I can't help you specifically @Jo_H as I ended up with a mastectomy but I do understand both the scanxiety and the physical pain that a mammogram can cause. When I went for the one that started all this, I was a mess as mammograms were always been excruciatingly painful. My first one after the mastectomy, I was really scared. The best thing you can do is to let the radiographer know what's going on - both that you're scared of the pain and of the result. In my experience, they take this on board and are as gentle as possible.