Pregnancy is accompanied by a lengthy list of do's and don'ts—take prenatal vitamins, no alcohol, exercise carefully, and eat well. But what about when an unplanned health issue presents itself, such as the necessity for a mammogram? For most women, this might not even be something they think about until they are in a position where breast cancer screening is an option.

Perhaps you're over 40 and in need of your yearly mammogram, or perhaps you have a history of breast cancer in your family and you want to keep your screenings current. More emergently, you've found a lump in your breast. So, can you have a mammogram when pregnant? The answer is yes, but there are several things to consider.

Pregnancy creates substantial hormonal changes that affect the body, as well as breast tissue. Estrogen and progesterone's rise causes the breasts to expand and condition to produce milk, which results in denser tissue. This increased density is more challenging to detect any abnormalities with using mammograms. Even post-delivery, should the woman be breastfeeding, milk-filled glands can also make the breasts denser and, as a result, make mammogram readings less clear.

While 3D mammograms have improved imaging technology to help navigate dense breast tissue, doctors often suggest postponing routine screening mammograms until after pregnancy if there are no symptoms or high-risk factors. However, if a lump or abnormality is found, your doctor may recommend immediate diagnostic imaging.

When Is a Mammogram Necessary During Pregnancy?

Mammograms are not done routinely if a woman becomes pregnant, yet there are specific situations where one might be unavoidable. Breast cancer in pregnancy does occur—1 in 3,000 times—but it's not common. If a lump is detected by a woman, she has constant breast pain and no explanation, or she is at high risk (e.g., strong history of breast cancer in her family or genetic defect such as BRCA1 or BRCA2), a physician will order a mammogram.

The process itself takes very little radiation exposure. The radiation employed by a mammogram is concentrated on the breast, and there is little to no radiation that reaches other areas of the body. A lead apron is also placed over the belly to shield the unborn child.

Alternative Breast Imaging Options During Pregnancy

For pregnant women requiring breast imaging, physicians may initially suggest an ultrasound. In contrast to a mammogram, an ultrasound is not done with the use of radiation and is deemed safe for pregnant women.

An ultrasound of the breast can establish whether a lump is a fluid-filled cyst or a solid tumor that needs further investigation. Yet ultrasounds are not always diagnostic, and in certain instances, a mammogram or biopsy is needed to determine or rule out cancer.

Magnetic Resonance Imaging (MRI) is also an imaging choice but has some drawbacks. The majority of breast MRIs employ a contrast material called gadolinium, which is able to pass through the placenta and to the fetus. Although risks are not entirely clear, physicians usually do not use MRI with contrast unless necessary. Some practitioners may offer an MRI without contrast as an option.

What If You Find a Lump In Your Breast During Pregnancy?

Breast changes throughout pregnancy are normal, but finding a lump should never be taken lightly. If you notice a lump, alert your medical provider right away. They will conduct a clinical breast exam and potentially have you get an imaging study such as an ultrasound or mammogram to see whether anything needs to be done.

If imaging indicates a suspicious mass, a biopsy can be suggested. Core needle biopsy is the most frequently used and is safe during pregnancy. It consists of numbing the skin with local anesthetic and inserting a hollow needle into the area to obtain a small sample of tissue to be tested.

Breast Cancer Treatment During Pregnancy

In the extremely uncommon event of a diagnosis of breast cancer while pregnant, therapy will be determined by the nature and extent of cancer and by how far along in pregnancy one is. The most frequent form of treatment is surgery—either mastectomy (surgical removal of the entire breast) or lumpectomy (surgical removal of the lump)—which is usually safe while pregnant.

Chemotherapy is also possible but usually only attempted after the first trimester, when it can damage developing fetal tissue. Radiation therapy is not used during pregnancy and is typically deferred until after giving birth. Hormonal therapy and targeted therapies are also omitted until after giving birth.

Can I Get a Mammogram While Breastfeeding?

Yes, you can have a mammogram while you are breastfeeding. The radiation in a mammogram does not impact breast milk or hurt the baby. But breast density is still high during lactation, and this might complicate detection of abnormalities. To enhance image quality, physicians usually advise breastfeeding or pumping 30 minutes prior to the mammogram.

Routine screening mammograms are usually delayed in pregnancy unless there is a high-level concern.

If a lump is detected, an ultrasound is typically the initial imaging study done, with a mammogram being a consideration if additional assessment is necessary.

• Pregnancy mammograms utilize minimal radiation and are safe when required.
• Breast MRI with contrast is usually avoided in pregnancy.
• Breast biopsy, when necessary, is safe during pregnancy.

If breast cancer does develop during pregnancy, there are available treatment options that can be adjusted to keep the mother and infant safe.

Pregnancy is a period of significant change, and health issues particularly those involving breast health, are anxiety-provoking. Routine mammograms are typically postponed until after giving birth, but diagnostic testing can be done if necessary. The best you can do is discuss changes you notice in your breasts with your healthcare provider in an open manner. Early detection and prompt treatment can make a very big difference in the health of both mother and fetus.

New health data has prompted the NHS to once again encourage certain groups to get their flu vaccination. Recent figures from NHS England show that cases of winter viruses are climbing again.

For example, as per Mirror, hospital admissions due to flu have risen by 9% over the past two weeks, after the previous fortnight had suggested a decline in cases. At the same time, daily numbers of patients admitted with norovirus and Covid have increased compared with the previous week.

Despite these rising cases, the NHS confirmed that it has administered over 18.6 million flu vaccines this winter, an increase of more than half a million compared with the same period last year. With the surge in winter viruses putting extra strain on hospitals and ambulance services, the NHS emphasised that thousands of flu vaccination appointments are still available.

NHS Issues New Flu Jab Alert

Posting on X, the NHS said: "Flu can be serious, especially for older people and those at higher risk. Millions have already been vaccinated this season, and there are still thousands of appointments available.

"If you're eligible, it’s not too late to get yours." Many people, particularly those in vulnerable groups, may qualify for a free flu vaccine.

Who Is Eligible For The Free Flu Jab?

According to NHS guidance, there are six main categories of people eligible for a free flu jab. You might qualify if you need additional protection or if someone in your household does.

This includes people who:

• Are pregnant
• Have certain long-term health conditions
• Live in a care home
• Are aged 65 or over, or will turn 65 by March 31, 2026
• Are the main carer for an older or disabled person, or receive a carer's allowance
• Live with someone with a weakened immune system (for example, someone undergoing chemotherapy)

NHS national medical director Professor Meghana Pandit said: "It’s clear that the worst is far from over for the NHS this winter. Hospitals have seen another rise in admissions from flu and other respiratory viruses last week. The cold weather is also contributing to an increase in vulnerable patients visiting A&E with respiratory issues and more injuries from slips and falls due to icy conditions, so it remains an extremely busy period."

How To Get The Flu Vaccine For Free?

If you qualify for a free flu jab, there are several ways to access it. As per Mirror, you can call your GP surgery directly to book an appointment, or arrange one at a pharmacy either online or through the NHS app, as long as you are 18 or older.

Some pharmacies also offer the NHS vaccine at no cost and accept walk-ins without prior booking. This service isn’t available at every pharmacy, but you can locate the nearest pharmacy offering the complimentary vaccine here.

Itchy skin is something most of us deal with occasionally, and in many cases, it is harmless. Everyday triggers such as rough clothing, insect bites, or dry winter air can all leave the skin irritated. Itching is also commonly linked to skin conditions like eczema or psoriasis.

That said, an oncologist has pointed out that persistent itching can, in some cases, be linked to certain cancers. In a TikTok video, Dr Amit Garg, a cancer specialist based in California, explained that itching can appear as a symptom in four specific types of cancer. While itching alone is not usually a cause for concern, it may become more meaningful when it occurs alongside other symptoms that should be checked by a GP.

1. Hodgkin Lymphoma

Hodgkin lymphoma is a relatively rare cancer that affects lymphocytes, the white blood cells that help the body fight infection. Dr Garg explained that this cancer can cause “severe, widespread itching,” which often becomes worse at night. The NHS also lists itchy skin as a possible symptom, along with:

• A painless lump or swelling, usually in the neck, armpit, or groin, which is the most common sign
• Pain in the glands of the neck, armpit, or groin after drinking alcohol
• A high temperature
• Night sweats
• Shortness of breath
• Sudden, unexplained weight loss

The NHS advises seeing a GP if you notice any of these symptoms. Although they are common and do not always point to Hodgkin lymphoma, it is important to rule it out. Early diagnosis improves the chances of successful treatment, so symptoms should not be ignored.

2. Polycythemia Vera

Polycythemia vera is a rare, slow-developing blood cancer. According to the NHS, it is most often caused by a change in the JAK2 gene, which leads the bone marrow to produce too many red blood cells. An increased concentration of red blood cells is known as erythrocytosis, although having this condition does not automatically mean cancer.

One symptom of erythrocytosis can be itchy skin, particularly after bathing or showering. You should speak to a GP if symptoms persist. Other signs may include:

• Headaches
• Blurred vision
• Reddened skin, especially on the face, hands, and feet
• Tiredness
• High blood pressure
• Dizziness
• Discomfort in the abdomen
• Confusion
• Bleeding issues such as nosebleeds or bruising
• Gout, which can cause joint pain, stiffness, and swelling

3. Gallbladder And Pancreatic Cancer

Gallbladder cancer and pancreatic cancer often share similar symptoms. These can include a reduced appetite, unintentional weight loss, fever, nausea, and changes in bowel habits such as diarrhoea or constipation.

Dr Garg explained that both cancers can cause “intense itching,” which happens when bile salts build up under the skin. The NHS also lists itching as a symptom for both conditions, noting it may occur alongside darker urine, paler stools, and jaundice, which can cause yellowing of the skin or the whites of the eyes.

One key difference between the two cancers is the type of pain experienced. Gallbladder cancer may cause a dull ache on the right side of the abdomen, while pancreatic cancer more commonly causes pain in the upper abdomen and back, which can worsen after eating or when lying down.

In both cases, you should see a GP if symptoms last longer than two weeks or if you have lost weight without trying. You should call 111 if vomiting lasts more than two days, diarrhoea continues for more than seven days, or if your skin turns yellow.

4. Cutaneous T-cell Lymphoma

Cutaneous T-cell lymphoma is a form of skin lymphoma and a rare type of non-Hodgkin lymphoma. It begins in the T cells of the skin and often appears as flat, red patches that may be itchy.

In its early stages, these patches can resemble common skin conditions such as eczema or psoriasis. Seeing a GP is important if symptoms develop, as they can assess whether it is a common skin issue or something more serious.

Cancer Research UK states that around 150 people in the UK are diagnosed with cutaneous T-cell lymphoma each year, making it a rare cancer. As with many cancers, early diagnosis can play a key role in improving treatment outcomes.

A GP has advised women to make three simple health checks part of their monthly routine, saying the start of the month can act as a helpful prompt to stay consistent. The advice comes from Dr Carys Sonnenberg, an NHS women’s health GP and the founder of the Rowena Health Menopause Clinic. Speaking to her large audience on TikTok through her account @Rowenahealth_menopause, the doctor, author, and public speaker suggested setting aside the first day of every month for these routine checks.

Even if the date has already passed this month, she noted it can still serve as a timely nudge for those who have not yet done them, and a useful habit to follow going forward.

Three Health Checks Doctor Recommends

In her video, Dr Carys explained to viewers: “It’s the first of the month, so it’s a really good day to do your chest check, to do your vulva check, and also to examine any moles that you have on your body, not forgetting your head.” She added that becoming familiar with your own body is key. “When you’re checking yourself, it really helps to understand what’s normal for you. I’m Dr Carys Sonnenberg.

“I’m a GP and a menopause specialist. There is some excellent guidance online that shows you how to check your chest properly, what changes to be mindful of, and which symptoms should be discussed with your GP.

How To Do Health Checks Properly

“For the rest of your body, you’ll need a mirror. You might also want someone to help check areas you cannot easily see, such as your back, in case there are skin moles that look different or have changed. Don’t forget to part your hair and look at your scalp as well, in case there’s anything unusual that needs attention. I hope that’s helpful.”

Breast Changes To Watch For

Health experts stress the importance of staying alert to changes in your breasts or chest that could signal a problem. Making monthly checks a habit is a simple way to stay aware, while also remembering that some changes can occur naturally, such as during different phases of your menstrual cycle.

Possible signs of breast cancer can include:

• Skin changes like puckering or dimpling
• An unusual lump or swelling in the armpit or near the collarbone
• New lumps or areas of thickened tissue
• Fluid leaking from the nipple
• Crusting or a rash on or around the nipple
• A nipple that turns inward or changes direction
• A sudden change in breast size or shape
• Ongoing, unexplained pain in the breast, chest, or armpit

Secondary symptoms may include trouble sleeping, feeling generally unwell or sick, a loss of appetite, unexpected weight loss, and ongoing tiredness or low energy. While these signs do not always point to breast cancer, doctors advise contacting your GP if you notice anything unusual. Always speak to your GP if you have concerns about your health.