Breast Cancer Screening Guidelines Updated: Start Your Mammograms at Age 40, Says USPSTF

Washington, D.C. – New recommendations from the US Preventive Services Task Force advise women to undergo mammograms every other year starting at the age of 40 and continuing until the age of 74. The updated guidelines replace previous recommendations, which suggested biennial mammograms starting at age 50, with decisions for women in their 40s being considered on an individual basis.

Published in the medical journal JAMA, the new recommendations aim to reduce deaths from breast cancer by emphasizing the importance of early detection through regular screening. The updated guidelines apply to all individuals assigned female at birth, including cisgender women, transgender men, and nonbinary people at average risk of breast cancer, as well as those with a family history of the disease or dense breast tissue.

Dr. Wanda Nicholson, Chair of the USPSTF, highlighted the significance of starting mammograms at age 40, stating that regular screening can significantly lower mortality rates from breast cancer. The benefits of screening include the early diagnosis of cases before the cancer has a chance to spread, ultimately reducing the risk of death from the disease.

Breast cancer is one of the most common cancers in women in the United States, with mammography remaining the most effective tool for screening and detecting the disease. The annual screening debate has sparked discussion, with some experts advocating for more frequent screening to improve outcomes and save more lives.

Concerns have been raised regarding the blanket recommendations for people at average risk, as well as those with specific risk factors like family history or dense breast tissue. Experts emphasize the importance of individualized screening approaches, taking into account personal and family medical histories to determine the best course of action.

The shift in recommendations highlights the ongoing efforts to address disparities in breast cancer outcomes, particularly among different racial and ethnic groups. Additional research is needed to better understand these disparities and develop more effective screening strategies, ensuring that all women can benefit from advances in screening technologies.

The USPSTF will continue to review and update its recommendations every five years, incorporating new evidence and insights to improve breast cancer screening practices. The evolving intersection of technology and equity in healthcare underscores the importance of informed decision-making and personalized care for women at risk of breast cancer.