Is there a pain-free mammogram device? which breast size is more likely to experience pain during a mammogram?

Density not Size: The discomfort (what we doctors prefer to call pain) associated with mammography is the result of compression applied to the breast in an effort to thin it out and obtain clearer images. Dense glandular breast resist the compression more than fatty breasts resulting in greater discomfort. Breast tend to become less dense and more fatty as women age.

No: The technologist should be able to work with you to titrate the amount of compression so that it is not intolerable. But there is no examination now that can substitute for a mammogram. Beware of phony claims that thermography is a useful examination -- it is not. Even MRI which is more sensitive than mammography will not always see the early cancers detected on mammograms.

Mammo pain: Compression is unfortunately necessary for mammography, and could be uncomfortable. It is not related to size. Some facilities use special disposable pads on the mammo unit to cushion the breasts in order to minimize discomfort. Some mammo units have compression paddles with rolled edges to minimize potential pinching. Call around to see if any facilities near you have these.