One Question to Ask After Your Next Mammogram

Recently, one of our clients shared something with us that we have not been able to stop thinking about.

She has no family history of breast cancer and lives a very healthy lifestyle. After hearing an episode of We Can Do Hard Things, she learned more about having extremely dense, or Category D, breast tissue and asked her doctor to order an MRI. She thought she was simply checking a box. Instead, the MRI detected breast cancer that had not been visible on her annual mammograms or ultrasounds.

Dense breast tissue is common, but it matters for two reasons: it can make cancer harder to detect on a mammogram, and it can also increase breast cancer risk. As of September 2024, mammography facilities are required to tell patients whether their breasts are dense. Still, it is important to read your results closely and ask which density category you are in. The FDA explains the four categories here.

An MRI is not automatically recommended for everyone with dense breasts, which is why it is so important to advocate for yourself. Ask your doctor to review your specific breast-density category, and whether an MRI or other supplemental screening should be part of your care. If you have extremely dense, or Category D, breasts, be direct about requesting an MRI and understanding your options.

The takeaway is simple: Schedule your mammogram, read your report, and ask questions.

• Are my breasts dense?
• What is my specific density category?
• Based on my complete risk profile, should I consider additional screening?

We are grateful that our client shared this information with us, and we wanted to pass it along. Advocating for our health often begins with knowing what to ask.

Listen to the We Can Do Hard Things episode Life-Saving Intel: Amanda’s Breast Cancer Surgeon Dr. Lucy De La Cruz.

For women in Colorado: The Sonnenalp Breast Diagnostic Imaging Center offers breast screening and diagnostic imaging close to home, as well as care for women seeking a diagnosis or second opinion.

This post is for informational purposes only and is not a substitute for personalized medical advice.