If you didn't already know that, you will understand it when you climb into the "stirrups" for your first vaginal examination--if you hadn't already learned it from getting a mammogram. That machine they use is almost as tortuous as the stirrups, and both devices were invented by, ahem, men!
Still, you need to do both. OK, I'll admit: I'm overdue for a mammogram. But at least I'm procrastinating because of the unpleasantness of the experience, not because I can't pay for it. Or, more precisely, I don't have to pay for it. That makes me one of the lucky ones. Lots of other trans women--both pre- and post-op--don't have insurance policies that cover their mammograms or access to any medical provider who does them for free.
One reason for that lack is the Centers for Disease Control and Prevention (commonly known as the CDC) provided free screenings only to those designated as females at birth. Even those of us who have had surgery weren't provided with examinations from the CDC. And other health care providers, insurers and related organizations take their cues from the CDC.
However, last week, the CDC changed its policy after a trans woman in Colorado sued.
One would think it shouldn't have come to that. After all, one would expect that the folks at the CDC would be conversant in current research and literature. According to decades' worth of investigation and practice, trans women who are taking estrogen are at a higher risk of breast cancer than they were before starting treatments, though their risk is not as great as that of "born" women. And our risk of breast cancer increases after our surgeries.