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Breast health for all: what to keep in mind with screening guidelines

| Healthy You | Women’s Health

Closeup of technician looking at screen during a mammogram

Plan to talk with your provider about what’s right for you.

Breast cancer screenings are a key part of early detection and treatment.  

Since 1990, breast cancer mortality has gone down by 40%. In fact, the 5-year survival rate is 99% for people whose cancer is caught early — before it can spread.  

Regular breast cancer screenings such as mammograms make a clear difference, says Lisa Hazard, MD, a cancer care doctor who specializes in providing radiation treatment. 

Dr. Hazard cares for patients in the Breast Cancer Program at PeaceHealth’s Cancer Center in Sedro-Woolley, Washington. She doesn’t perform mammograms, but she recognizes that regular screenings can have a big impact on when and how she cares for patients. 

“There’s no question that treatments are both more effective and have fewer side effects when breast cancer is detected early,” she says. 

When to start screening and how often 

How often should you get screened, and at what age should you start?

It depends. 

Recent health guidelines emphasize a personalized approach. Your screening schedule may be different than your friends’ and family members’.  

Experts agree that mammograms are the best screening test for people at average risk of breast cancer.  But they don’t all agree on the age at which you should start or whether it is best to be screened every 1 or 2 years. 

One of the leading sources, the US Preventive Services Taskforce recommends the following: 

  • If you are 40 to 49 years old, talk to your healthcare provider about when to start and how often to get screened. 
  • If you are 50 to 74 years old and at average risk for breast cancer, get a mammogram no less than every 2 years.  

 Read more on breast cancer screening recommendations

When you start screening and how often you get screened also can be influenced by other things.  These include if you: 

  • Have a family history of breast cancer, especially with the BRCA gene.  
  • Notice unusual changes in chest tissue, such as a lump, nipple discharge or changes in skin color or texture.  
  • Have had radiation treatment to the chest area, which could increase your risk.  
  • Have had hormone therapy, which may raise your risk.  

Read more on what can increase your risk for breast cancer

The ideal is to screen often enough to find cancer at its most treatable stage. At the same time, you want to avoid doing screening too often. That can take extra time and cause unnecessary stress. 

To strike the right balance, talk with your provider about when to get screenings. They can help you decide based on your risk factors and the available screenings. 

Breast cancer in men 

You might think breast cancer affects only women. 

The truth is that everyone has breast tissue. So we all have some risk for developing breast cancer.  That makes it all the more important to have a conversation with your provider.

Mammograms may be an option for men at higher risk for the same reasons as women:  

  • Inheriting the BRCA gene 
  • Noticing unusual changes to chest tissue 
  • Having had radiation treatment to the chest  
  • Having taken certain types of hormone therapy 

Learn more about breast cancer in men

Screening techniques 

The most common way to screen for breast cancer is with a mammogram. This is essentially an X-ray of your breast tissue.  

PeaceHealth offers 3-D mammograms in many locations. This is the latest technology available for breast cancer screenings.  

Your healthcare provider also may do an in-office breast exam to find any changes that may not show up on a mammogram.  

It’s also a good idea to consider doing a monthly self-exam


The decision about when to start and how often to have mammograms is up to you. Work with your provider to look at your family history, genetics and past health conditions. This will help you make an informed choice to protect your breast health. 

portrait of Lisa J. Hazard MD

Lisa J. Hazard MD

Radiation Oncology
Lisa Hazard, MD, joined the radiation oncology team at St. Joseph Medical Center's Cancer Center in April 2022. She is experienced in treating all types of cancer using state-of-the-art technologies, including intensity-modulated radiation therapy and image-guided radiation therapy. Dr. Hazard earned a bachelor's degree from Dartmouth University and her medical degree from the State University of New York at Buffalo. She completed an internship in internal medicine at the University of Utah before doing her residency at Huntsman Cancer Hospital, also at the University of Utah. Before moving into private practice, Dr. Hazard spent five years as an assistant professor at the University of Utah and another two years as an associate professor at the University of Arizona. During her time in academia, she researched gastrointestinal and brain tumors, publishing her own research, review articles and book chapters. She was the primary investigator on clinical trials treating gastrointestinal cancers and melanoma. Dr. Hazard believes in educating patients about the effectiveness and side effects of treatment so they can make informed decisions based on their personal goals and wishes. She shared, “I believe it is equally important to listen to my patients as it is to talk to them.” Dr. Hazard enjoys skiing, rock climbing, hiking and generally spending time outdoors with her husband and two daughters. She also likes to cook and bake.