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Pretty sure it's the WHO recommendation. It's sort of like PSAs. When that test first came out everyone and there brother wanted it and usually only caught the people in their 70s and the question to treat or not with the quality of life like leaking urine etc .. In England they do fine with mammos one every 3 years for the 50 to 75 yrs old folks. I worked as UM nurse and if you have family history you are to get the first one way earlier then 40, I think it's 35 but those folks are ok to get mammos in the 20s too if I recall correctly if there is two or more family members with breast or ovarian ca. I think they also added colon ca as a risk recently for that genetic mutation factor. ETA: yup the folks with the family history can go ahead and get the breast removed and have implants as a precaution in early 20s so those that choose to take the chance on ca can just instead get mammos. Sounds like playing Russian roulette to me.
Yeah, I never meet a patient that did the BSE correctly and first it was taught to stand and then it was taught to lie and do it -- most women who caught it was accidentally found with shower or other behavior like the spouse going hey, why do you have this hard lump? Oh, or they had a leaky nipple. That freaked me out when I first had a patient complain of that because ... yikes.
I just got a letter from my dr. office saying they been trying to reach me to come for a colonoscopy ... hmm, runs in my family but really no one died from it so why torment me. I'm going to call and say NO. So I guess the insurance companies that check the HEDIS stuff want that done to unsuspecting patients too. Never admit to anything that leads to invasive testing is going to be my new rule.