Navigating breast health can feel overwhelming- especially when you’re not sure what to expect from your imaging appointment. At Elizabeth Wende Breast Care, we believe that clear information and compassionate care go hand in hand. To help you feel confident and prepared, we’ve answered some of the most common questions our patients ask. If you can’t find what you’re looking for, please contact us at ewbc.com or call 585-442-2190.

Frequently Asked Questions

When should I start getting mammograms?

Most women should start annual screening mammograms at age 40, with no set upper age limit if in good health. Women with a strong family history of breast cancer or a known genetic mutation may benefit from starting screening earlier than age 40. It is important to talk your physician about when to begin mammography, and whether additional imaging – such as high-risk breast MRI – may be recommended.

What’s the difference between a screening and a diagnostic mammogram?

A screening mammogram is a routine exam for women who have no breast symptoms. Screening appointments typically take about 30 minutes, with only a few minutes of imaging per breast. A physician referral is not required, though we will ask for the name of a provider to receive your results. Most patients receive their results the same day by secure text or email.

A diagnostic mammogram is performed when there’s a concern — such as a lump, nipple discharge, skin changes, or an abnormal screening result. Diagnostic mammograms require a physician referral and take longer because additional imaging is performed beyond the standard 4-view mammogram. You will meet with one of our radiologists to review your results the same day, and a report will be sent to your physician.

Does a mammogram hurt?

Most patients feel brief pressure, but it shouldn’t be painful. Our technologists are highly trained and will communicate throughout the exam. It is important to speak up if anything is painful, as the technologist can adjust positioning to keep you as comfortable as possible.

Will I get my results the same day?

Whenever possible, results are provided the same day by text or email. This helped reduce anxiety and allows for quick next steps if additional imaging is needed.

What does it mean to have dense breasts?

Breast density refers to the amount of fibrous and glandular tissue compared to fatty tissue. Dense breasts are common and normal, but they can:

• Make mammograms harder to interpret
• Be associated with a higher risk of breast cancer
• For some women with dense breast tissue, supplemental screening such as ultrasound or MRI may be recommended. More about breast density.

How do I know if I have dense breasts?

Dense breast tissue cannot be felt by physical examination. Only a radiologist looking at a mammogram can tell if a woman has dense breasts. You will be informed at the time of your mammogram if you have dense breast tissue.

What if I don’t have insurance?

The New York State Cancer Services Program provides free mammograms and diagnostic services for the uninsured women age 40 and older. To qualify, you must not have health insurance that covers breast screening. To learn more or schedule an appointment, call 585-442-2190.

Can I get a mammogram if I have breast implants?

Yes. Our technologists are trained in techniques that allow us to safely and effectively image patients with implants.

What should I expect during my first mammogram?

You’ll check in, change into a gown, and meet your technologist. Each breast will be positioned in the mammography unit, and two images will be taken, in two different projections. The experience is private, respectful, and designed to put you at ease. Most patients receive results the same day by text or email.

What does it mean if I get called back after my mammogram?

Roughly 10% of women are called back for more imaging, which usually entails more detailed views to verify findings. Most findings are not cancer. If additional imaging is needed, we’ll explain why and walk you through each step of the process so that you are informed and supported.

Do you offer breast ultrasound or MRI?

Yes. These exams may be used when additional imaging is needed beyond a mammogram, or for supplemental screening purposes for patients at higher risk. Our radiologists, in combination with your provider, will guide you on whether these are appropriate.

How do I know if I’m high‑risk for breast cancer?

Breast cancer risk is based on personal history, family history, genetics, and other factors. At Elizabeth Wende Breast Care, all patients receive a risk assessment by completing a health history questionnaire. This allows us to estimate lifetime breast cancer risk and determine eligibility for enhanced screening or genetic counseling and testing.

Can I schedule my appointment online?

Yes — patients can call or use our online scheduling options to find a time that works best.

Whether you’re coming in for your first mammogram or continuing your annual screenings, our team is here to make the experience as comfortable and reassuring as possible. If you have questions that are not covered here, please reach out. Your breast health matters, and we’re honored to be part of your care.