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Women’s Preventive Imaging: Mammogram, Breast MRI, DEXA & Pelvic US

Routine breast, bone & pelvic scans—when to start mammograms, DEXA, breast MRI, and pelvic ultrasound, and what to expect.

Updated over 3 months ago

📌 Start simple: Age-appropriate screening catches most issues early; higher risk may shift timelines.

Study

Typical insurer criteria

Why it matters

Notes & prep

Screening mammogram

Women 40 + annually/biennially

Catches early breast cancer.

Low dose; brief compression.

Breast US

Dense tissue or focal lump

Clarifies cyst vs solid.

No radiation.

Breast MRI

BRCA+, risk ≥ 20 %, prior chest RT

Highest sensitivity for high-risk.

IV gadolinium; auth.

DEXA scan

Women 65 + or risk factors

Diagnoses osteoporosis.

Very low dose.

Pelvic / TV ultrasound

Bleeding, pelvic pain, IUD check

Looks at uterus, ovaries.

Full vs empty bladder.

Timeline snapshot

  • Mammogram 40–74 (earlier if risk).

  • DEXA 65 + or menopause + risk.

  • Breast MRI yearly if high-risk.

📌 Red-flags: new lump, nipple discharge, sudden sharp pelvic pain—seek prompt care.

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