Mammogram vs. Breast Ultrasound: Which One Do You Need and Why?

No Pain, No Lump But Do I Still Need to See a Breast Doctor This New Year?

Many women start the year asking practical health questions, one of the most common being:
“If I have no pain and no lump, do I still need to see a breast doctor?”

It’s a fair question. Breast cancer and other breast conditions don’t always come with obvious symptoms. This is why routine checks matter, even when everything feels normal. It can help you make informed, calm decisions about your breast health this year.

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Key Pointers

• Not all breast conditions cause pain or noticeable lumps.
• Some breast changes are silent or subtle, especially in early stages.
• Risk factors such as age and family history matter, even without symptoms.
• Routine breast checks help establish a baseline for future comparison.
• Seeing a breast doctor doesn’t always mean tests, it often starts with discussion and assessment.

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If I Have No Pain or Lump, Is My Breast Health Automatically Fine?

Not necessarily. While pain or lumps are common reasons women seek medical advice, many breast conditions do not cause symptoms in the early stages. Some changes are only detected through imaging or clinical examination.

Feeling well is reassuring but it doesn’t always provide the full picture.

Can Breast Changes Happen Without Any Symptoms?

Yes. Some breast changes may be subtle or completely unnoticeable, such as:

• Small tissue changes that can’t be felt by hand
• Early changes seen only on a mammogram or ultrasound
• Lymph node changes that don’t cause discomfort

This is why routine checks and screenings play an important role, particularly as women get older.

What Risk Factors Matter Even If I Feel Fine?

Even without symptoms, certain factors increase the importance of regular breast assessment:

• Being 40 years and above
• A family history of breast or ovarian cancer
• Previous breast conditions or biopsies
• Dense breast tissue, which can mask changes
• Hormonal factors such as early menstruation or late menopause

These factors don’t mean something is wrong but they do influence screening recommendations.

Why Do Routine Breast Checks Matter at Different Ages?

• 20s–30s: Focus is on awareness, understanding normal breast texture, and assessing new changes.
• 40s: This is when routine mammogram screening is commonly recommended.
• 50s and beyond: Regular screening helps detect changes that become more likely with age.

Seeing a breast doctor helps tailor advice to your life stage, rather than relying on one-size-fits-all rules.

What Happens During a Preventive Breast Consultation?

A consultation does not automatically mean tests or procedures. It may include:

• Reviewing personal and family history
• Discussing screening needs based on age and risk
• A clinical breast examination, if appropriate
• Recommendations for imaging only when indicated

The goal is guidance and reassurance, not urgency.

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FAQs

1. Should I see a breast doctor even if I feel completely normal?
Yes, especially if you are due for screening or have risk factors. Many consultations are preventive.

2. Do I need a mammogram if I have no symptoms?
Mammograms are screening tools designed for women without symptoms, particularly from age 40 onwards.

3. Can breast cancer develop without pain or lumps?
Yes. Some early changes are only visible on imaging.

4. How often should I have my breasts checked?
This depends on age, risk factors, and previous findings. A breast doctor can advise.

5. Is it okay to wait another year if nothing feels wrong?
If you are due for screening or unsure of your risk, it’s better to clarify than delay.

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Start the Year With Clarity About Your Breast Health

A Simple Check Can Offer Reassurance for the Year Ahead

If you’ve been wondering whether you need a breast check despite having no symptoms, Dr Radhika Lakshmanan and the team at The Radhika Breast & General Surgery Clinic can guide you with calm, personalised advice.

Whether it’s understanding your screening needs or simply getting reassurance,
book an appointment today and start the year informed and confident about your breast health.

What Is Breast Hypertrophy?

Many women notice changes in their breast size over time. For some, however, the increase feels excessive, uncomfortable, or out of proportion to their body. This often leads to search questions such as “what is breast hypertrophy?” or “why do my breasts keep growing?”

Breast hypertrophy is a recognised medical condition. Understanding what it is, and how it differs from normal breast size variation can help women decide when it may be appropriate to seek medical advice.

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Key Pointers

• Breast hypertrophy refers to excessive breast tissue growth that may cause physical or emotional discomfort.
• It can occur at different life stages, including adolescence, pregnancy, or adulthood.
• Hormonal factors, genetics, and body composition may contribute to breast hypertrophy.
• Symptoms often include neck, shoulder, or back pain, skin irritation, and difficulty with daily activities.
• Medical assessment helps determine whether symptoms are related to hypertrophy or other breast conditions.

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What Is Breast Hypertrophy?

Breast hypertrophy is a condition where the breasts grow larger than what is considered proportionate for a woman’s body frame. The increase is due to excess breast tissue rather than weight gain alone.

In more pronounced cases, breast hypertrophy may also be referred to as:

• Macromastia – significantly enlarged breasts
• Gigantomastia – rare, severe breast overgrowth

The condition can affect one or both breasts and may progress gradually or over a shorter period.

Who Is Commonly Affected by Breast Hypertrophy?

Breast hypertrophy can affect women at different stages of life, including:

• Teenagers, during puberty when breast tissue responds strongly to hormonal changes
• Pregnant or breastfeeding women, due to hormonal stimulation
• Adult women, even without pregnancy or significant weight changes

It can also occur asymmetrically, where one breast becomes noticeably larger than the other.

Why Do Some Women Experience Excessive Breast Growth?

There is usually no single cause. Factors that may contribute include:

Hormonal Sensitivity

Some women’s breast tissue is more responsive to oestrogen and progesterone, leading to continued growth.

Genetic Factors

Family history plays a role. Breast size and tissue response patterns often run in families.

Weight Changes

While breast tissue contains fat, hypertrophy can occur even without significant overall weight gain.

Medical or Developmental Factors

Certain rare conditions or medications may influence breast tissue growth, although these are less common.

How Is Breast Hypertrophy Different From Normal Breast Size Changes?

Normal breast size variation often:

• Changes with the menstrual cycle
• Increases temporarily during pregnancy or breastfeeding
• Fluctuates with weight changes

Breast hypertrophy, on the other hand, is characterised by:

• Persistent, progressive enlargement
• Physical symptoms such as pain or posture issues
• Interference with daily activities, clothing fit, or exercise

When breast size causes ongoing discomfort or functional issues, medical review is appropriate.

When Should You See a Doctor About Breast Size?

You may consider consulting a doctor if you experience:

• Chronic neck, shoulder, or upper back pain
• Skin irritation or rashes under the breasts
• Difficulty with physical activity or sleep
• Emotional distress related to breast size
• Uneven breast growth or rapid enlargement

Assessment may include a physical examination and imaging to rule out other breast conditions.

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FAQs About Breast Hypertrophy

1. Is breast hypertrophy the same as having naturally large breasts?
No. Breast hypertrophy involves excessive growth that leads to physical or functional symptoms.

2. Can breast hypertrophy develop later in life?
Yes. Some women experience progressive enlargement in adulthood due to hormonal or metabolic factors.

3. Does breast hypertrophy increase breast cancer risk?
Breast hypertrophy itself does not increase cancer risk, but regular screening remains important.

4. Can exercise reduce breast hypertrophy?
Exercise may reduce surrounding body fat but does not typically reduce excess glandular breast tissue.

5. How is breast hypertrophy managed?
Management depends on symptoms and may include monitoring, supportive measures, or discussion of surgical options when appropriate.

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Book a Consultation at The Radhika Breast & General Surgery Clinic

To Understand Breast Changes and Explore Your Options

If you’re experiencing excessive breast growth or discomfort related to breast size, Dr Radhika Lakshmanan and the team at The Radhika Breast & General Surgery Clinic can provide careful assessment and guidance.

Book an appointment today to discuss your concerns, understand what’s causing the changes, and explore appropriate next steps for your comfort and breast health.

Why Do I Feel Multiple Lumps in My Breast, and Are They Usually a Cause for Concern?

Feeling multiple lumps in your breast can be worrying, especially if they seem to appear suddenly or feel different from before. Many women search for answers online using phrases like “multiple lumps in breast” or “why do I have many lumps in my breast”, often hoping for reassurance.

The good news is that multiple breast lumps are commonly linked to benign (non-cancerous) conditions. However, understanding what’s normal, what may be hormone-related, and when medical assessment is recommended can help you make informed decisions about your breast health.

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Key Pointers

• Multiple breast lumps are often linked to hormonal changes or benign breast conditions.
• These lumps may feel rubbery, smooth, or movable and can change with the menstrual cycle.
• Fibrocystic breast changes are a common cause of lumpiness in both breasts.
• Not all lumps feel the same, some require imaging to clarify the cause.
• Any new, persistent, or changing lumps should be assessed by a doctor.

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What Do Multiple Breast Lumps Usually Feel Like?

Women often describe multiple lumps as:

• Clustered or scattered across one or both breasts
• Soft to firm, sometimes tender
• More noticeable before a menstrual period
• Changing in size or sensitivity over time

These lumps may feel different from a single, well-defined lump and are often linked to changes in breast tissue texture rather than a single growth.

What Are the Common Benign Causes of Multiple Breast Lumps?

Several non-cancerous conditions can cause multiple lumps:

Fibrocystic Breast Changes

This is one of the most common reasons for breast lumpiness. Hormonal fluctuations cause the breast tissue to feel thickened or nodular, often affecting both breasts.

Breast Cysts

Cysts are fluid-filled sacs that can occur in groups. They may feel smooth and can be tender, especially around your menstrual cycle.

Fibroadenomas

While fibroadenomas can appear as single lumps, some women develop multiple fibroadenomas, particularly at a younger age.

Hormonal Influence

Pregnancy, breastfeeding, perimenopause, and menopause can all alter breast tissue, leading to lumpiness.

Are Multiple Lumps Ever a Sign of Something More Serious?

In most cases, breast cancer presents as a single, distinct lump, rather than multiple lumps across the breast. However, assessment is recommended if:

• Lumps are hard, irregular, or fixed
• One area feels different from the rest of the breast
• Lumps do not change with your cycle
• There are associated signs such as skin dimpling, nipple changes, or underarm swelling

Imaging tests such as ultrasound or mammogram help clarify whether lumps are benign or need further investigation.

When Should You Get Multiple Breast Lumps Checked?

You should arrange a consultation if:

• The lumps are new or increasing in number
• They persist beyond one or two menstrual cycles
• You experience pain that doesn’t improve
• There is a personal or family history of breast cancer
• You feel uncertain or anxious about the changes

Early assessment offers reassurance and ensures appropriate follow-up if needed.

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FAQs About Multiple Breast Lumps

1. Are multiple breast lumps usually cancer?
No. Multiple lumps are more commonly associated with benign conditions like fibrocystic changes or cysts.

2. Can hormonal changes really cause so many lumps?
Yes. Hormonal shifts can significantly change breast tissue texture, making it feel lumpy or nodular.

3. Do multiple lumps mean I don’t need imaging?
Not necessarily. Imaging may still be recommended to confirm the nature of the lumps.

4. Should I wait to see if the lumps go away?
If they persist beyond one or two cycles, or if you’re unsure, medical review is advised.

5. Can self-exams replace medical checks?
Self-exams help with awareness, but they cannot diagnose the cause of breast lumps.

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Book a Consultation at The Radhika Breast & General Surgery Clinic

Get Clarity and Reassurance About Breast Lumps

If you’re feeling multiple lumps in your breast and unsure what they mean, Dr Radhika Lakshmanan and the team at The Radhika Breast & General Surgery Clinic can provide careful evaluation, appropriate imaging, and guidance tailored to your concerns.

Book an appointment today for clarity and peace of mind. 

What Is Partial Breast Reconstruction, Who Qualifies, and How It Helps Restore Shape After Lumpectomy

When a woman undergoes a lumpectomy to remove a breast lump or early-stage cancer, some may notice changes in the breast’s shape, volume, or symmetry afterwards. Partial breast reconstruction, also known as oncoplastic breast surgery, is designed to help restore the breast’s contour while keeping as much natural tissue as possible.

If you’ve been advised to have a lumpectomy or are exploring reconstruction options after breast-conserving surgery, here’s a clear guide on what partial breast reconstruction involves, who may be suitable for it, and what to expect.

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Key Pointers

• Partial breast reconstruction is commonly performed after lumpectomy to correct contour irregularities or volume loss.
• Techniques include tissue rearrangement, local flaps, and symmetry surgery on the opposite breast if needed.
• Not every patient requires reconstruction; suitability depends on tumour size, location, and breast shape.
• The procedure aims to improve breast symmetry while maintaining safe cancer margins.
• A breast surgeon will guide you on timing, technique options, and expected results.

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What Is Partial Breast Reconstruction?

Partial breast reconstruction is a surgical approach used after a lumpectomy to rebuild or reshape the breast. Instead of removing the entire breast, as in a mastectomy, a lumpectomy removes only the tumour and surrounding tissue. This can leave a visible defect or change in contour.

Partial reconstruction uses techniques such as:

• Tissue rearrangement within the breast
• Local tissue flaps from neighbouring areas (such as the side of the chest or back)
• Symmetry adjustments on the opposite breast if needed

The goal is to maintain a natural breast shape and appearance after tumour removal.

Who Qualifies for Partial Breast Reconstruction?

You may be suitable for partial reconstruction if:

• You are undergoing a lumpectomy for breast cancer or a benign tumour.
• The tumour is small to medium in size relative to your breast volume.
• You have enough remaining tissue to allow reshaping.
• The tumour is located in an area where reconstruction can safely be performed.
• You prefer to maintain your breasts as much as possible rather than undergoing a full mastectomy.

A breast surgeon will assess tumour characteristics, breast size, and your treatment plan, including whether you will require radiotherapy.

How Does Partial Breast Reconstruction Work?

The reconstruction is usually done during the same surgery as the lumpectomy to achieve immediate reshaping.
Common steps include:

1. Tumour removal with clear margins
2. Rearrangement of the remaining breast tissue to fill the defect
3. Use of a local flap if more volume is needed
4. Optional symmetry surgery on the other breast

In some cases, reconstruction may be delayed until after radiotherapy, depending on the clinical situation.

What Are the Benefits of Partial Breast Reconstruction?

Every woman’s needs are different, but many choose partial reconstruction because it:

• Maintains as much of the natural breast as possible
• Improves overall breast contour after lumpectomy
• Helps achieve symmetry between both breasts
• Reduces the need for a full mastectomy
• Supports emotional well-being by providing a more balanced appearance

While cosmetic improvement is one aspect, safety remains the priority; oncoplastic techniques ensure that cancer treatment is not compromised.

What Results Can You Expect After Surgery?

Healing is gradual, and swelling may take several weeks to settle. Over time, the breast generally adopts a natural look and feel. The final appearance depends on:

• Tumour size and location
• Surgical technique used
• Whether radiotherapy is administered
• Individual healing patterns

Regular follow-up with your breast surgeon ensures that healing progresses smoothly and that any concerns are addressed promptly.

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FAQs About Partial Breast Reconstruction

1. Is partial breast reconstruction done at the same time as lumpectomy?
In most cases, yes. Performing both procedures together helps achieve better cosmetic outcomes.

2. Will I still need radiotherapy after lumpectomy and partial reconstruction?
Radiotherapy is often recommended after lumpectomy, regardless of reconstruction.

3. Is partial reconstruction safe in breast cancer surgery?
Yes. Oncoplastic techniques are designed to maintain cancer clearance while reshaping the breast.

4. Will reconstruction affect future mammograms?
Mammograms can still be performed, although the breast may look different internally. Inform your radiologist about your surgery.

5. Can partial reconstruction be done after radiotherapy?
Yes, but some techniques may be limited. Your surgeon will guide you on what is most appropriate.

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Book a Consultation at The Radhika Breast & General Surgery Clinic

Restore Shape, Confidence, and Comfort After Lumpectomy

If you are planning a lumpectomy or exploring options to improve breast symmetry afterward, Dr Radhika Lakshmanan and the team at The Radhika Breast & General Surgery Clinic can guide you through your reconstruction choices.

We offer clear explanations, personalised plans, and careful follow-up to support your treatment journey.

Book a consultation today to understand whether partial breast reconstruction is right for you and what to expect from the process.

What To Do With Breast Abscess While Breastfeeding?

Breastfeeding can be a rewarding experience, but it can also come with unexpected challenges. One of these is a breast abscess, a painful infection that can develop when blocked milk ducts or mastitis are not resolved early. Recognising the symptoms and seeking timely care can prevent complications and help you continue breastfeeding safely.

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Key Pointers

• A breast abscess often starts as untreated mastitis or a blocked milk duct.
• Early signs include swelling, redness, warmth, and severe breast pain.
• Some women develop fever or flu-like symptoms.
• Ultrasound scans can help confirm the diagnosis and guide treatment.
• Early medical attention allows effective treatment and supports continued breastfeeding.

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What Is a Breast Abscess?

A breast abscess is a pocket of pus that forms within the breast tissue due to infection. It usually occurs in women who are breastfeeding, especially after a case of mastitis (inflammation caused by trapped milk or bacteria entering through cracked nipples).

When bacteria grow in the milk ducts, the body’s immune response creates a collection of pus that feels like a painful lump under the skin.

What Are the Early Signs of a Breast Abscess?

The symptoms can develop gradually or suddenly. Watch for:

• A painful, firm lump in the breast that may feel warm to the touch
• Redness or swelling in one area
• Fever or chills, often signalling infection
• Pus or discharge from the nipple
• Fatigue or flu-like symptoms

If these signs appear, it’s best to seek medical attention early. Abscesses don’t always resolve with home remedies and may need drainage to heal properly.

How Is It Diagnosed?

A clinical examination and ultrasound are usually enough to confirm the diagnosis.

• The ultrasound helps identify whether the lump is solid or fluid-filled (confirming an abscess).
• If needed, the pus may be drained for laboratory testing to identify the bacteria causing the infection.

This step ensures that the prescribed antibiotics are effective for the specific infection.

How Is a Breast Abscess Treated?

Treatment depends on the severity of the infection and how early it’s detected.

1. Antibiotics

If caught early, antibiotics may help control the infection before it forms an abscess.

2. Drainage

When an abscess has already formed, it usually needs to be drained. This can be done through:

• Needle aspiration under ultrasound guidance (a small needle removes the pus)
• Surgical drainage if the abscess is large or recurring

3. Pain Relief and Support

Applying warm compresses, staying hydrated, and continuing to empty the breast (by breastfeeding or pumping) can relieve discomfort and reduce milk buildup.

Can You Continue Breastfeeding?

In most cases, yes. Continuing to breastfeed, or at least express milk, helps prevent further engorgement and supports healing. Your doctor will guide you on whether to feed from the affected breast, depending on the infection’s severity and treatment. If breastfeeding from the infected side isn’t possible, it’s important to express milk to maintain supply and prevent new blockages.

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FAQs About Breast Abscess While Breastfeeding

1. How is a breast abscess different from mastitis?
Mastitis is inflammation that can lead to infection. A breast abscess forms when pus collects due to untreated or severe mastitis.

2. Will I need surgery for a breast abscess?
Not always. Many abscesses can be treated with needle drainage under ultrasound guidance. Surgery is only needed for large or persistent cases.

3. Can I still breastfeed while taking antibiotics?
Yes, most prescribed antibiotics are safe during breastfeeding. Always check with your doctor before continuing.

4. How soon will I feel better after treatment?
Many women notice improvement within a few days after drainage and antibiotics, though complete healing may take a week or two.

5. Can a breast abscess come back?
Recurrence can happen, especially if milk stasis or cracked nipples persist. Proper breastfeeding technique and hygiene reduce the risk.

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Book a Consultation at The Radhika Breast & General Surgery Clinic

If you’re experiencing breast pain, swelling, or a lump while breastfeeding, it’s important to get checked early. Dr Radhika Lakshmanan and the team at The Radhika Breast & General Surgery Clinic provide careful evaluation, imaging, and treatment options to help you recover safely while maintaining your breastfeeding goals.

Book a consultation today to receive timely care and professional guidance for your breast health. Early treatment can prevent complications and make your recovery smoother.

When Should You Start Mammograms? Age Guidelines and Breast Cancer Risk Factors Women Should Know

Mammograms are one of the most reliable tools for detecting breast cancer early –often before any symptoms appear. But one common question many women have is: When should I start getting screened?

The answer depends on several factors, including your age, family history, and personal risk profile. Here’s what you should know about when to start mammogram screening, how often to get checked, and what factors may affect your schedule.

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Key Pointers

• Most women should begin mammogram screenings around age 40.
• Women with family history or genetic risk may need to start earlier.
• Dense breast tissue can affect screening accuracy and may require additional imaging.
• Regular screenings are crucial for early detection and better outcomes.
• Consult your breast specialist to personalise your screening plan.
  

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What Age Should You Start Mammograms?

In Singapore and many other countries, women aged 40 and above are encouraged to begin routine mammogram screenings.

• Ages 40–49: Screening every year is recommended, as this is when risk starts to increase.
• Ages 50–69: Screening every two years is advised if no new risk factors arise.

If you have no symptoms and no family history of breast cancer, starting at age 40 gives you the best chance of detecting changes early.

Should You Start Earlier If You Have Risk Factors?

Yes. Women at higher risk may need to start mammograms before 40. Risk factors include:

• A mother, sister, or daughter with breast cancer
• A known BRCA1 or BRCA2 genetic mutation
• A personal history of ovarian cancer or chest radiation
• Dense breast tissue, which makes it harder to spot abnormalities on imaging

Your doctor may also recommend complementary imaging tests such as breast ultrasound or MRI depending on your risk profile.

How Often Should You Get a Mammogram?

The frequency depends on your age and individual risk:

• Low-risk women (40–49): Once a year
• Moderate to high-risk women: Once a year or as advised by your doctor
• Low-risk women (50–69): Every two years

Consistent screening is key. Even if your previous mammogram was normal, new changes can occur over time.

Does Breast Density Affect Mammogram Screening?

Yes. Women with dense breasts have more glandular and connective tissue, which can make it harder to detect small changes on a mammogram. Dense tissue also slightly increases the risk of developing breast cancer.

If you have dense breasts, your doctor may recommend ultrasound or MRI scans in addition to regular mammograms for better accuracy.

What If You Notice Breast Changes Before 40?

If you find a lump, experience pain, or notice changes such as nipple discharge, swelling, or skin dimpling, do not wait for your next screening. Schedule a consultation immediately.

Breast symptoms at any age warrant medical evaluation, even if you’ve recently had a clear mammogram.

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FAQs About Mammogram Screening

1. Is a mammogram painful? You may feel brief pressure during the scan, but it shouldn’t be painful. The compression lasts only a few seconds per image.

2. Can I do an ultrasound instead of a mammogram? An ultrasound is useful for younger women or those with dense breasts, but it does not replace a mammogram. Both are complementary.

3. How long does a mammogram take? The entire process usually takes 15–20 minutes, including positioning and imaging.

4. Do mammograms expose you to radiation? Yes, but the radiation dose is very low and considered safe. The benefits of early detection far outweigh the small risk.

5. Can I skip screening if I have no symptoms? No. Breast cancer can develop silently. Regular screening is essential for early detection, even if you feel fine.

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Book Your Mammogram at The Radhika Breast & General Surgery Clinic

If you’re approaching 40 –or have risk factors that mean you should start earlier– it’s time to take charge of your breast health. Dr Radhika Lakshmanan and the team at The Radhika Breast & General Surgery Clinic offer comprehensive breast assessments and guidance on when and how often to screen.

Book your mammogram screening today to stay proactive about your health. Early detection gives you peace of mind and the best possible protection for the years ahead.