Melanin & Pink Ribbons

When it comes to breast cancer, too many of us are finding out too late. Black women are more likely to be diagnosed younger and at more advanced stages. That’s why knowing the standards for mammograms isn’t just “nice to know”—it can save your life.

So, what’s a mammogram really?

It’s an X-ray of your breast that looks for changes you can’t feel. Those little shifts in tissue that don’t show up with your hands or even your doctor’s hands? A mammogram can catch them early, sometimes years before a lump appears. Early detection matters, and for us, it can mean the difference between aggressive treatment and having more options.

The Guidelines—Plain and Simple

• 40–44: You can start yearly mammograms if you want. Choice is yours, but starting earlier gives more peace of mind.
• 45–54: Yearly mammograms are recommended.
• 55 and up: Every two years is fine, unless you want to stay on yearly. Keep screening as long as you’re healthy and still living life fully.

What About Risk?

If your mama, auntie, or sister had breast cancer—or if you know you carry the BRCA gene—don’t wait until 40. You may need to start earlier, sometimes even in your 30s, and add other tests like MRIs. Black women are often overlooked when it comes to “risk categories,” so you have to advocate for yourself.

What to Expect

The test takes about 20 minutes. Each breast is gently pressed to get a clear picture. It’s not fun, but it’s quick, and it could be the tool that saves your life.

The Bottom Line

Don’t push this off. Don’t let anyone brush you off. Mammograms are the standard for a reason—they find cancer early when it’s most treatable. Talk to your doctor about your best schedule. If you have daughters, sisters, or girlfriends, share what you know. We protect each other when we talk about this.

Black women are dying younger and faster from breast cancer—not because our bodies are weaker, but because too often we aren’t given the information or access in time. Knowing the standards, asking questions, and demanding screenings is how we change that.