Would you have suggested a mammogram?

Hi all,

I decided to post this in the NP forum b/c it is r/t my NP. I am in my early 20's and my grandmother had breast cancer at 29 y/o and had a mastectomy. There is a history of breast cancer/cervical cancer on my mom's side of the family but my grandmother is my closest relative who had breast cancer. My NP did a breast exam on me in the office found nothing abnormal but she did referre (sp) me to have a routine screening mammogram and said that I will get one every 3 yrs or so and until I turn 40.

So I called to make the appointment and the people at the medical imaging place said that just b/c my grandmother had breast cancer in her late 20's doesn't mean that I will have it. They told me that is what is considered a "weak family history". They went on to tell me that mammograms are not effective in women in there 20's b/c of dense breast tissue. They continued to tell me that b/c I was not having any symptoms I did not need a mammogram, and that b/c my insurance doesn't pay for routine screenings that it would be an expensive peace of mind. The were baffeled that my NP wanted me to get a mammogram. So I did not make the appointment. I was not looking for peace of mind it was just something that was addressed at my appointment and so I was just following NP's orders.

My question is this, did my NP make an appropriate judgement call? Or was it really as bizzare for her to referre me to get a mammogram as the people at the medical imaging office made it out to be? Should I still get the mammogram, or should I contact my NP's office and tell her what happened?

Thanks!