Mammograms serve as a valuable tool for breast screening, helping to detect potential concerns. For breastfeeding individuals, questions often arise about the compatibility of this procedure with lactation. Clarifying these misunderstandings with accurate information can help ensure continued breast health while nursing.
Breastfeeding and Mammogram Compatibility
It is generally safe to undergo a mammogram while breastfeeding. Medical guidelines from organizations like the American College of Radiology (ACR) and the Society of Breast Imaging (SBI) state that mammography is not contraindicated during lactation. The radiation exposure from a mammogram is minimal and localized to the breast, meaning it does not affect breast milk.
Therefore, there is no need to interrupt breastfeeding or “pump and dump” breast milk after the procedure. The x-rays used in mammography do not make the milk radioactive or pose any risk to the nursing infant, allowing individuals to breastfeed immediately before and after their mammogram without concern for their baby’s safety. Prioritizing breast health through recommended screenings remains important even while nursing.
Preparing for Your Mammogram
Careful preparation can enhance comfort and image quality during a mammogram while breastfeeding. Informing the mammography technologist and radiologist that you are breastfeeding is helpful, as they can adjust the procedure accordingly. Scheduling the mammogram directly after a feeding or pumping session is beneficial. This timing helps to reduce breast engorgement and density, which can lead to clearer images and lessen discomfort during breast compression.
Emptying the breasts as much as possible before the appointment makes the tissue softer and less dense, which can facilitate better imaging and reduce tenderness during compression. Consider bringing a breast pump or arranging for your baby to nurse just prior to the exam. Avoiding deodorants, antiperspirants, perfumes, powders, or lotions on the breasts and underarm areas on the day of the exam is also recommended, as these products can interfere with image clarity.
Interpreting Mammogram Results
Breastfeeding can influence the appearance of breast tissue on a mammogram, affecting how results are interpreted. Lactating breasts typically exhibit increased density due to increased glandular tissue and milk production, which can make abnormalities more challenging to identify. The expertise of a radiologist experienced with lactating breast tissue is important to distinguish normal physiological changes from potential concerns.
Due to the increased density, supplemental imaging, such as a breast ultrasound, may be recommended if mammogram images are unclear or if there are specific concerns. This additional imaging is a common practice and does not necessarily indicate a problem. Discussing any findings or recommendations for follow-up with your healthcare provider ensures comprehensive care.