammogram hurt?
Everyone experiences mammograms differently. Some women may feel pain during the procedure, and others may not feel anything at all. Most women feel some discomfort during the actual X-ray process, usually due to the pressure against your breasts from the compression of the testing equipment, which can cause slight pain or discomfort, and that’s normal. This part of the process should only last for a few minutes per view.
In some cases, women feel extreme pain during the exam. Your pain level may vary with every mammogram you receive depending on various factors:
- the size of your breasts
- the timing of the exam in relation to your menstrual cycle
- the variations in positioning for the mammogram
Several factors can also affect whether a mammogram causes pain or discomfort, including:
- the skill of the technician
- your own anxiety about the procedure
- the structure of the breast
If the machine is not in the right position, this can also cause issues. For example, some people have to contort their backs, due to the height of the machine. This can lead to back or neck pain from muscle strain. It is important to inform the technician if the position feels uncomfortable, as this can mean that the machine is at the incorrect height. Anyone with fibrocystic change of the breasts (the presence of harmless cysts) is more likely to experience pain during a mammogram. It is important to remember, however, that a mammogram can help detect breast cancer in the early stages and is far preferable an outcome than ignoring the need for this procedure due to anxiety about the pain you may feel.
How to reduce pain
There are several ways a person can help prevent a mammogram from being painful. The first step is to choose a suitable facility or service to perform your mammogram with. Radhiant Diagnostic Imaging is an accredited and registered diagnostic imaging provider that specialises in mobile mammography screening units. We have partnered with vendors and service providers to provide best-in-class breast cancer screening services throughout South Africa. Our mammographers are all highly trained and registered as mammography speciality radiographers with the Health Professions Council of South Africa. This ensures high quality and comfortable experiences for all our clients.
Next, one can consider the following factors in reducing pain:
- Timing: Schedule the mammogram for the week after a menstrual period. During and immediately before a period, hormonal swings can increase breast sensitivity.
- History: Inform the technician about fibrocystic breasts and any history of painful mammograms.
- Drugs: Taking a nonsteroidal anti-inflammatory drug, such as ibuprofen, 45–60 minutes before the screening may help reduce the pain.
- Breathing: Taking slow, deep breaths prior to the imaging can reduce tension-induced pain, and it may ultimately help produce a more accurate image.
- Stay still during the imaging: Moving, even taking a breath, while the technician is actually taking the X-ray can blur the image and require repeat imaging.
- Delaying if nursing: Anyone who is breastfeeding, but who will wean soon, may want to delay mammograms to avoid discomfort.
How to manage pain
A person should notify the mammographer of any pain, particularly if it is severe. A mammogram should never hurt so much that it deters someone from future screening. Our highly empathetic mammographers at Radhaint are willing to take time to reduce pain. Rushing the screening can increase the risk of discomfort, while a careful approach can ensure proper placement in the machine, which can help reduce the risk of pinching and other sources of pain.
Final thoughts
In conclusion, while a mammogram may cause some discomfort or pain for certain individuals, it remains a crucial tool for the early detection of breast cancer. The procedure is quick, non-invasive, and the discomfort typically passes quickly. By choosing an experienced and accredited facility like Radhiant Diagnostic Imaging, and considering factors such as timing and pain management strategies, you can minimize any discomfort. Remember, early detection through mammograms saves lives, making this brief experience well worth the long-term peace of mind and health benefits.