Find Information About:

Drugs & Supplements

Get information and reviews on prescription drugs, over-the-counter medications, vitamins, and supplements. Search by name or medical condition.

Pill Identifier

Pill Identifier

Having trouble identifying your pills?

Enter the shape, color, or imprint of your prescription or OTC drug. Our pill identification tool will display pictures that you can compare to your pill.

Get Started

My Medicine

Save your medicine, check interactions, sign up for FDA alerts, create family profiles and more.

Get Started

WebMD Health Experts and Community

Talk to health experts and other people like you in WebMD's Communities. It's a safe forum where you can create or participate in support groups and discussions about health topics that interest you.

  • Second Opinion

    Second Opinion

    Read expert perspectives on popular health topics.

  • Community


    Connect with people like you, and get expert guidance on living a healthy life.

Got a health question? Get answers provided by leading organizations, doctors, and experts.

Get Answers

Sign up to receive WebMD's award-winning content delivered to your inbox.

Sign Up

Breast Cancer Health Center

Font Size

New Mammography Guidelines Jolt Medical Field

Doctors Predict By-product of Screening Debate: More Talk With Patients About Mammograms
WebMD Health News
Reviewed by Louise Chang, MD

Nov. 20, 2009 -- The new guidelines on breast cancer screening have instantly ignited an emotionally charged firestorm among doctors across the country.

“Physicians are quite divided about this," says Joseph Stubbs, MD, an Albany, Ga., internist and president of the American College of Physicians.

David Mutch, MD, a St. Louis ob-gyn, says the recommendations from the U.S. Preventive Services Task Force will not change his practice in any way. “It’s clearly economically driven and not patient care driven."

Other doctors have taken a step back to study the science. Julie Wood, MD, a Kansas City, Mo., family physician, says the new guidelines have led her to re-evaluate her practice patterns. She’s also looking for guidance from the American Academy of Family Physicians on the screening issue.

There’s one thing, though, that doctors agree on: The new mammography advice will spark more discussions between women and their doctors about the benefits and risks of these screenings for the early detection of breast cancer.

Those talks have already begun, Wood says. “Patients have discussed it. They’re responding OK, but they’ve had a lot of questions.’’

Stubbs, meanwhile, predicts that the mammography advice will lead to an "evolutionary change" in medical practice. “I think there will be a decrease in the number of mammograms," he says. “But we won’t see a sharp drop-off."

Debate Over Screening Mammograms

The federally appointed task force released the new guidelines Monday. It recommends that women at average risk should wait to get routine screening mammograms until they’re age 50, instead of the current standard of 40. It also advises that women ages 50 to 74 get them every two years and discourages doctors from advising women to examine their own breasts regularly.

The guidelines, which are nonbinding, seek to reduce overtreatment. The downsides to screening include false-positives, radiation exposure, and psychological harm, the task force says.

“The decision to start regular, biennial screening mammography before the age of 50 years should be an individual one and take patient context into account, including the patient's values regarding specific benefits and harms," the task force says.

1 | 2 | 3

Today on WebMD

Breast Cancer Overview
From self-exams and biopsies to reconstruction, we’ve got you covered.
Dealing with breast cancer
Get answers to your questions.
woman having mammogram
Experts don’t agree on all fronts, but you can be your own advocate.
woman undergoing breast cancer test
Many women worry. But the truth? Most abnormalities aren’t breast cancer.
Breast Cancer Treatments Improving
Resolved To Quit Smoking
Woman getting mammogram
Screening Tests for Women
ovarian cancer overview slideshow
serious woman
what is your cancer risk
10 Ways to Revitalize Slideshow