Screen for Life - Breast Cancer Screening Programme

Am I at risk of breast cancer?

Breast cancer is a cancer that starts in the breast tissues. As with most cancers, the exact cause is not known, but experts believe that it may be due to genetic and environmental factors. With early detection, the chances of survival can be greatly increased.

You are at higher risk if:

You are 50 years of age or
older; and / or

You have a family history
of breast cancer

Besides age and a family history of breast cancer, other risk factors include:

A history of ovarian cancer

Early onset of menstruation

Late
menopause

Having your first child after the age of 30

Having few children or never having children

Being on hormone replacement therapy

Weight gain, especially after menopause

Drinking alcohol

How do I protect myself?

The best way to protect yourself from breast cancer is to go for regular mammograms. Doing a monthly breast
self-examination also keeps you aware of any changes that are occurring to your breasts.

Mammograms are a low-dose X-ray examination on the breasts. During a mammogram, the breast is gently compressed between two plates of the X-ray machine, one breast at a time. It takes a few seconds to get a good image of the breasts.

The images are then used by radiologists to check for abnormalities. Currently, a mammogram is the most accurate way to detect breast cancer even before they can even be seen or felt.

Monthly breast self-examination can improve your awareness of your own
breasts and help notice any changes.

Step 1
Raise your arms.

Step 2
Lower your arms and press them firmly against your hips.

Step 3
Turn slowly from side to side and look for changes in
• Size or shape of breasts
• Nipples
• Appearance of skin

Step 4
Use small, circular movements to feel your armpits for lumps. Starting from the outside, feel around your breasts in circles. Feel the nipple.

Step 5
Finally, gentle squeeze your nipple to check for any bleeding or discharge.

Step 6
Lie down and repeat steps 4 and 5.

50 years and above:

Go for your mammogram screening once every two years unless your doctor advises otherwise.

In between your screening tests, make it a routine to do a breast self-examination every month, about a week after the start of your menstrual period. If you no longer menstruate, do a breast self-examination on a fixed date each month (e.g. first day of the month).

40 to 49 years old:

As breast tissues of younger women tend to be denser, abnormalities may not be visible on the mammogram.

Thus, consult your doctor about the benefits and limitations of going for a mammogram at this age. If you decide to go for a mammogram, it should be done once a year.

In between your screening tests, make it a routine to do a breast self-examination every month, about a week after the start of your menstrual period. If you no longer menstruate, do a breast self-examination on a fixed date each month (e.g. first day of the month).

30 to 39 years old:

If you are below the age of 40, mammograms are not recommended for you. However, you are encouraged to do a routine breast self-examination every month, about a week after the start of your menstrual period.

Breast Cancer Screening Subsidies

A mammogram costs $138 before GST at participating BreastScreen Singapore screening centres. With subsides from HPB, the test will cost (valid for Females only):

Eligible Singaporean Citizens
$50

Permanent Residents
$75

Merdeka Generation (MG)
$37.50

Pioneer Generation (PG)
$25

If you are 50 years old and above, you may use your Medisave or the Medisave of an immediate family member for your Mammogram at Medisave-approved centres, including participating centres under the Medisave500 scheme. You can use up to $500 per Medisave account a year under this scheme.

The full list of approved centres can be found on Page 5 and 6 of this PDF.

Am I eligible for the subsidy?

You are eligible for mammogram screening under the Screen for Life programme if you meet the following criteria:

1) You are a Singaporean or Permanent Resident

You are above the age of 50 years or
You are between the age of 40-49 and decide to go for your mammogram after you consulted your doctor

2) You currently do not have any of the breast symptoms below. However, if you noticed any of these changes in the breasts, please consult a doctor immediately.

Painless lump
Persistent rash around nipple
Bleeding or unusual discharge from nipple
Swollen or thickened skin
Dented inwards or folded outwards skin
Retracted nipple

3) You have not gone for a screening mammogram

Within the past one year if you are between the age of 40 to 49 years and decide to go for a mammogram after you consulted your doctor
Within the past two years if you are above 50 years of age
You do not have any breast symptoms at the moment
(for example lumps, bleed or discharge from the nipple, pain in the breast etc.)

CHECK YOUR SCREENING ELIGIBILITY

Other subsidies available

If you have a valid Blue or Orange CHAS card, are aged 50 years and above, and have not gone for your mammogram in the last two years, there are also funding assistance programmes offered by non-government organisations to help you cope with the out-of-pocket cost of screening.

The programmes and the benefits are:

Learn more about mammogram screening at the Singapore Cancer Society (SCS). You can get mammogram screening at no cost at the SCS clinic at Bishan. Terms and conditions apply. Call 1800 727 3333 to make an appointment.

BEAM (Breast Cancer Foundation Encouragement for Active Mammogram) by the Breast Cancer Foundation (BCF) provides funding assistance that covers the out-of-pocket cost of screening for you (only for first time screeners).

This programme is available at the participating screening centres listed in the table below.

To make an appointment for a mammogram screening, call the appointment hotline for the screening centre located nearest to you.

Mammogram screenings are also available onboard the Mammobus. Check the Mammobus Service and contact the event organiser to register (terms and conditions apply).

Schedule your appointment at least one week after the start of your menstrual period to lessen the pain and sensitivity of your breasts.

Call 6275 6443

Call 6536 6000

Ang Mo Kio Polyclinic

Bukit Batok Polyclinic

Choa Chu Kang Polyclinic

Clementi Polyclinic

Hougang Polyclinic

Kallang Polyclinic

Pioneer Polyclinic

Toa Payoh Polyclinic

Woodlands Polyclinic

Yishun Polyclinic

You can also make a mammogram appointment here or through HealthHub

Bedok Polyclinic

Bukit Merah Polyclinic

Eunos Polyclinic

Outram Polyclinic

Pasir Ris Polyclinic

Punggol Polyclinic

Tampines Polyclinic

Sengkang Polyclinic

You can also make a mammogram appointment here

Resources & FAQ

Download our pamphlet about
Breast Cancer Screening:

English & Chinese

English & Malay

English & Tamil

Download our booklet about the
Screen for Life programme:

English

Chinese

Malay

Tamil

Get more information on breast cancer here:

Signs and symptoms of breast cancer

Learn more

Video on breast cancer screening

Learn more

Learn more about breast cancer

Learn more

Frequently Asked Questions
For FAQs on COVID-19 Vaccination and Breast Cancer Screening, please click here

Q1 | I am 36 years old, can I screen for breast cancer under Screen for Life Programme?

No. Currently there is no evidence that regular mammogram screening of women under the age of 40 can detect early breast cancer. This is because the breast tissues in pre-menopausal women is denser, making mammograms very difficult to read.

However, if you notice any unusual breast lumps, pain or nipple discharge, you should see your doctor as soon as possible. If you think you have a higher risk of developing breast cancer, you should also seek advice from your doctor.

Q2 | Why is the screening frequency for women aged 40 to 49 different from women who are above the age of 50?

Women above the age of 50 usually have breast tissues that are less dense, making abnormal tissues easier to detect through a mammogram. If no abnormalities are detected, the chances of a cancer developing in between screens (two years) will be low (though still possible).

For women between the ages of 40 to 49, the breast tissues are denser and a mammogram may not be able to detect abnormal tissues as well. Therefore, women in this age range are recommended to screen more frequently, so any changes in the breast tissues in between screens (one year) can be better detected.

You should go for a mammogram once a year if you are aged 40-49 years old and once every two years if you are aged 50 years and above. As such, you should wait till you are due before going for your re-screen.

Q3 | I have a breast implant, can I screen for breast cancer?

Yes, you can. As special X-ray techniques will be used, your screening will be done at designated hospitals. The same screening fees will apply.

Q4 | I am currently on follow-up by my own doctor for breast problems. Can I still enjoy Screen for Life subsidies?

Screen for Life – Breast Cancer Screening Programme is for women with no breast problems. Please continue to see your doctor. However, once you are no longer required to follow-up with your doctor for the breast problem, you may call the hotline of the screening centre to make an appointment for breast screening.

Q5 | I have done my mammogram screening and my results are normal. Do I need to go for my screening again?

Yes. Even though you have a normal result for your latest screening test, you are still encouraged to go for your next screening test as changes to breast tissues can occur over time.

Q6 | I do my breast self-examinations every month. Do I still need to go for a mammogram?

It is a good practice to do a breast self-examination every month. However, a mammogram is more sensitive and accurate in detecting changes in breast tissues even before they can be felt. Thus, we encourage you to continue with your regular self-examinations, and to go for your mammogram when you are due for it.

Q7 | I noticed some breast abnormalities. Can I still go for my mammogram?

If you notice changes in your breasts, you are encouraged to see your doctor immediately instead of going for a screening test.

Q8 | Do I get a medical report with my X-Ray images?

There is no medical report given after the mammogram. Your results will be posted to you in the form of a letter indicating whether your mammogram is normal or abnormal. Under the programme, you will be not be given any X-ray images at the end of the screening tests.

However, the images are stored in a secured system that’s accessible by the parties involved in the programme who can refer to them for your next screening test. If you wish to keep a copy of the images, you may request for it at a fee from the screening centre where you did your mammogram.

Q9 | Can I have the mammogram screening if I am pregnant?

No. A mammogram is an X-ray examination of the breast. Like all X-rays, it may be harmful to the foetus, so it is not advisable to have a mammogram done during pregnancy.

Q10 | Can I have the mammogram screening when I am having menses?

It is advisable that you schedule your appointment at least 1 week after your menstrual period, when your breast is less tender and sensitive.

Q11 | Can I have the mammogram screening if I’m breastfeeding?

You need to wait at least 6 months after you stop breast-feeding before you can do your mammogram. This is because your breasts will be compressed during mammogram and the milk ducts in your breasts can lead to inaccurate results.

Q12 | How can I prepare for a mammogram screening?

Schedule your test at least one week after your menstrual period, when your breasts are less tender and sensitive. This is to minimize discomfort during compression of the breasts.
On the day of the test, do not use or apply anything such as deodorant, perfume, powder or ointment in the underarm area or on your breasts as this may affect the X-ray.
Wear a comfortable two-piece outfit as you will need to undress to the waist.

For more tips visit: www.healthhub.sg/live-healthy/1839/5-ways-to-psych-yourself-for-a-mammogram

Q13 | Is the mammogram screening painful?

You may experience a slight but brief discomfort (10 – 15 seconds for each breast). This is because the breasts will be compressed during the X-ray. Compression is necessary to keep the breast still to get the clearest picture. To help minimize the discomfort, you should schedule your test at least one week after your period when your breasts are less tender and sensitive.

Q14 | How long will the mammogram screening take?

The X-ray only takes 10 – 15 seconds and the whole mammogram procedure will take about 30 minutes.

Q15 | I did my test last week, when can I get my results?

Your results will be posted to you within 4 weeks after screening. If you still do not receive your results after 4 weeks, please call Screen for Life at 1800 223 1313 to enquire.

Q16 | My results on the letter states that the mammogram screening result is abnormal. What does that mean?

If you have an abnormal mammogram result, this does not mean that you have cancer. It means that the radiologist has noticed something abnormal in the breast tissues, and would need you to go for further tests that are available only at the hospital.

Think of this hospital follow-up check as any other test you may get at the polyclinic.

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