Do you need a referral for a mammogram?

Routine breast screening may be offered through an organised programme or booked according to local eligibility rules. A diagnostic mammogram is different: a clinician usually assesses the concern first and sends the imaging request with relevant details.

A mammogram uses low-dose X-rays to create breast images. The radiology team may recommend additional views or another test if the images need clarification. Being referred for imaging does not establish a diagnosis.

Ask your family doctor or breast clinician whether a referral is needed for your situation. Describe any new lump, skin or nipple change, discharge, or persistent focal pain, and mention pregnancy, breastfeeding, breast implants, or previous breast procedures when booking.

Bring prior breast-imaging details if available. You can read about [Mammogram](/treatments/diagnostics-and-imaging/mammogram/) before the appointment, including what the visit involves and how results are communicated.

Arrange prompt clinical assessment for a new breast lump, bloody or spontaneous nipple discharge, a newly pulled-in nipple, skin dimpling, or a breast that becomes red, hot, swollen, and painful. Do not wait for routine screening if a new change is present.

Ask: Is this routine screening or diagnostic imaging? Do I need a referral? Should I have an ultrasound as well? How should I prepare if I am breastfeeding? When and how will I receive the result?