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Breastfeeding and Mammograms

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Turned away from mammogram because I'm breastfeeding

April 2004

My son is nearly 4, and we've pared down our nursing to once before bed. The last time (a year ago) I went into the Mammogram center at Kaiser Oakland, they turned me away because of breastfeeding. I'm increasingly convinced that the breastfeeding exclusion is really only relevant when the child is actively breastfeeding over the whole day. Has anyone lied to the mammogram folks (experience at Oakland Kaiser esp. welcome!) and just had a mammo while marginally breastfeeding? We'll certainly be weaning within the year, but I just don't see why I should put off my baseline mammo for a very small amount of breastmilk. I can hand-express only a drop. Oh, and I just turned 40. Jennie


I had the same problem, only the mammogram place wouldn't even make an appt with me because I was nursing a toddler (3x/day) and said to wait until 3 mos after I was done nursing. I had spoken to several clinics about this, and apparently it is true that if you are breast feeding a lot, then the milk ducts cloud the mammogram ''picture'', and they can't get an accurate read. My problem was that I had a sore spot in my right breast which I had had repeatedly had checked manually, but really wanted it looked into further, plus I was 46, and hadn't had a mammogram since I was 40 (2 pregnancies/breasfeeding in the meantime). Finally, after doing some research, I found out that I could ask for a sonogram instead, so insisted that my doctor schedule me for a sonogram and he also filled out the mammogram request. Here is the funny part: When I went for the sonogram at the Alta Bates breast center, the technician took the sonogram to the radiologist for a reading, explained the situation, and the radiologist INSISTED that I have a mammogram because of my age, etc! The reading turned out fine. So, perhaps you could do this: insist that you doctor schedule you for both a sonogram and a mammogram (especially if there is an area of concern), and once you're in for the appt I'll bet they can do it.

Wean to have mammogram?

March 2003

At my recent checkup, I mentioned that because of 2 pregnancies and nursing, I have not had a mammogram since I was 40. I am now 46, and had planned to nurse my 10 mo old until HE was ready to wean (I nursed my first child until she was 2). The dr. suggested that I might want to wean at 12 mos so that I can get on with getting a mammogram, since it can take from 6 mos to a year for the breasts to return to normal after nursing. There is no family history of breast cancer that I know of, though the females in my family have tended to die prematurely from other causes. Any of you medical folk out there who have a feeling about whether this is alarmist or reasonable?


If it were me I would not wean before I was ready solely to have a mammogram in 2003 instead of '04 or '05.
a berkeley internist
Why did they want you to have non-lactating breasts to have a mammogram? Kaiser Martinez gave me a mammogram while lactating and never said a word about it (the lump turned out to be a milk cyst). I even told the person who did my mammogram I was worried about leaking on the machine and she said ''so let it leak!''
I kept nursing
I had a routine mammogram about a month after I stopped breastfeeding my second child. This is when my doctor recommended I have it done. The technician (at Alta Bates imaging) asked me when I had stopped breast feeding and didn't seem to have a problem that it had only been a month or so. Bytheway - your breasts never go back to 'normal' after breastfeeding. I also understand that breastfeeding breaks down the breast tissue, making your breasts less dense and the mammograms easier to read.
es
Nursing your baby is far more beneficial to your breast health than having a mammogram, not to mention your baby's health. There is a great deal of controvery as to the benefit of pre- menopausal mammograms anyway, so a wait of a year or two should not make a difference.
Deborah
I thought I would never be able to wean my then 20 month year old daughter who was very passionate about nursing and nursed to sleep each night after a bedtime story in the rocking chair. We took it quite slowly, eliminating a feeding every few days and the before bed feeding was the last to go. I did this by shortening the feeding by a few minutes every night over about a two to three week period. When we got down to about one minute, she was really okay with that (surprisingly to me) and then one night asked to go in her crib after the story before nursing. The next night she wanted to nurse, which I allowed. She nursed for about a minute or two and stopped on her own, asked to go in her crib, and then never nursed again. She is now three and has asked to nurse because she sees her baby sister nursing, but has no idea what to do so puts her mouth on me (somewhere on my body - could be my belly or my arm) for a second and then seems satisfied. Good luck!
Hannah

Getting a mammogram while breastfeeding

May 2003

Hi -- I remember a few months ago some people had written in about how they had gotten a mammogram while breastfeeding. I am scheduled for one next week, and I'm still nursing my baby. I'm wondering whether there is anything you need to think about in terms of the breast milk? Did you pump after the mammogram? Hold off on nursing for certain number of hours? The doctor said there is nothing to worry about or do with respect to the milk, but I thought I would check to see if anyone heard anything that's different. Thanks.


I took no precautions nor changed my routine.
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