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Jewish women should get mammograms at 40, experts say. Here’s why.

When Yaffa Leah Field was in her late 20s, she decided to undergo genetic testing.
Her grandmother had had breast cancer, and Field wanted to know whether she was among the one of every 40 Jewish women of Ashkenazi descent with either the BRCA1 or BRCA2 genetic mutations, which make them extra susceptible to breast cancer.
If she did have one of those mutations, her chances of developing breast cancer by age 70 would be roughly 50% in her lifetime, according to the Centers for Disease Control.
“The test came back negative,” said Field, now 43 and the mother of three boys.
Though temporarily relieved, she knew that breast cancer risk is not limited to those with the genetic mutations. Roughly one in eight women will develop the disease in their lifetime, and men, too, can have breast cancer.
Close monitoring, therefore, is essential. For women, that means not only regularly checking their breasts themselves for lumps or abnormalities, but getting mammograms. The question is when to start.
Field, who now works at Sharsheret, the national Jewish nonprofit that offers education, counseling and support to women facing breast and ovarian cancer, got her professional start as a physician’s assistant, so she knew how important it was to “do my screening on time.”
But what exactly “on time” means has been the subject of much debate and disagreement.
The question came to the fore again this spring when a panel of experts serving on the United States Preventive Services Task Force (USPSTF) revised earlier guidelines and changed the recommended age that women get their first mammograms to 40, from 50, and suggested that they continue to have mammograms done once every two years. It’s not the first time the recommendation has changed.
“In 2016 the US Task Force changed the guidelines from 40 to 50,” said Dr. Caryn Gamss, a radiologist at Murray Hill Radiology in Manhattan.
Gamss is also a member of Sharsheret’s Medical Advisory Board. In her practice, Gamss adheres to guidelines from the American College of Radiology that recommend starting yearly screenings at age 40 provided a person has no risk factors.
“Fifty is too late,” Gamss says.
Even waiting until age 40 can be risky, as recent studies have shown high breast cancer mortality rates for women in that age group, she noted.
“People need to think about it younger instead of waiting and then finding out ‘My mother had cancer, my grandmother…’ — and they show up at 40 and have cancer, too,” Gamss said.
Her recommendation is that all women undergo a breast cancer risk assessment by age 25. That entails answering a panel of questions that covers one’s family and medical history. Among other things, the assessment inquires whether a person had “a biopsy and a high risk lesion; breast density, if someone has lymphoma and was treated under the age of 25; if someone got upper abdominal radiation before age 25.”
The responses to these questions help doctors determine when and how individual patients should be screened — including whether to do MRIs and ultrasounds to supplement mammograms, for example. At-risk women should start their 30s armed with information and a plan.
Short of that, there is what Peggy Cottrell, Sharsheret’s genetics program manager, calls a general rule of thumb: “If breast cancer has been diagnosed at a particular age, you want to start screening 10 years before that. So if someone’s mother was diagnosed with breast cancer at 45, that person is going to start screening at 35.”
Avoiding smoking and alcohol, exercising, and a good diet are important to maintaining good health, Cottrell notes, but perhaps the biggest factor is chance. In fact, hereditary cancers like those caused by BRCA mutations account for only 15% of all breast cancers; most occur for reasons unknown. That makes screening all the more essential.
“For many women, knowing there is something they can do that can reduce their risk motivates them,” she said.
Many women delay getting mammograms out of fear of the results, nervousness about the process or just general anxiety. This is another area where Sharsheret provides women with help and guidance – even in the waiting room.
In order for doctors to interpret mammograms properly, they require two specific views of each breast. Sometimes, technicians need to take more than four photos to ensure they get those views; it doesn’t mean anything is wrong.
Women with no risk factors should get their first mammogram at age 40, experts now say, and to determine their level of risk, all women should undergo a breast cancer risk assessment by age 25. (Carol Yepes/Getty Images)
Even if you’re asked to come for a follow-up mammogram – what’s known as a diagnostic mammogram – it just means that more imaging is required, not that there’s necessarily a problem. Sometimes doctors observe a change in appearance from the prior year or a fold in the skin; other times the original image failed to capture the necessary view. Likewise, for some younger women and those with dense breasts, a mammogram may not suffice; doctors may require an ultrasound or MRI to examine the breast adequately.
Adina Fleischmann, a social worker who serves as Sharsheret’s chief services officer, recommends that each individual discuss their own circumstances with their healthcare provider. Sharsheret tries to promote awareness of the importance of getting breast cancer risk assessments, and to provide guidance to women about what to ask.
“We want to make sure that each woman who reaches out is able to ask the right questions: How often should I be screened? What’s the most appropriate screening method for me? Questions about what breast density means and how it can impact them,” Fleischmann said. “Those are the tools we want to give to our women.”
Women seeking guidance are encouraged to call Sharsheret toll-free at 866 474-2774 to connect with therapists and genetic counselors.
Sharsheret also offers peer-to-peer support, programs to guide cancer patients on how to talk about their illness with their children, and support to people who have a family member with breast cancer, including financial assistance for non-medical services critical to women’s quality of life and body image, such as acquiring wigs. Sharsheret also hosts live events such as barbecues, online yoga classes, family fun runs and other programs to empower women with cancer and foster a sense of community.
The education and awareness programming Sharsheret runs start as early as high school and college campuses, such as an annual Pink Day that includes grassroots fundraising events at hundreds of campuses worldwide.
“Sharsheret is here to arm you with education and to let you know that you’re not alone,” Fleischmann said. “Cancer screening, and the knowledge that comes along with it, can be empowering. By speaking with your healthcare provider about the screening guidelines that are most appropriate for you, you are taking a step toward your best health.”
As for Field, she went for her first baseline mammogram at age 40 — in the spring of 2020, just as Covid hit and the world masked up and locked down. The doctors identified something suspicious.
“It started a roller coaster of diagnostic testing. I wound up with eight biopsies, and in the end I had a bilateral mastectomy,” Field said after cancer was identified. “I feel thankful it was found very early.”
Her advice: Know your body and your family history.
“Breast cancer doesn’t just affect women 40 and older,” Field said. “Know your potential risks. Empower yourself to know what you need to be aware of. It shouldn’t be a shock. Be appropriately proactive.”
“And most importantly, when you reach the age when it’s recommended, get screened,” Field said. “It may be uncomfortable for a few minutes, but it’ll give you peace of mind.”
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The post Jewish women should get mammograms at 40, experts say. Here’s why. appeared first on Jewish Telegraphic Agency.
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After False Dawns, Gazans Hope Trump Will Force End to Two-Year-Old War

Palestinians walk past a residential building destroyed in previous Israeli strikes, after Hamas agreed to release hostages and accept some other terms in a US plan to end the war, in Nuseirat, central Gaza Strip October 4, 2025. Photo: REUTERS/Mahmoud Issa
Exhausted Palestinians in Gaza clung to hopes on Saturday that US President Donald Trump would keep up pressure on Israel to end a two-year-old war that has killed tens of thousands and displaced the entire population of more than two million.
Hamas’ declaration that it was ready to hand over hostages and accept some terms of Trump’s plan to end the conflict while calling for more talks on several key issues was greeted with relief in the enclave, where most homes are now in ruins.
“It’s happy news, it saves those who are still alive,” said 32-year-old Saoud Qarneyta, reacting to Hamas’ response and Trump’s intervention. “This is enough. Houses have been damaged, everything has been damaged, what is left? Nothing.”
GAZAN RESIDENT HOPES ‘WE WILL BE DONE WITH WARS’
Ismail Zayda, 40, a father of three, displaced from a suburb in northern Gaza City where Israel launched a full-scale ground operation last month, said: “We want President Trump to keep pushing for an end to the war, if this chance is lost, it means that Gaza City will be destroyed by Israel and we might not survive.
“Enough, two years of bombardment, death and starvation. Enough,” he told Reuters on a social media chat.
“God willing this will be the last war. We will hopefully be done with the wars,” said 59-year-old Ali Ahmad, speaking in one of the tented camps where most Palestinians now live.
“We urge all sides not to backtrack. Every day of delay costs lives in Gaza, it is not just time wasted, lives get wasted too,” said Tamer Al-Burai, a Gaza City businessman displaced with members of his family in central Gaza Strip.
After two previous ceasefires — one near the start of the war and another earlier this year — lasted only a few weeks, he said; “I am very optimistic this time, maybe Trump’s seeking to be remembered as a man of peace, will bring us real peace this time.”
RESIDENT WORRIES THAT NETANYAHU WILL ‘SABOTAGE’ DEAL
Some voiced hopes of returning to their homes, but the Israeli military issued a fresh warning to Gazans on Saturday to stay out of Gaza City, describing it as a “dangerous combat zone.”
Gazans have faced previous false dawns during the past two years, when Trump and others declared at several points during on-off negotiations between Hamas, Israel and Arab and US mediators that a deal was close, only for war to rage on.
“Will it happen? Can we trust Trump? Maybe we trust Trump, but will Netanyahu abide this time? He has always sabotaged everything and continued the war. I hope he ends it now,” said Aya, 31, who was displaced with her family to Deir Al-Balah in the central Gaza Strip.
She added: “Maybe there is a chance the war ends at October 7, two years after it began.”
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Mass Rally in Rome on Fourth Day of Italy’s Pro-Palestinian Protests

A Pro-Palestinian demonstrator waves a Palestinian flag during a national protest for Gaza in Rome, Italy, October 4, 2025. Photo: REUTERS/Claudia Greco
Large crowds assembled in central Rome on Saturday for the fourth straight day of protests in Italy since Israel intercepted an international flotilla trying to deliver aid to Gaza, and detained its activists.
People holding banners and Palestinian flags, chanting “Free Palestine” and other slogans, filed past the Colosseum, taking part in a march that organizers hoped would attract at least 1 million people.
“I’m here with a lot of other friends because I think it is important for us all to mobilize individually,” Francesco Galtieri, a 65-year-old musician from Rome, said. “If we don’t all mobilize, then nothing will change.”
Since Israel started blocking the flotilla late on Wednesday, protests have sprung up across Europe and in other parts of the world, but in Italy they have been a daily occurrence, in multiple cities.
On Friday, unions called a general strike in support of the flotilla, with demonstrations across the country that attracted more than 2 million, according to organizers. The interior ministry estimated attendance at around 400,000.
Italy’s right-wing government has been critical of the protests, with Prime Minister Giorgia Meloni suggesting that people would skip work for Gaza just as an excuse for a longer weekend break.
On Saturday, Meloni blamed protesters for insulting graffiti that appeared on a statue of the late Pope John Paul II outside Rome’s main train station, where Pro-Palestinian groups have been holding a protest picket.
“They say they are taking to the streets for peace, but then they insult the memory of a man who was a true defender and builder of peace. A shameful act committed by people blinded by ideology,” she said in a statement.
Israel launched its Gaza offensive after Hamas terrorists staged a cross border attack on October 7, 2023, killing some 1,200 people and taking 251 people hostage.
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Hamas Says It Agrees to Release All Israeli Hostages Under Trump Gaza Plan

Smoke rises during an Israeli military operation in Gaza City, as seen from the central Gaza Strip, October 2, 2025. Photo: REUTERS/Dawoud Abu Alkas
Hamas said on Friday it had agreed to release all Israeli hostages, alive or dead, under the terms of US President Donald Trump’s Gaza proposal, and signaled readiness to immediately enter mediated negotiations to discuss the details.