We're committed to ensuring that BreastCheck - the national breast screening programme - is accessible to everyone who needs it. We work to provide a welcoming, non-judgmental environment where everyone feels safe, respected and supported. We aim to provide clear, evidence-based information so that everyone can make informed decisions about taking part.
An evidence-based approach
Healthcare needs vary. We carried out a comprehensive review to understand breast cancer risk and breast screening recommendations for transgender, non-binary and intersex people. This included reviewing clinical evidence and international guidelines.
The risk of breast cancer for transgender, non-binary and intersex people depends on factors including:
- your age – the biggest risk factor
- whether you have breast tissue
- your exposure to hormones like oestrogen and progesterone (either naturally or through hormone therapy).
What the evidence tells us
For transgender women and non-binary people registered male at birth:
- Screening through BreastCheck may be appropriate for you if you have used feminising hormones for 5 years or more and you are aged 50 to 69.
- If you have been taking hormones for less than 5 years your risk of breast cancer is low and screening is not usually recommended.
For transgender men and non-binary people registered female at birth:
- You are eligible for BreastCheck if you still have breasts or breast tissue and you are aged 50 to 69.
- If you've had chest or top surgery, some breast tissue may remain. Your surgeon can confirm this for you. If tissue remains, screening may be appropriate.
- If both breasts have been fully removed, you do not need breast screening.
For intersex people:
BreastCheck screens for cancer in breast tissue. Some breast tissue can develop under the influence of oestrogen. If you are aged 50 to 69 and have this type of breast tissue, screening may be appropriate for you.
Gender recognition certificates and the BreastCheck register
Our register for BreastCheck is drawn from the Department of Social Protection and from self-registration by phone or online.
If you have a Gender Recognition Certificate, call us on Freephone 1800 45 45 55 to:
- check if you’re on the register
- be added to the register
- update your details.
Building an inclusive breast screening programme
We are working to make sure our approach is respectful and meets your needs.
We have:
- developed clear information for the public based on our review of evidence
- put staff guidance in place
- provided transgender, non-binary and intersex awareness training for our BreastCheck teams
- consulted with LGBTQI+ organisations and community members.
Making BreastCheck work for everyone
We offer supports to make your experience with BreastCheck as comfortable as possible.
This support includes:
- a phone call with one of our radiographers before your appointment to discuss any concerns
- the option to visit the unit before your appointment to familiarise yourself with the space
- bringing a support person with you
- extended appointment times if needed
- appointments at quieter times
- other accommodations or preferences that would help you attend.
Working together
We are committed to treating everyone with dignity and respect, and to working together with patience, openness and mutual respect. We welcome any feedback you have for us before, during or after your breast screening. We will listen, and we will act on what we hear.
Talk to us about your needs or if you have any questions:
- Freephone: 1800 45 45 55
- Email: info@breastcheck.ie