What to Expect for a Breast Ultrasound

Many women, especially those over 50, have undergone screening mammograms for breast cancer. However, some women may require a breast ultrasound for several reasons, such as having abnormalities in a mammogram, having dense breasts, or being under 40 years old. Understanding what a breast ultrasound entails can alleviate anxiety and provide reassurance before the procedure.

Learn More: Breast Ultrasound: What You Need to Know

Here are a few things you should know:

• It is best to avoid scheduling your breast ultrasound during your menstrual cycle or the week leading up to it. This is because breasts can be more sensitive and swollen during this time, and the pressure applied during the ultrasound may cause additional discomfort in the breast and underarm area. It is best to keep this in mind when scheduling your appointment to ensure a more comfortable experience.
• You will need to undress from the waist up. It may be easier and more comfortable to wear a top instead of a dress to prepare for the procedure.
• Wearing or applying antiperspirant, deodorant, perfume, powder, creams, or lotions under your arms or on your breasts can affect the accuracy of the results. It is best to avoid using any of these products before your appointment.
• It is not necessary to refrain from eating or drinking before the test.

Here is an overview of what you can expect during the procedure. The basic steps are as follows:

1. You will be given a gown and instructed to remove any clothing and jewelry from your waist up.

2. You will be asked to lie on your back on an exam table or bench. The technologist will remove your gown to expose your chest and underarm area. You may be asked to lie on your side or back with your arms raised, depending on the position required. The technologist may place a firm pillow or wedge under the side of the chest being examined. An arm support may be placed under your arm to make you feel more comfortable. 

3. A warm, clear gel will be applied to your breast and the transducer (apparatus that scans your breast). The technologist will spread the gel and begin the ultrasound by moving the transducer over the breast and underarm area. You may feel some pressure at this stage. Mild pain may be experienced during the scan, which can be normal. However, if there is any specific spot that is extra tender, please let your doctor know.

4. Once the ultrasound is completed, the technologist will wipe off the gel. You may notice some gel residue, but it can be washed off easily. No need to fret about the gel staining your clothes, as it typically does not.

After a breast ultrasound, you may have to wait a bit while the ultrasound images are verified. If there are any issues with the images, you may need to repeat the procedure. Generally, there is no need for any further action following a breast ultrasound, and you should not experience any lingering pain or discomfort. Simply await the results.

Waiting for ultrasound results can be stressful. You may receive them within a few weeks, but this may vary depending on the facility. If there are any concerns with your results, a healthcare provider will contact you earlier. It is a good idea to avoid overthinking while waiting for the results. Instead, keep your mind busy with other things to take your mind off during the waiting period.

After your screening, the next steps will be determined by your results. If everything looks normal, no action is required, but you may need to come back for a follow-up scan in 6 months or a year if there is a lump that requires regular monitoring. However, if the radiologist notes any concerning or abnormal findings, additional tests may be needed. You might be referred to a breast specialist or surgeon, depending on your situation. It is important to remember that an abnormal result does not necessarily mean you have breast cancer, but it does mean that further action may be necessary. It is imperative to make informed choices. Your doctors are there to help you out. They can give you advice and support whenever you need it, so do not be afraid to ask them anything on your mind. Just remember, you are not alone on this journey.