Breast cancer screening is a key step in looking after your health. However, questions often arise about when screening should begin and how frequently it should be carried out. The right timing can vary from person to person, depending on factors such as age, family history, and individual risk. Below, you will find an overview of general guidelines, considerations based on genetic predispositions, and the importance of seeking personalised advice.
1. General Screening Guidelines
Many healthcare organisations suggest that women begin screening at specific ages, though these recommendations may differ slightly depending on the source. A commonly referenced starting age is 40 for annual or biennial mammograms. Others propose beginning at 50, with screenings taking place every two years. The precise schedule often depends on each person’s risk level and discussion with a medical professional.
- Mammograms – Often used as a primary tool for detecting early changes in breast tissue.
- Clinical Breast Examinations – Sometimes done in conjunction with mammograms to check for lumps or abnormalities.
It is worth noting that guidelines can change over time, so it is advisable to stay informed about any updates and speak to a healthcare provider if you have concerns.
2. Family History and Genetic Predispositions
Family History
If you have one or more close relatives—such as a parent, sibling, or child—who have been diagnosed with breast cancer, your risk may be higher than average. In these cases, screening may be recommended at a younger age, sometimes 10 years before the age at which your relative was diagnosed.
Genetic Factors
Certain inherited gene variations, such as BRCA1 or BRCA2, increase the likelihood of developing breast cancer. If you carry such a gene variation, your healthcare provider might recommend starting screenings earlier and opting for additional tests, such as MRIs, alongside mammograms.
It is important to remember that having a family history or a genetic predisposition does not guarantee you will develop breast cancer, but it does mean you may need to be more vigilant about screening.
3. Other Risk Factors
Apart from family history and genetic factors, there are additional elements that can influence when and how often you should begin screening:
- Hormonal Factors – Prolonged exposure to oestrogen, such as starting menstruation at a younger age or entering menopause later, may increase risk.
- Lifestyle Choices – Maintaining a balanced diet, engaging in regular physical activity, and limiting alcohol consumption are all part of a proactive approach.
- Previous Breast Conditions – Individuals who have had certain benign breast conditions may require more frequent monitoring.
A thorough conversation with your doctor can help identify any aspects of your history or lifestyle that might suggest an altered screening timeline.
4. Personalised Advice from a Healthcare Provider
While guidelines offer general direction, the choice of when to start and how often to continue screenings should ultimately be guided by individual circumstances. Factors such as your age, personal health history, and overall risk profile play a part in determining the screening strategy that suits you.
A healthcare professional can help you understand which methods—such as mammograms, ultrasounds, or additional imaging—are appropriate, and how regularly you should schedule them. This tailored approach ensures that your screening plan aligns with your specific needs and concerns.
Book a Consultation at The Radhika Breast & General Surgery Clinic
If you have questions about the right time to begin breast cancer screening or wish to discuss any concerns about your risk factors, Dr Radhika Lakshmanan and the team at The Radhika Breast & General Surgery Clinic are here to offer guidance. By seeking advice that aligns with your personal circumstances, you can feel more confident in your healthcare choices.
Book an appointment today to start taking proactive steps towards safeguarding your breast health. Your well-being is important, and we are ready to assist you in creating a screening plan that fits your unique situation.








