Breast Health

Cleveland Clinic breast surgeon Jill Dietz, MD, answers breast-health questions, including when women should begin having mammograms.

Q: I recently read that I don’t need a mammogram until I turn 50, but my doctor says otherwise. What should I do?

A: You are not alone in your confusion. Studies continue to report conflicting results regarding the effectiveness of mammograms. However, experts agree that early detection is the best defense against breast cancer. Breast cancer is one of the most treatable, curable cancers when caught early.

Cleveland Clinic recommends annual screening mammograms beginning at age 40 for most women. Depending on your personal risk level and family history, you may need to begin screening even earlier. Ask your doctor to be sure.

Mammograms are an important part of your health history. If you move or go to another healthcare provider, be sure to take your mammography films with you.

Q: I get a mammogram every year. Do I still need to perform breast self-exams?

A: Although monthly self-exams have been controversial, most women do find breast lumps themselves. Examine your breasts each month after age 20. You will become familiar with the contours and feel of your breasts and will be more alert to changes. The best time to examine your breasts is after your menstrual cycle is finished.

Also, have your breasts examined by a healthcare provider at least once every three years after age 20 and every year after age 40. Clinical breast exams can detect lumps that may not be detected by mammogram.

Q: I eat right, exercise daily and don’t smoke. Is there anything else I can do to lower my risk of breast cancer?

A: You’re off to a great start! While all women are at risk of developing breast cancer, there are some other things you can do to minimize your risk.

• Maintain your ideal body weight. Cancer of the breast (among others) has been associated with obesity.
• Get your vitamin D.  Take at least 1,000 IU of vitamin D daily. If your levels are low, ask your doctor to recommend a dosage to meet your specific needs. 
• Moderation is important. Alcohol intake can increase your chance of getting breast cancer if you are over 50 and drink two or more drinks per day.
• Ask your doctor about risk assessment. Find out if you are a candidate for chemoprevention of breast cancer. The FDA has approved two medications to reduce the risk of getting breast cancer.

For an appointment at Cleveland Clinic’s Breast Center, please call 216.444.3024 or 800.223.2273, ext. 43024. For answers to women’s health-related questions, please call 216.444.4HER.

Updated Oct. 11, 2010