After age 65, you're probably happy to give up certain obligations. Perhaps you no longer need to work full-time. Maybe you're reading more books and spending less time on the computer. Your gynecologist may have even said that you don't need another Pap test.
But there's one thing that shouldn't change: regular mammograms.
Here's what you should know about how often to get a mammogram after 65, what questions to ask your doctor, and how breast cancer screening changes as you age.
Are Mammograms Still Necessary After Age 65?
Although recommendations vary depending on personal health history and risk, the American Cancer Society recommends that most women continue to get breast cancer screening until at least age 75. It's important because breast cancer risk increases with age.
You may be tempted to opt out of screening mammograms because you don't have any symptoms, but screenings are done for early detection to look for disease in people without any apparent signs—unlike diagnostic mammograms, which are used either as a follow-up to a screening (if needed) or when someone has symptoms of breast cancer.
Since the goal of screening tests for breast cancer is to find any signs as early as possible, you should continue to have screening mammograms until at least age 75.
How Often Do You Need a Mammogram After Age 65?
The U.S. Preventive Services Task Force recommends receiving a screening mammogram every other year between the ages of 40 and 74. Other experts strongly recommend annual exams.
Of course, women at higher risk for breast cancer—such as those with a family history of cancer, the breast cancer gene BRCA, or a personal cancer history—may need more frequent screenings. Your doctor or other healthcare professional can help you decide the best schedule.
Even after reaching 74, your doctor may recommend continuing with regular screenings. The American Cancer Society recommends that healthy women 75 and older continue with their mammograms if they have a life expectancy of at least 10 more years and are willing to undergo treatment if needed.
What to Expect During a Mammogram in Your 60s and 70s
If you haven't had a mammogram in a while, you may have questions about what to expect. Here are some of the most frequently asked questions about mammograms.
How Long Does It Take?
A typical mammogram appointment lasts about 20 to 30 minutes. The actual imaging takes just a few minutes per breast.
How Do I Prepare?
Here are some guidelines for preparing for your screening mammogram:
- Ideally, avoid wearing deodorant, powder, or lotion on your chest or underarms the day of your appointment because they can interfere with the images. If you can't forgo deodorant, the dressing room will likely have cleansing wipes you can use to remove it.
- Wear a two-piece outfit. You only need to undress from the waist up.
- When you arrive, let the technologist know if you need any assistance.
- If you've had scans done somewhere else before, let the testing center know. They may be able to access previous images or reports or request the records with your permission.
What Does It Feel Like?
During the mammogram, the technologist places each breast between two plates, which gently compress the breast. This compression spreads out the tissue, which results in clearer images. You'll feel pressure, which can be uncomfortable, but it lasts only a few seconds per image. Some people experience mild pain. If you're concerned about pain, let the technician know. They may be able to adjust positioning and compression to help you be more comfortable.
You can also take an over-the-counter pain reliever like acetaminophen (Tylenol) or ibuprofen about an hour before your mammogram to help reduce discomfort during the procedure.
How Will I Get My Results?
Typically, you'll get results within a couple of weeks after the appointment, either by mail, phone, or through your patient portal. If the images show anything unusual, your provider may recommend a follow-up such as a diagnostic mammogram.
Who Will Be Doing the Exam?
Mammography technologists are specially trained to perform the exam while supporting your comfort and dignity. They're used to working with people of all ages and physical abilities. If you have mobility concerns or trouble standing, let them know—they're equipped to help.
Are There Different Types of Mammograms?
Yes. The two main kinds are 2D and 3D mammograms.
- 2D mammograms take two flat X-ray images of the breast (top to bottom and side to side).
- 3D mammograms, called digital breast tomosynthesis, take multiple images from different angles. They create a layered, three-dimensional image that is especially helpful in women with dense breast tissue. They are often better at detecting potential cancer, but they can cost more and aren't always covered by insurance.
Questions to Ask Your Doctor About Mammograms After 65
If you have more complex questions or specific concerns, talk with your doctor. They can provide personalized recommendations, and you can make decisions together about future mammograms. Here are some questions you may want to ask:
- Given my medical history and other risk factors, how often should I get a mammogram?
- Do I have dense breast tissue?
- Would a 3D mammogram be better in my case?
- I'm almost 75. Do I still need annual or biennial screenings?
- What happens if the mammogram shows a suspicious lump?
- Are breast cancer treatments more dangerous or difficult for older adults?
- How will I learn the results? If I don't hear back, does that mean everything is okay?
Weighing the Benefits and Risks of Continued Screening
As you age, you'll want to consider the benefits and risks of ongoing screening. The benefits, including early detection, peace of mind, and access to more treatment options, typically outweigh the risks. The most common risk is a false positive, which can lead to anxiety and unnecessary biopsies. Your doctor can help you work through these concerns and find the right path forward for you.
Keep in mind that regular mammograms are just one aspect of breast health. Other steps you can take to reduce your risk of breast cancer include eating a nutritious diet and staying active. Other tips to prevent breast cancer include limiting alcohol, maintaining a healthy weight, remembering to do self-exams, and reducing stress in your life. Your healthcare provider can give you more advice for reducing your risk and improving your overall health and well-being.
Does Medicare Cover Mammograms After Age 65?
Yes. Original Medicare (Part B) fully covers one screening mammogram every 12 months for women as long as the doctor accepts Medicare. You pay nothing out of pocket.
Medicare Advantage (Part C) plans have to cover the same services as Original Medicare, so screening mammograms are fully covered. However, check your plan for any co-pays, network restrictions, or referral requirements.
Original Medicare covers diagnostic mammograms when they are medically necessary, such as a follow-up after abnormal findings. You'll typically pay 20% of the Medicare-approved amount after meeting your Part B deductible. The same applies under most Medicare Advantage plans, but out-of-pocket costs and requirements may vary.
Staying on Track with Support from BrightStar Care
Mammograms are part of taking care of yourself as you age. If you are in good health or are at higher risk for breast cancer, staying on a regular screening schedule can help you get the treatment you need early, when it's often simpler. Work with your healthcare provider to create a plan that reflects your age, risk factors, and personal comfort.
As part of our senior in-home care services, BrightStar Care® caregivers can help with scheduling and transportation to your mammogram appointment, in addition to providing the care you need at home. If you're a caregiver and you need time for a mammogram appointment, they can also make sure your loved one is taken care of while you take care of your health.
Whether you're looking for in-home care services or a reliable medical staffing partner for your organization, our experienced local care team members are ready to help. Find a location near you, contact us online, or call (866) 618-7827 to learn more about how BrightStar Care offers A Higher Standard®.