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Is it normal for a mammogram to be painful?

161 replies

LadyNellCardross · 18/09/2025 17:21

I went for my first one today. I'd read the leaflet before hand which described it as sometimes uncomfortable so was prepared for that. The nurse was lovely and reassuring and said the same. It was not uncomfortable, it was bloody agony. I came out shaking afterwards. Is this normal? Obviously I'm glad it's done but not sure I could do it again.

OP posts:
peafritterandcurrysauce · 18/09/2025 21:27

I always dose up with paracetamol before hand these days as I found it so painful. This does seem to help.

Needlenardlenoo · 18/09/2025 21:29

I'm still grumpy because I ended up paying nearly £600 this summer (and doing a 3 hour round trip) to have my Mirena removed and replaced with a guarantee of someone good at it (proper gynae not random GP) and plentiful local anaesthetic.

This should be the norm!

I have endometriosis and loads of scar tissue.

Lovingthelighterevenings · 18/09/2025 21:31

I'm a DD and don't find them too bad. Got called back for another one today, then a scan and biopsy and tbh honest that wasn't too bad either. But having the nurse put her entire body weight down on my boob afterwards for 10 mins to stop the bruising/bleeding, well I really wasn't expecting that. But it makes sense I guess. Just hoping that the metal tracer they inserted afterwards is vaguely close to where they took the tissue or I'll have another 30 minutes of 'did you see that? where did it go?' again.

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doublec · 18/09/2025 21:36

FindingMeno · 18/09/2025 19:21

I find them more surreal than uncomfortable.
Mammogram didn't show my mum's cancer or my benign lump.
I imagine there must be a reason for mammograms instead of ultrasound but I'd feel far more confident after an ultrasound check.

Mammograms are less successful on those with dense breast tissue, usually younger women, but some women maintain lovely dense breast tissue even after menopause. (All dense breast tissue means it it's primarily glandular tissue, not fat. As we age, and particularly after menopause, our glandular tissue decline and fat takes over. This can be why some women suddenly grow breasts after menopause).

When you have a mammogram, areas of concern such as calcification, fibroadenomas and other types of cysts and tumours all show up as white, as does dense tissue. So, trying to read white on white is really hard, something even the best radiographers have difficulty distinguishing between. This is why at one-stop clinics, they will do an ultra sound too.

It's decidedly likely that if neither your or your mother's lumps failed showed up for similar reason. I say this as I also had the same issue and every single lump - have had a dozen or so - I ever had were ones I found myself, not a single one showed up on a mammogram , but did on a ultrasound. Even so, with the ultrasound, it can be impossible to tell if a lump is benign or malignant. Again, I saw this because after an ultrasound, my consultant was pretty certain it was nothing when it transpires I did have cancer.

For a long time, mammograms were considered the best screening. Even now, it's still the one they start with. I think this is because of how easy they are to perform. An ultrasound is more specialised and can take longer. However, this, or rather the understanding of dense breast tissue is something the NHS are starting to consider to the degree that if you are found to have dense tissue, then it will be more likely that an ultrasound will be offered instead.

Presently, the NHS offer an MRI to those with a family history of breast cancer, especially those who carry gene mutations on BCRA1, BCRA2, PALb2 to name a few.

Ultimately, a mammogram is worth having. It takes 10 minutes, if that, once a year.

Tortielady · 18/09/2025 21:38

My mammograms are always uncomfortable or extremely uncomfortable. I have large boobs and am also quite short, so I'm practically on my toes trying to feed my double ds between the plates. But as a pp said, the radiographer who said to flop against the machine had the right idea. It definitely helps.

Like many pps, I'm dismayed by the level of barbarism inflicted on the female body. There is no way men would tolerate having their bits mashed, poked and mauled about without pain relief, but medics (female and male) think it's fine for us. At the same time, female cancers aren't a fictional bogeyman. My Mum's early stage cancer was picked up at her final mammogram, (she's still with us) and an aunt on my Dad's side died of an aggressive form of breast cancer when she was still quite young. Mammograms (and smears) might be evil, but they are a lesser one.

whatsit84 · 18/09/2025 21:47

I was expecting it to be awful (I had one early at 40 as my work require as part of the medical) as my DM had said they were. I found it fine, if a bit odd. Maybe slightly uncomfortable but definitely not painful. Smear tests on the other hand 😂

Needspaceforlego · 18/09/2025 22:13

buffyfaithfredwesley · 18/09/2025 18:01

No history of cancer in the family
my mum never went for smears or mammograms, it’s optional
all I’ve been told about is pain and comments on boobs and my boobs don’t squash so I won’t be going. Doesn’t affect anyone else if I don’t go

My friend got breast cancer at 50, no family history of it.
I have also lost a friend in very early 50s to breast cancer by the time they found it, it was everywhere.

FindingMeno · 18/09/2025 22:34

doublec · 18/09/2025 21:36

Mammograms are less successful on those with dense breast tissue, usually younger women, but some women maintain lovely dense breast tissue even after menopause. (All dense breast tissue means it it's primarily glandular tissue, not fat. As we age, and particularly after menopause, our glandular tissue decline and fat takes over. This can be why some women suddenly grow breasts after menopause).

When you have a mammogram, areas of concern such as calcification, fibroadenomas and other types of cysts and tumours all show up as white, as does dense tissue. So, trying to read white on white is really hard, something even the best radiographers have difficulty distinguishing between. This is why at one-stop clinics, they will do an ultra sound too.

It's decidedly likely that if neither your or your mother's lumps failed showed up for similar reason. I say this as I also had the same issue and every single lump - have had a dozen or so - I ever had were ones I found myself, not a single one showed up on a mammogram , but did on a ultrasound. Even so, with the ultrasound, it can be impossible to tell if a lump is benign or malignant. Again, I saw this because after an ultrasound, my consultant was pretty certain it was nothing when it transpires I did have cancer.

For a long time, mammograms were considered the best screening. Even now, it's still the one they start with. I think this is because of how easy they are to perform. An ultrasound is more specialised and can take longer. However, this, or rather the understanding of dense breast tissue is something the NHS are starting to consider to the degree that if you are found to have dense tissue, then it will be more likely that an ultrasound will be offered instead.

Presently, the NHS offer an MRI to those with a family history of breast cancer, especially those who carry gene mutations on BCRA1, BCRA2, PALb2 to name a few.

Ultimately, a mammogram is worth having. It takes 10 minutes, if that, once a year.

Thank you that was really interesting to read.

Berlinlover · 18/09/2025 22:38

I have small breasts and every mammogram I’ve ever had has been complete and utter agony.

buffyfaithfredwesley · 18/09/2025 22:42

Needspaceforlego · 18/09/2025 22:13

My friend got breast cancer at 50, no family history of it.
I have also lost a friend in very early 50s to breast cancer by the time they found it, it was everywhere.

I get that history isn’t everything but I would likely refuse treatment anyway depending on my age so I don’t plan to go
I may change my mind when I get closer to that age but that’s my decision at the minute

Nothereforagoodtime · 18/09/2025 22:45

not4profit · 18/09/2025 17:27

My first two or three were agony but each time they were because I had gone to the breast clinic with a cyst needing to be checked out, usually infected. They were excruciating. I'm pleased to say that the only routine one I have had was uncomfortable but not agony.

Actually, although I haven’t found them painful, I have had pain in the few days afterwards when it’s irritated a cyst. So I can imagine if you have an infected one it could be really painful!

TooTooMuchEverything · 18/09/2025 22:48

DipsyDee · 18/09/2025 17:31

They can be but what I’ve found a lot of it is to do with how experienced the staff are and how they place you. I’ve experienced painful ones and non painful ones

Yes, experience makes a difference. And people’s levels of pain tolerance are very different and all valid.

doublec · 18/09/2025 22:55

buffyfaithfredwesley · 18/09/2025 22:42

I get that history isn’t everything but I would likely refuse treatment anyway depending on my age so I don’t plan to go
I may change my mind when I get closer to that age but that’s my decision at the minute

Eh?

Why would you refuse treatment? Treatment has come on such a long way, and besides, if caught early, treatment can be minimal.

Also, I don't think you quite understand what dense means - density has nothing to do with how much/how little the squish.

Sometimes I read something on here that is mind-boggling. You get the prize this week!

Needspaceforlego · 18/09/2025 23:20

@buffyfaithfredwesley how old are you? You realise 50 is still young?

buffyfaithfredwesley · 18/09/2025 23:20

doublec · 18/09/2025 22:55

Eh?

Why would you refuse treatment? Treatment has come on such a long way, and besides, if caught early, treatment can be minimal.

Also, I don't think you quite understand what dense means - density has nothing to do with how much/how little the squish.

Sometimes I read something on here that is mind-boggling. You get the prize this week!

Because my family history is early onset dementia and I am planning and doing everything to avoid that and living through it including living wills refusing treatment

so yes if I was diagnosed with cancer at say 60, I wouldn’t be having treatment - to do what? Survive that and then get dementia a couple of years later?

I don’t expect people to understand but it’s not that mind boggling. My older cousin is terrified of our family history and understood straight away

buffyfaithfredwesley · 18/09/2025 23:22

Needspaceforlego · 18/09/2025 23:20

@buffyfaithfredwesley how old are you? You realise 50 is still young?

well it’s not young as such but yes not elderly! At 50 I might make a different decision to the one I would make at 60
people don’t go for smear tests all the time and everyone accepts that

cabbageking · 18/09/2025 23:23

I find them very painful, but I grin and bear it for the short while to stay safe and alive.

CharlieKirkRIP · 18/09/2025 23:24

It was agony and I will never have one again. She did one side and I was stunned by the pain and when she went to do the other side, I made her stop.

My sister had the same experience and we are the exact same build.

Cynic17 · 18/09/2025 23:25

soupmaker · 18/09/2025 17:58

WTAF. No one is going to be judging your breasts and so what if they do, breast screening is life saving for women whose cancer is caught early. I’ve had two friends die from secondary breast cancer so maybe think again.

Breast screening is optional, and there are many justifiable reasons not to attend. It's personal choice, so let's not judge anyone for making their own choice.

Cynic17 · 18/09/2025 23:31

buffyfaithfredwesley · 18/09/2025 23:20

Because my family history is early onset dementia and I am planning and doing everything to avoid that and living through it including living wills refusing treatment

so yes if I was diagnosed with cancer at say 60, I wouldn’t be having treatment - to do what? Survive that and then get dementia a couple of years later?

I don’t expect people to understand but it’s not that mind boggling. My older cousin is terrified of our family history and understood straight away

Totally agree. Cancer is far less scary than dementia, and I would feel exactly the same, in this situation.

BuntyBeaufort · 18/09/2025 23:39

I’ve always found them excruciating, but have friends of all shapes and sizes who are ok with them, and others who suffer too, so I’d say it’s just the luck of the draw.

Driftingawaynow · 18/09/2025 23:40

Cynic17 · 18/09/2025 23:31

Totally agree. Cancer is far less scary than dementia, and I would feel exactly the same, in this situation.

Sitting here with an aggressive form of breast cancer that could kill me in the next 5 years and leave my child motherless.

that comment is stupid and offensive

buffyfaithfredwesley · 18/09/2025 23:47

Driftingawaynow · 18/09/2025 23:40

Sitting here with an aggressive form of breast cancer that could kill me in the next 5 years and leave my child motherless.

that comment is stupid and offensive

I am sorry you are going through that and I don’t mean to offend. I wouldn’t wish cancer or dementia on anyone especially at a young age
I think the poster just meant she understood what I was saying - that I am hoping for a death before/without dementia

SumUp · 19/09/2025 00:39

4% lidocaine cream or gel and taking ibuprofen in advance can help with pain.

Maddy70 · 19/09/2025 01:19

It depends on how "saggy" they are. Small pert ones are quite painful. Big saggy ones like mine are less so. But worth it. I'm recovering from stage 3+ triple neg cancer. A quick inconvenience is worth it. Get it done