How would you communicate with a patient who is concerned about the discomfort of receiving her first mammogram? how would you describe the procedure to her?

I reassure her, I explain the conduct of the examination.
I explain that compression is necessary to improve the quality of the image but does not harm the breasts.
After undressing from the waist up and taking off any necklaces, a technician will give you a smock or gown that ties in the front. Depending on the testing facility, you may either stand or sit during your mammogram.

Each breasts fits onto a flat X-ray plate. A compressor will then push the breast down to flatten the tissue. This provides a clearer picture of the breast. You might have to hold your breath for each picture. You may feel a small amount of pressure or discomfort, but it’s usually brief.

During the process, your doctor will review the images as they are made. They may order additional images that show different views if something is unclear or needs further attention. This happens quite frequently and shouldn’t be a cause for upset or panic.

Digital mammograms are sometimes used if they are available. These are especially helpful for women younger than 50 years old, who typically have denser breasts than older women.

A digital mammogram transforms the X-ray into an electronic picture of the breast that saves onto a computer. Images are immediately visible, so your radiologist doesn’t have to wait for the images. The computer can also help your doctor see images that might not have been very visible on a regular mammogram.

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