Why a mammogram may be recommended

A mammogram is an X-ray examination of the breast. It may be used for screening when a person has no breast symptoms, or as part of a diagnostic assessment when a clinician has identified a concern such as a lump, nipple change, skin change, discharge or persistent focal pain.

Screening recommendations are individual. Age, family history, genetic risk, breast symptoms, previous breast procedures and clinician advice all matter. If you notice a new or concerning breast change, seek medical assessment rather than waiting for routine screening.

Screening or diagnostic?

A screening mammogram looks for changes before symptoms are present. A diagnostic mammogram may involve additional views when symptoms or a previous finding need closer assessment.

How to prepare

When booking, let the team know if you are pregnant, breastfeeding, have breast implants, have had previous breast surgery, or have prior mammogram, ultrasound, biopsy or breast-clinic reports.

  • Bring your referral and prior breast-imaging reports.
  • Avoid deodorant, powder, perfume, lotion or ointment on the chest or underarms on the day.
  • A two-piece outfit can make changing more convenient.
  • Ask whether appointment timing can help if your breasts are usually tender around your period.

For availability and referral guidance, see mammogram services in Nairobi at Rayhaan Healthcare.

What happens during the scan?

You will change from the waist up in a private area. A trained technologist positions one breast at a time on the mammography unit. A plate gently but firmly compresses the breast for a few seconds while images are taken. The process is repeated from another angle and on the other breast.

Compression can feel uncomfortable and, for some people, briefly painful. It helps reduce movement and gives the radiologist clearer images. Tell the technologist if you are struggling with discomfort, dizziness, mobility limitations or positioning.

Results and follow-up

A radiologist reviews the images and prepares a report. Previous mammograms can help identify whether a change is new. The imaging team will explain how and when your report will be shared.

A request for additional views, ultrasound or clinical review does not by itself mean cancer is present. Further assessment is often used to clarify an image or evaluate an area more closely. Ask your clinician what the finding means for you and what the recommended next step is.

When to seek clinical advice

Contact a clinician promptly for a new breast lump, skin dimpling or redness, a new nipple inversion, unexplained bloody nipple discharge, or a persistent change in one breast.

Further reading

For general preparation guidance, see the CDC mammogram guide and the American Cancer Society preparation guide.

Related Mammogram Resources

Breast ImagingMammogram Services in Nairobi: Early DetectionUnderstand why mammography can be recommended and how it supports early detection.ServiceMammogram Services in NairobiExplore Rayhaan Healthcare’s mammography service, booking guidance and radiology support.

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