Breast Cancer Screening for Women at Average Risk
Mammography is the most effective screening tool used today to find breast cancer in most women. However, the benefits of mammography vary by age.
Learn about mammography for women ages:
Figure 3.1 (below) shows the breast cancer screening recommendations for women at average risk from some major health organizations [2-4].
Learn about screening recommendations for women at higher than average risk of breast cancer.
| Figure 3.1: Breast cancer screening recommendations for women at average risk | ||||||
| American Cancer Society | National Comprehensive Cancer Network | U.S. Preventive Services Task Force | ||||
Every year (if a woman chooses to do so) ages 40-44 Every year ages 45-54 Every 2 years (or every year if a woman chooses to do so) starting at age 55, for as long as a woman is in good health | Every year starting at age 40, for as long as a woman is in good health | Informed decision-making with a health care provider ages 40-49 Every 2 years ages 50-74 | ||||
Not recommended | Every 1-3 years ages 25-39 Every year starting at age 40 | Not enough evidence to recommend for or against | ||||
Women Should Have Access to and Coverage for Mammography |
Susan G. Komen® believes all women should have access to regular screening mammograms when they and their health care providers decide it is best based on their personal risk of breast cancer. In addition, screening should be covered by insurance companies, government programs and other third-party payers. |
Find questions to ask your health care provider about screening mammography.
Figure 3.1 shows breast cancer screening recommendations for women at average risk.
Benefits of mammography for women ages 40-49
Mammography in women ages 40-49 may lower the risk of dying from breast cancer, though the benefit is less than for older women [9,31].
Komen believes all women should have access to regular screening mammograms when they and their health care providers decide it is best based on their personal risk of breast cancer.
The American Cancer Society states women should have the option to have a mammogram every year, starting at age 40 [4]. It recommends routine mammography starting at age 45 [4].
Risks of mammography for women ages 40-49
Over-diagnosis and over-treatment are risks of mammography. Over-diagnosis and over-treatment occur when a mammogram finds a cancer that never would have caused symptoms or problems if it had never been diagnosed and had been left untreated.
Another drawback of mammography in women ages 40-49 is a high rate of false positive results (when a screening test shows there’s cancer when in fact, cancer isn’t present) [31,33]. Younger women are more likely than older women to have a false positive result on a mammogram [33].
Getting a false positive result means these women will be told they have an abnormal finding and undergo follow-up tests. These tests may include a diagnostic mammogram, breast ultrasound or even a biopsy.
Learn more about follow-up of an abnormal mammogram.
Why are there different screening recommendations for women ages 40-49?
Mammography in women ages 40-49 may lower the risk of dying from breast cancer, though the benefit is less than for older women [9,31]. Some major health organizations have concluded the modest potential benefits of mammography for women in their 40s outweigh the risks of over-diagnosis, over-treatment and false positive results [3-4].
Komen believes all women should have access to regular screening mammograms when they and their health care providers decide it is best based on their personal risk of breast cancer.
The American Cancer Society states women ages 40-44 should have the option to have a mammogram every year [4]. It recommends routine mammography starting at age 45 [4].
The National Comprehensive Cancer Network (NCCN) recommends routine mammography for women starting at age 40 [3].
The U.S. Preventive Services Task Force, as well as the American College of Physicians, recommends women 40-49 talk with their health care providers about their risk of breast cancer and the pros and cons of mammography. Then, together, make informed decisions about when to start mammography screening and how often to get screened [2,33].
Informed decisions are guided by a woman’s breast cancer risk profile. Women at higher than average risk of breast cancer are more likely to benefit from mammography [2-4,33].
Decisions should also be guided by a woman’s preferences based on the potential benefits and risks of mammography [2-4,33].
Talk with your health care provider about when to start mammography screening.
Learn more about weighing the benefits and risks of mammography, including information on over-diagnosis and over-treatment.
 | For a summary of research studies on mammography in women ages 40-49, visit the Breast Cancer Research Studies section. |
| | For a summary of research studies on 3D mammography for breast cancer screening, visit the Breast Cancer Research Studies section. |
Figure 3.1 shows breast cancer screening recommendations for women at average risk.
Benefits of mammography for women ages 50-69
For women ages 50-69, the benefits of mammography are clear. Mammography lowers a woman’s risk of dying from breast cancer. It’s recommended women ages 50-69 have mammograms on a regular basis.
Individual study findings on the benefits of mammography vary.
A meta-analysis that combined the results from 6 randomized controlled trials found [31]:
- Women ages 50-59 who got mammograms on a regular basis had a 14 percent lower risk of dying from breast cancer than women who did not get mammograms.
- Women ages 60-69 who got mammograms on a regular basis had a 33 percent lower risk of dying from breast cancer than women who did not get mammograms.
How often should women ages 50-69 get mammography screening?
The American Cancer Society recommends mammography every year for women ages 50-54 and every 1-2 years for women ages 55 and older [4].
The NCCN recommends women 50-69 have mammograms every year [3].
The U.S. Preventive Services Task Force recommends mammography every 2 years for women 50-69 [2]. The Task Force reviewed the scientific evidence and concluded mammography every 2 years gives almost as much benefit as mammography every year while reducing risks [31]. These risks include false positive results, over-diagnosis and over-treatment.
Komen believes all women should have access to regular screening mammograms when they and their health care providers decide it is best based on their personal risk of breast cancer.
If you’re 50-69, talk with your health care provider about how often to get a mammogram.
Learn more about weighing the benefits and risks of mammography, including information on over-diagnosis and over-treatment.
| For a summary of research studies on mammography in women ages 50-69, visit the Breast Cancer Research Studies section. |
| | For a summary of research studies on 3D mammography for breast cancer screening, visit the Breast Cancer Research Studies section. |
Figure 3.1 shows breast cancer screening recommendations for women at average risk.
There are few studies (and no randomized controlled trials) on the benefits of mammography in women ages 70 and older.
The U.S. Preventive Services Task Force recommends mammography every 2 years for women ages 70-74 [2]. For women ages 75 and older, the Task Force feels there’s not enough scientific evidence to recommend for or against routine mammography [2].
Breast cancer risk increases with age, and mammography doesn’t appear to be less effective in women 70 and older. However, there are risks of mammography in older women, including over-diagnosis and over-treatment.
Many major health organizations, including the American Cancer Society, recommend women ages 70 and older continue to get mammograms on a regular basis as long as they are in good health [3-4,33-34].
Some women may stop routine breast cancer screening due to poor health. Women who have one or more serious health problems may not benefit enough from having breast cancer found early to justify screening.
However, women who are in good health and could benefit from treatment (if breast cancer were found) should continue to get mammograms.
Komen believes all women should have access to regular screening mammograms when they and their health care providers decide it is best based on their personal risk of breast cancer.
If you aren’t sure whether you should continue getting mammograms, talk with your health care provider.
Although mammography saves lives, it has some risks. The benefits and risks of mammography vary by age.
Learn about the benefits and risks of mammography.
Updated 11/09/21
