Mammography Screening in Germany
Who is eligible, and how does it work?
Mammography helps detect changes in the breasts even before noticeable symptoms appear. Germany has an organized breast cancer early detection program, the Mammography Screening Program.
Currently, women between the ages of 50 and 75 are eligible for mammography screening once every two years. For participants with public health insurance, the screening is covered by their health insurance provider.
How do you schedule a screening?
Women in the eligible age group are usually sent a written invitation with a suggested date and the address of a specialized center.
But you don’t have to wait for an invitation. You can schedule an appointment yourself through the official website of the German mammography screening program. For a routine screening, your previous screening mammogram must have been performed at least 22 months ago.
How is a mammogram performed?
During the exam, X-rays are taken of each breast. The procedure usually doesn’t take long, but you may experience brief discomfort while your breast is being positioned.
The images are independently evaluated by two doctors. The results are usually mailed within seven business days. If suspicious changes are detected on the images, the woman will be invited for further testing. This may include a physical exam, an ultrasound, an additional mammogram, and, if necessary, a biopsy.
What should women aged 45–49 do?
In 2026, Germany began the process of potentially expanding the organized screening program to include the 45–49 age group. However, as of October 2, 2026, this age group has not yet been included in the standard state health insurance program. The Gemeinsamer Bundesausschuss is reviewing the necessary changes, after which additional organizational and legal steps must be taken.
If you are under 50 but have noticed a lump, a change in breast shape, nipple retraction, unusual discharge, or skin changes, you do not need to wait until you reach the age for routine screening. Consult a gynecologist or your primary care physician. If there are medical indications, the doctor can order the necessary diagnostic tests regardless of your age.
Similarly, the routine screening program is not a substitute for a medical examination if symptoms are present. Mammography screening is primarily intended for women who show no signs of disease.