I lost my friend to MBC. What lifestyle changes cut my risk?

Question

Hello doctor,

I am 35, and I have no kids. I lost my best friend to metastatic breast cancer last month. I am scared it could happen to me, too. So, I need your opinion on the following -

How often should I do self-exams?
And how exactly do I do them correctly?
Also, how often should I get professional check-ups?
Are there any lifestyle changes I should make to lower my risk?
I am paranoid now and check myself constantly. Is that harmful?

Sorry for all the questions, I am just really shaken up by my friend's passing. Any advice would be appreciated.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

Losing a friend to cancer is a devastating experience. While there is no way to guarantee that you will not develop breast cancer, early detection is crucial.

The steps involved in self-examination include the following-

Monthly self-exams are recommended. Choose a day each month to perform your exam, such as the first day of your menstrual cycle.
Examine your breasts in a mirror with your arms raised and lowered. Look for any changes in size, shape, or appearance, such as dimpling, puckering, or redness.
Lie down and place your hand on the breast opposite your examining hand. Use your fingertips to gently feel for any lumps or masses. Move your hand in a circular pattern, covering your entire breast.

Professional check-ups include:

The recommended frequency of professional check-ups depends on your risk factors.
If you have no significant risk factors, annual mammograms and clinical breast exams are generally recommended starting at age 40.
Factors that can increase your risk of breast cancer include:

Family history of breast or ovarian cancer.
Genetic mutations (BRCA1 (breast cancer gene 1) or BRCA2 (breast cancer gene 2)).
Early onset of menstruation.
Late menopause.
Obesity.
Hormone therapy.

While lifestyle changes cannot guarantee protection against breast cancer, they can reduce your risk:

Maintain a healthy weight. Obesity is linked to an increased risk of breast cancer.
Aim for at least 30 minutes of moderate-intensity exercise most days of the week.
Choose a diet rich in fruits, vegetables, whole grains, and lean proteins.
Excessive alcohol intake can increase your risk.
Smoking is linked to an increased risk of breast cancer.

Constant self-checking can be stressful and anxiety-inducing. If you find yourself becoming overly preoccupied with your breasts, consider talking to a mental health professional. They can provide strategies for managing anxiety and coping with your fears.

Remember, early detection is key. Following these guidelines and seeking regular professional care, you can take proactive steps to protect your health.

I hope this helps.

Kindly follow up if you have more concerns.

Thank you.