Mammogram in Nepal : A mammogram is a low-dose X-ray image of the breasts used for the early detection of breast cancer. Understanding its importance, types, procedure, and related aspects can help women make informed decisions about their health. This article covers everything you need to know about mammograms, especially in the context of Nepal.

Why is a Mammogram Used?

A mammogram is primarily used to:

• Detect early signs of breast cancer.
• Evaluate unexplained breast pain or lumps.
• Monitor changes in breast tissue over time.

Types of Mammogram

• Screening Mammogram: Screening mammography is used to look for early signs of breast cancer before symptoms develop.
• Diagnostic Mammogram: Diagnostic mammography is used to look for abnormalities if new symptoms develop such as a lump, pain, nipple discharge, or changes in breast skin.

What happens during a mammogram?

• You will stand in front of a special X-ray machine.
• A technologist will help position your breast correctly on a clear plate.
• Another plate will firmly press your breast from above.
• The plates will hold your breast still while the X-ray is taken.
• This process is repeated to capture different views of your breast.

Risks Associated with Mammogram

While mammograms are generally safe, some risks include:

• Exposure to a small amount of radiation.
• False positives or false negatives.
• Discomfort during the procedure.

At What Age Should One Start Mammogram?

Women are generally recommended to start annual mammograms at age 40. However, those with a higher risk of breast cancer may need to start earlier, as advised by their healthcare provider.

Is It Safe?

Yes, mammograms are safe. The benefit of finding breast cancer early is much greater than the small risk from the radiation.

Does It Hurt?

Some women may experience discomfort or slight pain during the procedure due to the pressure applied to the breast. But the feeling of discomfort only lasts for a short time.

How Often Should It Be Done?

• Average Risk: Annually starting at age 40.
• High Risk: More frequent screenings may be necessary as advised by a healthcare provider

Preparation for a Mammogram

What to Know Before Doing a Mammogram:

• Inform your technologist if you are pregnant or breastfeeding.
• Avoid scheduling your mammogram the week before your period if your breasts are usually tender during this time.
• Inform your technologist when you had your last vaccine dose and in which arm.
• Inform the technologist about your implants before the procedure. They can use special techniques to ensure clear visualization of breast tissue around the implants. It helps achieve accurate results while minimizing discomfort.

Self-Preparation:

• Always wear a two-piece outfit to easily remove your top.
• Avoid using deodorants, perfumes, lotions, or powders on your breasts or underarms on the day of the exam, as these can interfere with the X-rays.

Is Fasting Necessary?

No, fasting is not required before a mammogram. You can eat and drink normally.

Dos and Don'ts Before a Mammogram

Dos:

• Do bring any previous mammogram images if this is your first mammogram at a new facility.
• Do inform your technologist about any breast symptoms or problems.

Don'ts:

• Don’t wear jewelry or clothing with metal parts above the waist.
• Don’t apply any substances like deodorant or lotion on your breasts on the day of the exam.

Mammogram in Nepal

More hospitals and clinics are now providing mammogram screening services in Nepal. It's important for women to talk to their doctors about their health risks and follow the recommended screening schedule. If you're considering a mammogram in Nepal, your doctor can help you choose the right screening plan for you. Some well-known hospitals in Nepal where mammograms may be available

• Nepal Cancer Hospital and Research Center Pvt. Ltd.
• Norvic International Hospital
• Grande International Hospital
• Nepal Mediciti Hospital
• Tesla Diagnostic Clinic
• Alka Hospital
• B&B Hospital
• Bhaktapur Cancer Hospital
• National Hospital and Cancer Research Center

How much does a mammogram cost?

The cost of a mammogram in Nepal typically ranges from Rs1500 to Rs6000 depending on the healthcare provider and location.

A mammogram is important for finding breast cancer early, which helps with successful treatment. By knowing its purpose, procedure, and how to prepare, women can feel confident about getting a mammogram.