Breast Screening
Normal results
After a routine mammogram in the NHS Breast Screening Programme, the radiographer (the female specialist who takes the breast x-rays) will tell women how, and approximately when, they will get the results. She also reminds them to be 'breast aware' between screening appointments. If it is the woman's last routine screening before age 70, the radiographer also reminds her that she can ask for another screening appointment in three years' time. She will also give the woman a card to help her remember this.
The mammogram is examined and the results sent to the woman and her GP, usually within two weeks. “In about 96 out of every 100 women screened the mammogram will show no sign of cancer -- this is a normal result” (NHS Breast Cancer Screening Programme – 'Helping you decide' leaflet July 2013). Most women we spoke with discussed waiting for and receiving their mammogram results by post. Some received them within two weeks, others sometimes received their results three, four, or even five weeks later.
Some women didn't worry about the results until they arrived, when they were a bit nervous opening the letter. Two British Chinese women had their daughters translate the results letter for them and their results had always been normal. A British Indian woman said that her daughter would translate her results letter for her, if she was unsure. One woman said that she didn't usually worry whilst waiting for her results letter but after her last mammogram she did. This was because she was on HRT and had just heard about a report on HRT and breast cancer.
She does not worry about her mammogram results until they arrive.
She does not worry about her mammogram results until they arrive.
No, no I don't, I give it a thought and then I forget about it and then all of a sudden the letter comes and I think oh oh. Just before I open it I think oh, but I've been lucky.
She worried about her results because she'd heard about a link between breast cancer and taking HRT.
She worried about her results because she'd heard about a link between breast cancer and taking HRT.
How long did it take before you get the results?
I think between fourteen and twenty-one days.
So while you're waiting for the results do you ever think about the letter or the results or not at all?
I did this time with my doctor saying, and this thing that came out about HRT and breast cancer you know, and if you're on the dual one you're more likely to get it. And I did think this time am I going to be lucky still and it was lovely to get the letter, I thought oh yippee you know, saying I was clear you know.
What did that letter actually say?
Oh I've thrown it away.
That's okay. Is it clear or do you ever think I'm not sure what this means?
Oh yes it's clear, it says I'm not required you know, and we'll see you kind of in three years time, so you know that everything was alright.
Some women waiting for the results letter were a bit anxious. A few said they would expect the screening unit to contact them straightaway if there were any problems. They therefore felt anxious during the first week after a mammogram but less anxious as time went on. Several women said that they didn't feel anxious waiting for their results but often remembered that they were expecting a letter. One woman waited five weeks to receive her results by post and became more anxious as time went on. The letter said that mistakes were occasionally made, so she also wondered whether she could believe the results.
She doesn't worry while waiting for her results and would expect a letter or phone call if there was something wrong.
She doesn't worry while waiting for her results and would expect a letter or phone call if there was something wrong.
So how long does it usually take before you get the results?
Only about three weeks I think, it wasn't long before I got that. And each time when it comes I think oh crikey, that's quick. Which you do because sometimes you know they'll say "Oh we'll let you know, it could be a while but we'll let you know." But I suppose if there was anything wrong you don't worry because you think, well if anything was wrong anyway they would be writing to you or ringing you up and telling you to go back again, yeah.
But between the time you have the mammogram and you get the results, do you think about the results or you just get on with things?
No, not really. I just get on with my life and you know.
It doesn't worry you at all?
No, no I just think oh well they'll ring me up straight away or something if there's anything wrong [laughs].
And when you get the letter is it a relief?
Yeah you think oh this is it, you know there's nothing wrong you know.
She feels anxious during the first week after having a mammogram.
She feels anxious during the first week after having a mammogram.
So you receive a letter don't you?
A letter through the post yes.
And what does the letter say?
It's, its just something to the effect that they're pleased on this occasion that the mammogram has come up clear and no problem sort of thing, not in those words but in that meaning, yes.
So it's always clear the meaning?
Absolutely yes. Yes.
So while you're waiting for the results to come through do you think about them or do you get on, do you feel anxious at all or not?
For the first week I feel a bit anxious because I feel if you're going to hear something you're going to hear in those first few days and after that first week somehow I start relaxing and I feel quite confident that everything's going to be OK, so.
When you get the results do you feel a sense of relief then?
Absolutely yes, thank God for that, yes.
One woman was particularly concerned waiting for the results of her first mammogram but much more relaxed on other occasions, especially when she'd had a mammogram between the usual three-year interval. Another woman said that she felt slightly concerned because of the radiographer's manner at her last mammogram. However, she also said that levels of anxiety can depend on the experience at the screening unit and how you are feeling on the day.
She felt anxious waiting for the results of the first mammogram but is now more relaxed whilst waiting for results.
She felt anxious waiting for the results of the first mammogram but is now more relaxed whilst waiting for results.
While you were waiting the very first time, how did you feel when you were waiting for the results, did you think about it a lot or?
Oh, I was obsessed with it, absolutely obsessed. Because they did say to me that it takes a few weeks, well a few weeks for me, by the end of the first week I was already watching the post. So, as I said, I was totally obsessed with it. I mean, I'm not any more. If it happens to me, it happens to me and I shall have treatment and hope for the best but at that point, no I drove the entire family mad. I was phoning home from my office every morning, "is there any post for me?"
So did they know you were worried about the results...?
Yes, yes [laughing]
What were your expectations of the results?
Oh, I felt sure there would be something disastrously wrong. And when it came I kept thinking, oh the letter says there's nothing to worry about, "no need for further action" or some such phrase. I kept thinking, it's too good to be true. And then, of course, I had to unwind, didn't I? Because I'd got so uptight with all this self-imposed worry.
So the first time you were really anxious when you were waiting for the results, how about the second time?
I was quite blas' about it [laughing]. They'll come when they come and whatever they are, they are.
And that was because you'd done so much more reading and?
Yes, and also because I know that having had the mammogram half way through the 3 year span of time, if it does turn out that there's something there, it hasn't had too long to get a hold.
And how about this time, this waiting for results, how is it?
Yes, I'm not too, I mean I know I shall be a little bit nervous when I open the envelope just in case there's something in it, something I don't want to see. But no, I'm not too worried.
A new radiographer's manner worried her.
A new radiographer's manner worried her.
Another thing which I think I find a bit alarming, or a bit anxiety making, a bit angst making, is the fact that the radiographers, or the people that actually do the scanning, they have different attitudes to you. And the last time, the very last time I went, which must be the fourth time I've been so I'm quite an old hand at it now, the women, the radiographers were coming out and saying to the women, "Are you all right? Fine, yeah, no it was fine, you're all right, you'll get a letter in a couple weeks' time."
Well the girl that I had doing mine was a learner, she was a student and she was being very careful and very concerned and when she came out to tell me about mine she came out and said "Thank you very much, your scan was done and it's, and we've got the pictures and you'll be hearing from us." And immediately I was ahh, why, why isn't she talking to me like the other people are being talked to? Why isn't she saying "Everything's all right," da di da, you know, something must be wrong, there's something wrong. So then I spent the next period thinking what am I going to hear? What am I going to hear? And of course the letter came and everything was clear, so yeah. A lot depends on who you are dealing with, how you're feeling on the day, whether it's a nice experience or not. And after all at the end of the day all the scan's going to tell you is that you have got it or you haven't had it, but it isn't going to tell you that you're not going to get it.
One woman, who had had mammograms privately before her first one on the NHS, compared her experiences of receiving results on the NHS and privately.
She compares receiving results on the NHS and privately.
She compares receiving results on the NHS and privately.
There was, with the NHS it was a little bit longer, it took a, in fact I only got it the other day and I had it, was it over a month ago? Yes. Whereas with the [private hospital] it was within 2 weeks.
And what did the letter say?
It was a basic letter which they probably send out to everybody saying that they didn't find or detect anything but that we should carry on examining our breasts. But the NHS letter said that there wasn't anything that they found but there is always a small chance that something wasn't detected and that to carry on examining yourself and to carry on having mammograms and I would be getting notification, I think it said 3 years. So it was basically the same.
Easy to understand?
Oh yes, no I mean I just scanned the letter very quickly and it was very clear.
All women found the results letter easy to understand and were relieved to hear that their results were normal.
Last reviewed March 2016.
Last updated March 2016.
Copyright © 2024 University of Oxford. All rights reserved.