Tuesday, October 6, 2009

First Mammogram...Don't Sweat It


I've been sharing with my friend Christina over the last few days, what to expect from that first mammogram.  Quite understandably she is nervous about the experience as I believe most women are the first time they have this done.  It is a procedure we have all heard about and we know that it requires a machine with plexiglass covers to squeeze our breasts to the shape of pancakes.  Fear of the unknown is something we all experience in various forms throughout our lives. Aside from the nerves about how this is going to feel, there is also the anxiety around the fact that there is a possibility that something might be discovered during the mammogram.  That perhaps there is cancer lurking in our bodies.  It is the "thinking" about this and the projecting ahead that causes the anxiety and we can create more fear in our minds than the actual event is worth.  That said, the feelings, the anxiety and the worry are all very real and not to be dismissed.

Having a mammogram and how it feels to each woman's body is as individual as we are.  We've all heard "horror" stories from women who have given birth and the pain and agony they describe to those who are newly pregnant would make any woman already pregnant wish there was some way to turn back the clock!  The women who feel such pain are best to keep that to themselves always remembering that we each have a different threshold for pain.

My view of life and experiences that might be less than "enjoyable" comes down to how I choose to think about them.  If I think it will painful no doubt it will be.  If I choose the word "uncomfortable", that makes me know it's bearable and I can tackle it...whatever "it" is.  How we choose to think about things can make all the difference in any experience.

I'm partial to visualization.  I like to let my mind wander to something pleasant, something that makes me feel good and while undergoing something like a mammogram I let my mind go to that place.  We are told to hold our breath while the image is being taken and while doing that, true enough, my eyes are squeezed as tightly as my breast but I float in my mind and I know that this discomfort is only going to last a few seconds.  And that I only have to do it four times -- 2 shots of each breast.  There is always going to be someone who says, "discomfort?  It was pain, I tell you, what were you thinking??  You call that discomfort?" and my reply would be "yes".  There is pain and there is pain.  You can choose to suffer with it or you can choose to work through it and with it. And if laughter is your way to cope, think about a man having his manhood squeezed between those plexiglass sheets while you are in there.

Tips to help you through:

1.  Do not wear deodorant to your mammogram.  The deodorant will cloud the image and the technician will ask you to remove it before entering the room.  Save yourself the trouble and don't put any on before you go.  Bring some with you so that you can apply it before you leave.

2.  Once the films have been taken, the technician will ask you to sit in a waiting area while the radiologist reads the films.  The technician may come back and ask you to return for a few more shots.  Do Not Panic.  Please.  This does not necessarily mean that they have detected a problem.  It may be that the pictures were unclear and the radiologist would like a better or a different view.  This can happen to women whose breasts are very dense.

3.  If there is a problem with your mammogram as easy as it is for me to say don't panic, remember this:  80% of lumps are actually benign cysts. 

At the end of the day there are many other procedures and tests that are more invasive and uncomfortable than a mammogram.  I know.  I've had quite a few.  This is one that takes only minutes of your time, might or might not bring tears to your eyes but those tears will dry quickly and isn't it better to have done this and lived to see many more days to have tears of joy?

*please read the comments that are being left.  They are amazing.  And the one from Chocolate Covered Daydreams brings into this another valuable insight.

20 comments:

Kim Mailhot said...

You are brilliant. I am crying tears because you are so brilliant and beautiful and wise and powerful, oh and I love you !
You have just offered so many such a great gift, Sherry. I am so proud to know you.

Christina said...

i am so grateful for you. i really am. so many tears.
xo

Bonnie, Original Art Studio said...

What an excellent and valuable post Sherry Lee! A gift for those who have never had one yet.

I had two biopsies after mammograms with both came back negative for cancer - just cysts.

Deborah said...

Awe, you so good!!! **kisskiss**

Sara Williams said...

Such a reassuring post Sherry xxx

I was laughing inwardly when I had my first mammogram. All these years of treating my breasts with kid gloves then they go and squeeze em to the point of distortion.

I agree with you though, having a mammogram isnt top of my list but compared to other tests and procedures its a walk in the park.

Beth said...

Wish someone had informed me of this prior to my first mammogram – turned out all I felt at that time (and with subsequent mammograms) was some minor discomfort and although I did need follow-up testing for a benign nodule, my initial anxiety and fears as to mammograms and those tests were never warranted. I have been very fortunate.
You’ve provided a wonderful service with this post!

Chocolate Covered Daydreams said...

Thank you for sharing this Sherry Lee. I have anxiety over mammograms not because of the procedure but because I have keloids on my chest and breasts so I dread the questions and the stares from the technician. I get so worked up the night before.

The tips that you gave are so worth it. I also tell myself, that the next time I see the technician, they will have seen so many other breasts, they won't remember me.

PS--I don't think it was painful at all. Uncomfortable is the perfect description.

sherry ♥ lee said...

Simone, thank you for this valuable insight. The fear of sharing or showing your breasts. For you it is because of keloids (raised pinkish scar tissue at the site of an injury; results from excessive tissue repair). There is often a shyness about being this exposed to others. I love how you describe realizing that your breasts are just some of many these people have seen and will be forgotten. I have a strawberry port wine birthmark over my left breast (the one without the cancer) and I'm always explaining what that is. It is tiresome to answer the questions all the time but I just smile and get on with it. I have my routine down pat! Knowing that your breasts will be "forgotten" shows that you are choosing how you think.

And for anyone else in this position, there may be even further discomfort because of scars or tissue...just squeeze those eyes a little tighter and get your mind into that "good zone"!!

Deidra said...

I'm so glad you wrote this! I heard such horror stories I wondered if it was really worth it. And then, when I finally had a mammogram (and on every one since then...and there have been many) I had no problem. Zilch. Sure it's a bit tight for a minute but it wasn't agony. Thanks for sharing this!

Karen, author of "My Funny Dad, Harry" said...

I remember knowing nothing when I went for my first mammogram I didn't even know enough to think it might hurt! I found out soon enough and although it hurt, it was only for a few seconds. Some technicians are better than others too.

It's also a good idea to not schedule it close to your period if you can help it because then the boobs seem a bit more sensitive.

I'm so glad I went for a follow-up mammogram in six months because it did show a mass that was cancerous, even though I felt perfectly fine and couldn't even feel any lump (nor could the surgeon). If it hadn't been for the mammogram, it may have been too late by the time it was discovered to do anything about it. As it is, all I needed was a lumpectomy, radiation treatments and a pill for five years.

sherry ♥ lee said...

Karen your situation was my situation exactly...lump not big enough to be felt by hand, detected by a mammogram..and caught early enough to need only a lumpectomy.

You make another great point Karen about going around periods for those who still have them. Try to do this when your period has stopped or as close to that as possible.

Kathleen Grace said...

Once again Sherry, you point out the truth, attitude is everything! No matter what minor unpleasantness we go through in life it is always good to remember that most of them are just bumps n the road and then we move on. I agree with Chocolate Covered Daydreams, one of the problems I had was a certain shyness regarding the whole procedure. I usually have been allowed to wear a gown and only bare one side at a time. I had one incident where the technician (a woman) instructed me to just strip to the waist and I wasn't given the gown. I was SO uncomfortable but just endured. I realized after that I could have stood up for myself and requested, no demanded, a gown! There is no reason to allow the procedure to be more uncomfortable than it is and I am sure that the techs get so used to the nudity that they forget that most of us aren't in the habit of dropping our tops for someone we just met 30 seconds ago!

Daria said...

Excellent post!

http://littlescrapsofmagic.typepad.com/little_scraps_of_magic/ said...

Kudos to you my friend! So much, I think, depends on the skill of the technician. I've had some exams where there is little or no discomfort, and others where I could have strangled the person administering it. But...it all passes pretty quickly; it's one small snippet of time. Telling myself that gets me through it!

Carolyn said...

It will be comforting to your readers what to expect and your experience of a mammogram - thanks for sharing this ! ;o)
I will have it to go through in the future sometime - and i`m not afraid - i`ll just be concerned about what the result will be - but that`s only natural .

susanna said...

I do the same things as you do during a mammogram - I imagine a time limit, like this is going to take three minutes, or ten, or twenty. The discomfort (or pain) for those few minutes is worth it for the answers later seen in the mammogram. Good post!

Btw, I found you through the lovely Christina.

Kelli said...

Thank you for posting this...
I have never had a mammogram, but need to schedule one.
This made me feel a bit braver about the whole thing.
Thank you.
:)
P.S. I am pretty sure any man having his business squashed in a machine would need to be anesthetised...

~ Maranda @ {Evoked} ~ said...

This is really great information! I haven't had a mammogram in almost 5 years and I really need to schedule one. Thanks for sharing the info my dear!

xoxoxo! ~ Maranda ~

Jane said...

I had my second mammogram this week. My first one was last year and I think I avoided it for a long time. I actually had a friend come with me the first time which was really comforting. This week I went by myself. It doesn't hurt. If anything it just feels uncomfortable for a moment or two. My mother is in her late 70's and has never had one done. It makes me furious!

Melinda said...

I will never forget the first one I had so many years ago. I could not believe they could squish my breast to the size of a dinner plate! I swear I could have eaten a full course meal off my breast!

Maybe someday they will come up with a much gentler way to scan breasts than this method.