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Mammogram Checklist (BSE)

A Mammography (low-level x-ray) is considered the best method to detect abnormal growths in breast tissue. It is recommended that women have a baseline mammogram at least by age 40, and sooner if you have a history of breast cancer in your family. Why not schedule to go with a friend for support? We created this checklist to help you keep track of your mammogram visits and results with this checklist. We've also included a few mammography tips. We hope this checklist helps you. :)

Mammogram Tips:

  • Do not schedule your mammogram the week before your period. Premenstrual symptoms may make a mammogram uncomfortable.
  • 10 days before, abstain from caffeine and avoid taking medication that contains caffeine. Caffeine has a tendency to make breasts more tender and lumpy.
  • On the day of your exam, wear a shirt instead of a dress, and do not use any deodorant, powder, perfume, creams, or lotions in your underarm or breast area. These items leave a residue that may be picked up on an x-ray and possibly interfere with your mammogram results.

*Before you Print*
  • This is a one-page 8½" x 11" checklist
  • You can view this 1-page checklist by using Adobe Reader. If you don't have Adobe Reader, you can download the latest version, free.
  • Be patient while the checklist loads

Click here to open our Mammogram Checklist (BSE)


Related Checklist:

1-Year Breast Self-Exam Checklist (BSE)


Click here to view more Health & Medical checklists!


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