47. The American College of Physicians changed their recommendations
about 2 years ago, acknowledging the long-known reality that mammography is generally of little value to pre-menopausal women. And the American Cancer Society recently announced it would start shifting it's tone about the overall value of mammograms. (The statistical studies confirming the huge over-diagnosis problem can not be avoided any longer.)
Guidelines in many European countries have always been 50 or 55 for first mammograms. (It was 50 in the US for many years as well). Expect insurers to begin using age 50 over the next couple of years.
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