Breast health facts for every age

Taking care of your breast health is a lifelong commitment. From your 20s into your 70s and beyond, knowing what to expect and when to act is key. Whether you’re just getting started or have years of experience with mammograms, let’s break down the most important things to know about breast health at every stage of life.

In your 20s and 30s: Start with breast cancer risk assessments

For women in their 20s and 30s, breast cancer may not be top of mind, but that doesn’t mean you should ignore it. While mammograms typically don’t start until later, it’s essential to understand your risk factors. Starting at age 25, you should have an annual breast cancer risk assessment.

Related content: How do I calculate my breast cancer risk?

This can be as simple as a conversation with your gynecologist or primary care provider, who will help evaluate your family history, lifestyle and other risk factors. If you have a family history of breast cancer or genetic predispositions, your doctor may recommend additional steps, like genetic counseling or starting screening mammograms earlier than age 40.

Related content: Breast cancer risk factors, explained

In your 40s: Time to start mammograms

Once you hit 40, it’s time to schedule your annual mammogram. Experts agree — from the American Cancer Society to the American Society of Breast Surgeons — that annual, regular screening mammograms starting at 40 are the best way to catch breast cancer early.

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Early detection is critical because it finds cancer when it’s still small and treatable. So, if you’re turning 40 soon, make that appointment. If you have a family history of breast cancer or other significant risk factors, you may benefit from starting sooner. A conversation with your gynecologist or primary care provider will help determine the best screening plan for you.

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For example, suppose you have risk factors, such as dense breasts or a strong family history of breast cancer. In that case, your doctor may recommend additional imaging, including a breast ultrasound or MRI.

At Nuvance Health, your radiology report will include your breast density, and your breast imaging specialist will recommend the appropriate follow-up screenings. These additional tests give you extra reassurance and peace of mind that nothing is being missed.

Related content: Breast screenings and imaging tests: your questions, answered

In your 50s and 60s: Keep up with annual breast cancer screenings

By the time you’re in your 50s and 60s, you are probably used to yearly mammograms. It’s important to stick with it! Breast cancer risk increases with age, which is why continuing these annual screenings is crucial.

Breast changes during menopause

Also, stay on top of any changes in your breast tissue or overall health, especially as you go through menopause. Menopause can sometimes cause pain and tenderness in your breasts, changes in size and shape and lumps caused by benign cysts.

Being aware of the normal changes can give you peace of mind as you go through menopause, but it’s still important to see your gynecologist or primary care provider if you notice any of these changes. They will examine you to determine if the changes are due to menopause.

Related content: Navigating menopause

Weight and breast cancer risk

OK, no one wants to hear this, but it’s important to discuss! Maintaining a healthy weight can be more difficult post-menopause. Hormonal changes can increase weight gain around the abdominal area. Menopause and living longer can also affect weight gain, such as changes in muscle mass and energy levels. 

Why is it important to discuss weight when it comes to breast cancer? Studies show being overweight or obese increases breast cancer risk. Excess weight increases inflammation in the body, which can damage cells and increase cancer risk.

Related content: How inflammation in the body affects your health

Now that we talked about the tough stuff, here’s the good news: By staying active and eating well, you can keep your weight in check and manage your breast cancer risk. Find an activity that brings you joy and keeps you moving!

In your 70s and beyond: Stay consistent with your breast health

Some guidelines suggest stopping screening mammograms at age 74, but it should be an individual decision based on your unique risk factors and lifestyle. If you’re at increased risk of developing breast cancer and in overall good health, you may benefit from continuing screenings.

In addition to mammograms, staying connected with your primary care physician is key. Attend regular checkups and discuss any new symptoms or concerns with your doctor. It’s important to know what’s normal for your body and act on any changes.

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Breast imaging concerns at any age

False positives from mammograms

Some women are concerned about false positives from mammograms. False positives mean additional testing or biopsies that can be stressful. However, it’s important to remember these extra tests are part of ensuring your health. Early detection is always better than a late-stage diagnosis, which could be harder to treat.

Radiation exposure from mammograms

While some women worry about radiation exposure from annual mammograms, modern technology uses a very small amount of radiation. The benefits of catching breast cancer early far outweigh this minimal risk. 3D mammograms at an accredited radiology facility are safe, effective and the best way to screen for breast cancer!