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Your Annual Well-Woman Exam: A Key Step in Breast Cancer Prevention

Breast cancer is common, but thanks to early detection and care, breast cancer mortality rates have declined significantly in recent years. Proactive breast cancer prevention starts with your next well-woman exam — learn more here.  

At New Beginnings OB/GYN in Shenandoah, Texas, our well-woman exams cover many important aspects of female health — from menstrual cycle concerns, fertility issues, and family planning desires to cervical cancer screenings, STD prevention, and sexual wellness. 

Another vital part of this yearly exam? Proactive breast cancer prevention. This includes:

  • Breast self-awareness education
  • A breast exam (visual, physical) 
  • Personal risk factor assessment
  • Screening mammogram guidance

In recognition of Breast Cancer Awareness Month this October, Dr. Rania Ibrahim and Dr. Christina Parmar explain the importance of having a mammogram screening plan — and how swift breast cancer detection can save your life.  

Breast cancer, by the numbers

In 2025, health care providers across the United States will diagnose nearly 317,000 new cases of invasive breast cancer and 59,000 new cases of ductal carcinoma in situ (DCIS), a highly treatable form of early-stage breast cancer. About 42,200 women will die from the disease. Each year in the U.S., breast cancer is:

  • Responsible for one in three new female cancer cases
  • The most diagnosed female-specific cancer
  • The second most common cancer among women (after skin cancer)
  • The second leading cause of cancer mortality among women (after lung cancer)

Breast cancer can affect anyone, including women without major risk factors; the average woman has a one in eight chance of developing it at some point in life. 

But it’s not all bad news: Breast cancer death rates have also decreased steadily over the past three decades, declining 44% from 1989 to 2022.   

Mammograms are saving lives

The reason for this welcome advance in women’s health outcomes? It comes down to one key preventive tool — mammograms. Breast cancer screenings are an invaluable part of women’s preventive health care for good reason: Having routine screening mammograms is the best way to catch breast cancer early, in its most treatable stage. 

Your annual well-woman exam is the “open door” to individualized mammogram screening guidance and planning; through breast self-awareness, clinical breast exams, and personal risk factor analysis, our team can tell you when you should start having mammograms, and how often you should have them.  

Preventive screening guidelines

Screening mammogram guidelines consider the fact that breast cancer mainly occurs in middle-aged and older women: The median age at the time of diagnosis is 62 years old, and the disease affects few women younger than the age of 45. 

Several independent panels make breast cancer screening recommendations; our team relies on the following two for guidance: 

U.S. Preventive Services Task Force 

The United States Preventive Services Task Force (USPSTF) recommends that women of average breast cancer risk begin having a screening mammogram every two years starting at the age of 40, and continue having biennial mammograms until 74 years of age. 

American Cancer Society 

American Cancer Society guidelines for early breast cancer detection in women of average risk include the following recommendations on mammogram frequency and timing:

  • Women aged 40 to 44 may choose to start having annual mammograms 
  • Women aged 45 to 54 should have annual mammograms
  • Women aged 55 and older may continue with annual screenings, or switch to biennial mammograms (in the absence of past irregular results)
  • Women of advancing age should continue screenings (annually or every two years) while in good general health, provided life expectancy is at least 10 more years

If you have a higher-than-average breast cancer risk because of family history, genetic predisposition, or other factors, you may be advised to have a screening mammogram along with a breast MRI every year starting at the age of 30. 

Personal screening guidance

Our team tailors your mammogram screening plan to your unique needs. For example, if you’re overweight, haven’t had children, or had your first child after the age of 30, your breast cancer risk may be slightly higher than average — and having annual mammograms starting at the age of 40 may be more desirable than having screenings every other year.  

Either way, our guidance always includes taking time to ensure you’re familiar with the known benefits, limitations, and potential harms linked to breast cancer screening (i.e., false-positive or false-negative results, overdiagnosis and overtreatment). 

Are you due for a mammogram?

Simply put, having routine screening mammograms is the best way to catch breast cancer before it causes symptoms or becomes metastatic, spreading beyond your breast to other tissues. In fact, women who catch and treat invasive breast cancer at this early, contained stage have a five-year survival rate of 99%.

Is it time for your next well-woman exam or mammogram? Our team at New Beginnings OB/GYN can help. Call 936-245-8830 today, or request an appointment online anytime.