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Breasts change many times and in many ways over a woman's
lifetime. Your breasts may nourish children, be a source of
sexual pleasure, and may form part of your identity. Getting
to know how your breasts normally feel and look is the first
step towards promoting good breast health.
What are "normal" breasts?
Breasts, like women's bodies, come in all shapes and sizes.
Their tissue is varied, they change as you age, and the left
one may not look the same as the right. One breast may grow
faster or larger than the other. How your breasts feel and
look can be affected by many things including your menstrual
cycle, pregnancy, breastfeeding, menopause, and aging.
What can I do to have healthy breasts?
You can make lifestyle choices to improve your general
health that will also benefit your breasts. These include:
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Being active and/or exercising regularly
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Eating a variety of low-fat, high-fiber and whole grain
foods
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Eating at least 5 servings of dark green, orange and red
vegetables and fruits daily
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Washing your fruits and vegetables, or buying organic
produce to reduce your exposure to potentially toxic
chemicals
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Eating foods daily that are high in phytoestrogens
(plant estrogens or isoflavones) such as soy, lentils
and grains–these foods have been linked in some studies
to breast cancer prevention
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Not smoking
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Limiting the amount of alcohol you drink
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Limiting the caffeine you drink or eat–coffee, tea,
chocolate, cola and some other soft drinks contain
relatively high amounts of caffeine.
In addition to these lifestyle choices, you may
choose to:
Get to know what your breasts feel like so that you'll know
what is normal for you, and will recognize any changes that
happen.
If you wear bras, wear comfortable loose-fitting bras.
Learn the best way to examine your own breasts.
Do I need to do Breast Self-Exams (BSEs)?
A 2001 study generated a great deal of debate about whether
or not it is worthwhile for women to perform Breast Self
Exams (BSEs). While the experts still do not all agree on
whether BSE should be taught to women, the major medical
organizations, such as the Canadian Cancer Society and the
Canadian Breast Cancer Network still encourage women to do a
regular BSE.
Whether or not you choose to examine your own breasts, it
is important to have a doctor or nurse trained in Clinical
Breast Examination examine your breasts thoroughly once a
year for any changes to your breasts.
If I have a lump or other changes in my breast,
should I see my doctor?
Some women are alarmed when they feel lumps or have pain in
their breasts. While you should check with your doctor when
you find a lump or have pain, this does not necessarily mean
that you have a disease. Most breast lumps are not
cancerous. Many things, including hormonal changes, can
cause breast pain. Many women have breast lumpiness or
fibrocystic breasts. This can be caused by cysts (tissue
sacs filled with liquid) and scarring of breast tissue.
There is no known link between this and breast cancer.
However, it is important to see you doctor if you notice any
of the following changes in your breasts:
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A lump or thickening
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Unusual increase in the size of one breast
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Discharge from your nipples staining your bra, clothes
or bedclothes
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Skin changes, including any changes to a nipple
Should I have a mammogram?
Mammograms x-ray the breast and can detect a tumor long
before it can be felt by hand. As a screening tool, they are
mostly used for women 50-69 years old, but there are
different opinions about how effective they are for white
and Asian women under 50. Mammography is a highly
controversial area. There have been studies recently that
studies that show that mammograms are not effective at
preventing deaths from breast cancer. However, other studies
show they are effective. It is recommended that women
between the ages of 40 and 69 have mammograms every 1-2
years. For women at high risk of breast cancer, mammograms
are recommended for women aged 40-49. Mammograms are not
typically recommended for women under 40. If you are
concerned about whether or not to have a mammogram, discuss
this issue with your doctor.
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