The American College of Radiology recommends annual mammograms from the age of 40 years old. This approach aims to maximise mortality reduction, as delaying screening until the age of 50 misses critical opportunities for early detection.
What age should I keep screening until?
Breast health matters at every age. NHS breast screening stops at 70, but breast cancer risk doesn’t retire at 70. As long as a woman is fit and well, breast cancer screening is worthwhile — it allows early detection, which means less treatment and better outcomes.
What does having ‘dense breasts’ mean? Why do I have to have an ultrasound as well as a mammogram?
Dense breast tissue is common, especially in younger women and those taking HRT. Because dense tissue can make mammograms harder to read, additional imaging can help improve detection. 3D mammograms and supplemental breast ultrasound can increase the accuracy of finding an early breast cancer. Please don’t worry if you have dense breasts, the most important thing is that you are having your screening.
What about genetic testing to understand breast cancer risk?
Most breast cancers (around 85-90%) occur in women with no family history. Because of this, genetic testing is usually only recommended for women who may have a higher inherited risk — this includes a first degree relative diagnosed at a young age, a male relative with breast cancer or if of Jewish heritage. We would be happy to talk with you about whether genetic testing could be helpful for you.
What should I do next?
Breast cancer screening is not one-size-fits-all. Factors such as your age, family history, breast density and overall health can all influence the screening approach that is right for you.
If you would like personalised advice about breast screening, genetic testing or your individual risk of breast cancer, please book an appointment with one of our doctors. We would be delighted to discuss your options and help you make an informed decision about your breast health.
About the author
MBChB DRCOG MRCGP BSc
“Nothing gives me more joy than getting to know my patients, understanding what worries them, and caring for them as well as I possibly can”.
During my junior doctor training, I worked in women’s health, orthopaedics, elderly care and psychiatry at Guy’s and St Thomas’ Hospital and other London hospitals. I then spent a year focusing on obstetrics, women’s health and fertility before completing my GP training in London.
I have over 10 years’ experience as a private GP in London and have developed close working relationships with leading consultants and private hospitals, helping to ensure smooth referrals and continuity of care for my patients.
I enjoy caring for patients at all stages of life. Alongside general medicine, I have a strong interest in mental health and believe that mental wellbeing is central to overall health. I particularly enjoy getting to know families and seeing children, teenagers and adults.
Having grown up and worked in Southern and East Africa, I also have an interest in travel medicine and vaccination advice.
