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Breastfeeding Benefits

8 Scientific Breastfeeding Benefits

If you are newly pregnant or approaching your due date, you should know that there are many breastfeeding benefits. Here are 8 science-based benefits to breastfeeding for mom and baby. Breastfeeding is associated with a 24% lower risk of invasive ovarian cancer. According to this study, if you have ever breastfed in your life, this was associated with a reduction in risk of all invasive ovarian cancers. Breastfeeding for longer durations showed an even greater reduction in ovarian cancer risk. Women who breastfed for less than 3 months had an 18% reduced risk and those who breastfed for 12 or more months had a 34% reduced risk. There is evidence that exclusively breastfeeding your infant for 3 to 4 months can decrease the risk of eczema in the first 2 years of their life. Breastmilk has unique immune factors that are protective against inflammation and allergies. These natural antibodies are not found in soy, cow’s milk, or any other formula. Multiple sclerosis is an autoimmune disease that affects women in much larger proportions. It affects the central nervous system. Breastfeeding could have protective effects against this sometimes disease. According to a study from the American Academy of Neurology, mothers who breastfeed for 15+ months are 53% less likely to suffer from MS.Breastfeeding may reduce the baby’s risk of developing many diseases and illnesses. These diseases include middle ear infections, respiratory tract infections, and gut infections. Breastfed babies are less likely to suffer from illnesses (intestinal tissue damage, diabetes, childhood leukemia and celiac disease) when compared to formula-fed babies.Babies who are breastfed or are fed expressed breastmilk are at lower risk for SIDS compared to babies who were never fed breastmilk. According to research, the longer you exclusively breastfeed your baby (meaning not supplementing with formula or solid food), the lower their risk of SIDS.During pregnancy, the uterus expands its size from that of a pear to filling the entire abdomen space. After delivery, it undergoes a process called involution. Involution helps the uterus return to its standard size. Oxytocin hormone helps drive this process. Women's bodies secrete a high amount of Oxytocin during breastfeeding. It reduces bleeding by uterine contractions so that the uterus returns to its previous size. Researchers report that mothers who breastfeed have a faster involution process. Breastfeeding pauses ovulation and menstruation so you can be free of your period for some time. When your period (and ovulation) will return is largely dependent on how often you are breastfeeding and is very personal. You are more likely to not have a period if the only form of nutrition your baby gets is breast milk. Keep in mind that while it is unlikely to get pregnant while breastfeeding, it can still happen, especially because ovulation will happen before your period arrives. If you are sexually active and not prepared for another pregnancy, be sure to talk to your doctor about birth control that is safe to use while breastfeeding. A study conducted by the Collaborative Group on Hormonal Factors revealed that breastfeeding women have a lower risk of breast cancer. The study compared breastfeeding mothers to mothers who didn't breastfeed, to reach this conclusion.  Breastmilk has amazing benefits, both for the mother and the baby including reduced risk of diseases like breast cancer, ovarian cancer, ear infections, and eczema. It can also save time and money and is a chance to bond with your newborn. Not all persons are able to exclusively breastfeed. Any amount of breast milk that you are able to give your baby is beneficial to your baby - whether you are feeding it directly from the breast or you are pumping milk and bottle feeding it to your baby. While breastfeeding and breast milk should be strongly considered as a first option when possible, formula is safe and will provide your baby with all the required nutrients.  
4 min read
What to Expect From a 3D Mammogram

What to Expect From a 3D Mammogram

Are you wondering what to expect from a 3D mammogram? Many are a bit intimidated by the name and are unsure whether they need to undergo this test or not. Read on to learn more about the 3D mammogram, what to expect, as well as how it compares to the standard mammogram.A 3D mammogram is a procedure similar to the traditional mammogram, which doesn’t pose abnormal risks.As the name suggests, 3D mammograms will create a 3D image of one’s breast. The mammogram machine would send X-ray signals through breast tissue at different angles. This will then compile all images taken and turn into one 3D image.The 3D image will provide a complete and detailed impression of the breast, which doctors will use to detect signs of abnormal growth and/or cancer. The standard 2D mammogram is still the industry standard when it comes to imaging breast tissue. During this procedure, a technical will compress breast tissue, making it as uniform as possible. The 2D mammogram machine would create simple images of the breast tissue from various angles.With the 3D mammogram, you go through a similar process. However, the difference here is that the technician takes multiple images from more different angles. This will then be compiled into one digital recreation of the breast, giving a complete representation.3D mammograms allow medical professionals to check on small, individual sections of breast tissue which can be as thin as a millimeter. That way, specialists can detect forms of abnormal growth in breast tissue more accurately. Using this procedure may give medical professionals and individuals more certainty in diagnosis and follow-ups, if necessary. It is suggested that women over 40 years old should get yearly mammograms to check for breast cancer. The American Society of Breast Surgeons recommends 3D mammograms for all women who require to undergo a mammogram procedure. This is because 3D imaging will provide a better picture of underlying breast tissue, helping to identify any potential growths earlier. Doctors might have a few recommendations before taking the mammogram procedure. You may be recommended to schedule your appointment after your menstrual cycle so your breast tissue is less tender. Furthermore, you’ll be recommended to avoid wearing any deodorant or perfume, which may interfere with the imaging.The procedure for the 3D mammogram is similar to the standard mammogram, with the technician asking you to remove your clothing and change to a temporary garment, removing any jewelry. The technician will then place the breast on the compression plate of the mammogram machine and the second plate to flatten breast tissue, creating uniform thickness.Then, the 3D mammogram's imaging arm will move over the breast, taking X-rays from different angles. While it may take a bit longer compared to the standard mammogram, it isn't a noticeable change.Wrapping It Up3D mammograms are fairly new in the medical field, but more health facilities are now adopting the technology. While still a fairly similar process to the standard mammogram, the 3D mammogram would take even more images of breast tissue. There are no risks, and while it MIGHT be a little bit uncomfortable, it is nothing painful and worth going through in order to identify any abnormal growths to treat. I hope you learned even more about mammograms to help become aware of breast health. If you would like to get checked, do talk with your doctor to know your options and schedule a 3D mammogram. 
3 min read
Does A Mammogram Hurt

Does A Mammogram Hurt?

A mammogram for breast cancer screening may hurt in some cases. It is not the same experience for every person. There are different factors that determine whether or not a screening mammogram will be painful for you. Remember, that mammograms only take about 10 to 15 seconds for each breast. So, even if you do experience some pain, it is for a very short amount of time.First, let's take a look at how mammograms are done. During a 3D mammogram 8100/69 , your breast will be squeezed between two surfaces. A mammography machine is an X-ray machine. The machine moves around each breast. While it is moving, it is taking pictures (X-rays) of different parts of your breasts. Each breast is squeezed between two plates for 5 to 10 seconds. It is this squeezing that some people find uncomfortable. If you have breasts that are smaller, the technician may need to manipulate your breasts into the machine. If you have larger breasts, it may be technically easier to obtain the images that are needed. Again, this is very individual. Not all women with larger breasts have less pain with mammography. Similarly, not all women with smaller breasts have painful experiences with mammograms. Some radiology centers have mammogram machines that have SmartCurve comfort technology. This compression plate is shaped like breast tissue and it has been clinically proven to provide a more comfortable mammogram. SmartCurve reduces pulling and pinching of the breast tissue for a less painful experience.Having a mammogram can be painful. One of the most important factors depends on a person's individual tolerance for pain. If you have a high pain tolerance, you are unlikely to experience much pain or discomfort during a mammogram. If you have a low tolerance for pain, then a mammogram may be painful for you. The experience of pain is very variable. Even the same person can have different experiences of pain on different days. Some people do not realize that during a mammogram, you will need to stretch and move your neck so your head is out of the way of the very large mammogram machine. There are women who report that this is more painful than the squeezing of the breast tissue. The experience of the technician also matters. Technicians who are well trained in performing mammograms are more likely to be able to get the needed images quickly and accurately. A mammography technologist who has years of experience in properly positioning patients will likely be a better option for someone who has a low pain threshold. Most people will not be able to choose their technician so this is not something you can control in most cases. Breast tissue can be more sensitive when you are on your period. So, having mammography during periods may not be the best idea if you have a low threshold for pain. If you wait until after your menstrual cycle is complete, your mammogram may be less painful. If you have a low pain tolerance, schedule your mammogram approximately 4 to 7 days after you stop bleeding. There is no contraindication to having a mammogram during your period.The summary is, yes, a mammogram can be. However, it is a very quick test. Even in the most painful situations, the pain should be short-lived and not last more than ten to fifteen seconds. Some people may have some bruising or soreness for a day or so after the test. Patients can take over-the-counter pain relievers if needed for this discomfort. Having a mammogram at regular intervals for breast cancer screening is extremely important. Although it may be painful, most people tolerate them well. There are many benefits of early breast cancer detection through screening mammography. It is very important to not let the 15 seconds of pain discourage you from having your screening mammogram. Bottom line, painful, or not, your mammogram needs to be done!Sources:https://pubmed.ncbi.nlm.nih.gov/28644335/https://www.aafp.org/dam/AAFP/documents/patient_care/clinical_recommendations/cps-recommendations.pdfhttps://pubmed.ncbi.nlm.nih.gov/26757170/https://www.womenshealth.gov/a-z-topics/mammograms
4 min read

What are Inverted Nipples?

If a breast nipple points inward instead of out, it is known as an inverted nipple.  An inverted nipple is when the whole thing is inward and sometimes even below the surface of the colored portion of the breast, the areola.  Usually they will move back outward when stimulated, but in some cases they do not. This is more common than you might think.  It can happen with men as well as women and can be one or both nipples.  The person can be born with it or it may develop over a period of time.  However, if it happens suddenly or you have pain, contact your doctor right away. If it has been present since birth, it is because the connective tissue is tight or there is a problem with the ducts.   If it develops later, usually as an adult, but not always, it is an indication of some serious issues:•         Breast cancer including Paget's disease•         Duct ectasia, where the milk duct is thickened and can become clogged with fluid•         Fibrocystic breast disease•         Mastitis, or a clogged milk duct•         Surgery or trauma•         Tuberculosis, although this is rare Long term nipple inversion or retraction doesn't usually cause any problems except that breastfeeding can be challenging.  In this case it is beneficial to work with a lactation specialist.  In fact, breastfeeding has been shown to reverse this condition. Cosmetically this inversion can be annoying or embarrassing.  One low tech solution is a breast shield.  This is a plastic device that fits over the nipple.  Gentle but continuous pressure will slowly force the nipple outward.  Another solution is a suction that works in much the same way.  After a few weeks, the problem is resolved. There are also surgical options.  Once the only solution was to cut through the milk ducts in order to release the nipple.  This version means that the woman will be unable to breastfeed.  Newer techniques preserves the milk ducts.  The breast tissue fibers are released in order that they can spread and stretch and involves only a small incision in the areola.  Generally a few sutures are placed that can be removed or dissolve within a few weeks.  Either of these operations are considered cosmetic and are not covered by most insurance policies.  If you are interested contact a plastic surgeon for details. With age, the nipples may change, like most parts of our body.  Being familiar with the normal look of body parts, including the nipples, can alert you to some change that is not normal and can be an indicator of something more serious.  While this is not necessarily a sign of breast cancer, it can be an indication that something is wrong.  If the inversion occurs suddenly or if you notice any discharge or bleeding, this can also be a sign of some more serious condition.  In those events contact your physician promptly.    
3 min read

What You Should Know About Tuberous Breasts

Tuberous breasts, also known as tubular breasts or breast hypoplasia, are a condition that is caused by breast tissue that does not proliferate properly during the puberty stage. This is not common, but it also cannot be considered rare as women don't usually seek treatment for this.  While this condition doesn't pose direct health threats, some women might seek treatment to correct it. Furthermore, tuberous breasts may also present issues for those who choose to breastfeed.  This article will tackle more about what tuberous breasts are, such as their symptoms, causes, and treatment.  Breasts come in different shapes and sizes, usually determined during puberty. With tuberous breasts, they can be any size but have characteristics in common, such as: ·         Cylindrical breast tissue, rather than rounded. The tissue would be the same shape from the base to the end of the breast.·         Tissue constriction at the breast’s base·         Saggy appearance to the breast/s because of abnormally elevated lower breast fold, or which is where your breast meets your chest)·         Areola hypertrophy, or when your areola is bigger than what is normal·         One breast may be affected, with one looking underdeveloped compared to the other. Other times, both breasts have irregular shapes.  There are three category types, which depend on the multiple features mentioned above. These types are: ·         Type I: Minor constriction·         Type II: Moderate constriction·         Type III: Severe constriction The causes behind tuberous breasts are still unknown. There are no confirmations of genetic links between tuberous breasts.  There is a study that suggests a genetic link when this condition is identified in twin brothers, though. Furthermore, the study suggests that the condition is caused by an excess amount of collagen in the facia and connective tissue components in breasts. It would result in abnormal gland development, thus changing breast shape.  Since tuberous breasts were described in 1976, doctors developed and improved the surgical techniques that improve this condition. Since the condition won't threaten one's health, people usually don't seek medical treatments. Speaking of risk factors, there are rarely, if not any, physical problems associated with tuberous breasts. However, the condition may have damaging effects on mental health and overall comfort. With the availability of approaches that can correct the condition for the short or long term, people can opt to have it 'fixed'. For instance, women can wear extra pads or inserts in bras for a more symmetrical appearance. If a permanent solution is wanted, then plastic surgeons perform procedures that can correct the appearance of tuberous breasts. Doctors have different approaches to the corrective surgery of the tuberous breast. Here is an example of one procedure: 1.    The doctor will make an incision that runs from the bottom of your areola up to the back of your breast2.    A new lower breast fold and the glandular flap will be formed3.    An implant will be inserted into the breast area4.    The surgical site is closed up using sutures At times, surgeons would correct the areola’s appearance and reduce the size.  Oftentimes, surgeons can correct the appearance of patients’ breasts in just one surgery. But if a patient has breasts that differ significantly, then there would be a two-step procedure.  The first procedure would focus on placing a tissue expander in the patient’s chest, and the second one will involve fitting breast implants. When considering surgery, make sure you are aware of any risks involved and speak with your doctor beforehand. Some common risks would include bleeding, infection, scarring, and risk of deformities. Furthermore, you will need to consider the cost and aftercare, so if you plan on undergoing an augmentation surgery, research and prepare ahead to make the entire process as smooth and comfortable as possible. Tuberous breasts may cause anxiety and lower confidence in some people. While this condition is not harmful in terms of physical health, there are ways to correct the appearance to help with one’s mental health and self-esteem.  Hopefully, this article taught you more about tuberous breasts and helped you understand what you need to know. If you believe you have tuberous breasts and would like to correct their shape permanently, talk with your doctor to weigh your options.
4 min read
breastfeeding let down

What is Breastfeeding Let Down and is it Bad?

In terms of breastfeeding, “let down” is a good thing. It is a reflex that the body uses to let mom know that the mammary glands are ready to release the milk they have produced.  let down reflex breastfeedingThe let down reflex can be indicated by a tingling sensation. If the breasts are full of milk, or feeding is overdue, there can also be a small discharge of milk. This reflex drips can also occur if you hear your baby cry, or even if you just think about your new little one.The technical term is milk ejection reflex or MER. As baby latches on and begins to suck, the brain receives a signal to release the hormones prolactin and oxytocin. Prolactin allows the body to produce milk and oxytocin is the trigger for the let down.The sensation varies from woman to woman.  Some feel pressure, warmth, or prickly feelings (like pins and needles) or burning.  Let down actually occurs several times during the feeding process, but it is usually only the first release that are noticeable.  The sensations differ from slight discomfort to pain.  Some women don’t feel anything and that is also normal.  As long as the baby is feeding sufficiently and progressing, there should be no concern.  However, if baby is not getting enough milk, you should contact your physician or lactation consultant.  A significant decrease in milk may result in your child not receiving enough nutrition and the resulting milk production to continue to decrease.If there are issues with breastfeeding, some of the origins could be from:If you are having issues breastfeeding please contact a lactation consultant or pediatrician near you. Follow your medical professional’s instructions, but here are a few things you might want to try.breastfeeding issuesRemember that this is a reflex reaction.  If you create a routine, you can condition your bodily response appropriately.  This should include looking at, touching and smelling your child, settling with the baby skin to skin, and an area free of distractions or with calm music playing.Nursing your newborn for at least the first six months provides baby with nutrients and antibodies.  It also helps with the bonding process and is beneficial for both mother and child.  In addition, it saves money on formula and has been shown to accelerate maternal weight loss.  
3 min read
breast milk color

Breast Milk Color - Understanding The Meaning

Breast milk color is often thought to be white. So, when you notice a different colored substance coming out of your breast, it’s understandable to be concerned.  Well, there is nothing to worry about! It's quite normal for breast milk to be yellowish and even change color over time. In this post, we will talk about the different colors of breast milk and what they mean.   The “normal” color of breast milk Most often, break milk is light in color, usually pale yellow. It can have bluish or other yellowish tints as well.  During the first few weeks after delivery, the milk changes its composition, amount, and color quickly. The normal changes by stage are: Color of Colostrum: The highly nutritious and concentrated colostrum is the first breast milk your body produces. It is sometimes clear and watery, and can be orange or yellow and thick. Colostrum contains high levels of beta-carotene that can give it a dark yellow or orange color. Color of Transitional Milk: As the production of breast milk increases, the body starts making transitional milk. During this transition period, breast milk changes its color from yellow to more white.  Color of Foremilk: Foremilk is lower in fat and thinner. This foremilk is thin and can look clear or bluish. Color of Hindmilk: As you continue to breastfeed, the fat in the milk increases. And, with increased fat content, breast milk becomes creamier milk called hindmilk that appears white or yellow.Certain medications, herbs, foods, and nutritional supplements can change the color of breast milk. Note that breast milk changes its color after also freezing, but without damaging its nutritional value.  These changes are usually diet-related and harmless. Some different colors of breast milk are: ●       Green Breast Milk: The green tone of your break milk is when you eat a lot of green foods or edible products that contain green dyes. Green-colored beverages and green vegetables like spinach and seaweed can also cause the greenish color of your breast milk. ●       Pink, Red, and Orange: The orange, pink, and red-tinged breast milk are due to eating foods that are naturally these colors. Other reasons could be having drinks or foods that contain orange, red, and yellow food dyes. Orange and sometimes, reddish fruit drinks orange soda, beets, etc., can also leads to differently colored milk with tints of orange, red, and pink. Pink can also be due to droplets of blood leaking into the milk from a nipple or breast duct injury.●       Brown and Blood-Tinged Breast Milk: When older blood leaks into your body’s milk ducts, the breast milk may appear brown, rust-colored, or dark orange. When breast milk appears like dirty water, it is called rusty pipe syndrome (blood in the ducts from breast engorgement). ●       Black Breast Milk: Black breast milk is often due to the antibiotic Minocin that also causes skin darkening. Minocin is not recommended when nursing. So make sure you consult with your doctor before taking any medication during breastfeeding. Conclusion Most breastfeeding mothers do not notice color variations unless they pump often, or the baby spits up the breast milk with a color. Knowing the reason behind the color change can reassure you if you are concerned about your baby's milk. In case of any doubt, it is always good to consult with your doctor if you have any concerns about your breastmilk
3 min read
breast lump in pregnancy

Breast Lump Pregnancy - Should you worry?

Finding a breast lump in pregnancy can be very scary, and a lot of things may be in your head right now. BUT, don’t fill yourself with too much worry and anxiety.  Having breast cancer while pregnant is rare, even more so for women under 35 years old. Furthermore, you will experience a lot of changes in your breasts when expecting, so some changes can be normal.  But what exactly does a breast lump during pregnancy mean? Read on to learn more! Even during your second trimester, your breasts begin preparing to nurse your little one. Sometimes, a milk duct may get blocked, and even enlarged, during this process. You will know for sure as clogged milk ducts are typically hard and sometimes even reddened lumps, which feel tender or hot to the touch. Fortunately, they usually clear and feel better after a few days, or they sometimes continue clogging up and you may need antibiotics or surgical drainage. Other reasons your breasts would change during pregnancy is from the increase of hormones. You may feel tenderness or changes around your breasts and nipples from these hormones. You may also experience an increase in your breast size, changes of size and color of your nipples and areola, as well as bigger and noticeable Montgomery glands (the small bumps around your areola). Once you're in your fourth month and later, your breasts may produce colostrum and some people have small amounts of leakage or crusting of colostrum in the nipple area. Besides clogged milk ducts, the breast lumps during pregnancy may be due to many other things such as:             •           Cysts or fluid-filled sacs            •           Galactoceles or milk-filled cysts            •           Fibroadenomas, developing in your breasts’ lobules These are benign breast conditions, meaning they are NOT cancerous.  Also, the good news is that those pesky bumps show that your body is starting to prepare to nourish your little one! And when you choose to breastfeed, it can reduce the risk of breast cancer in the future. Furthermore, it's great that you are aware of the changes in your breasts during and after pregnancy. Since they change a lot, it's a great time to log in your breast shape and present feeling in a diary. If you do have a new breast lump or changes in the existing lump that has already been checked out, you should still have it checked with your doctor as any change could be a sign of an early or new cancer.  If your breast lumps are caused by clogged milk ducts, it can feel a bit uncomfortable from the tenderness.  Fortunately, you can help make your breasts feel a bit better by applying a warm compress to the affected area regularly. Or, you can run warm water on the lump while you shower. You can also try to massage the lump and clogged duct to unclog the milk buildup, eliminating or reducing the lump size.  Again, if the lump doesn’t get any better in a day or so, do check with your doctor as you might need antibiotics or surgery to relieve the issue.  If you’re worried that it’s breast cancer, your feelings are valid. It’s also best to know how to tell if your lumps are a sign of the condition. Breast cancer lumps aren’t usually red or painful when they appear, and they won’t clear up after hot water and/or a massage or antibiotics.  However, it can be difficult to distinguish the difference between benign and cancerous lumps, so if you feel anything suspicious in your breast, among any other new symptoms, then do get it checked immediately.  Wrapping It UpHopefully, our article on breast lumps during pregnancy informed you of the possible causes of a new lump during pregnancy. If you have a lump in your breast, make sure to get it checked out as soon as you can.
4 min read

What causes breast pain?

The real answer is . . . We don’t know. But we do know there’s a 99% chance it’s NOT cancer (Kushwaha et al.). Breast pain is extremely common and as many as 70% of women will experience it at some point in their lifetime (Kataria et al.). Sometimes it is a dull ache, like increased heaviness and sensitivity that corresponds with the menstrual cycle. Sometimes it’s in both breasts, sometimes only one. Pain which fluctuates with the cycle is called “cyclical pain”. What scares women is when it’s a sudden, sharp pain in one area in one breast. That is referred to as “focal pain”. Focal pain is more likely than cyclical pain in women in their 40s and 50s. In multiple studies conducted among women with focal breast pain and no other symptoms, 1% were found to have breast cancer. Breast cancer is far more likely to present with an abnormal finding on a mammogram or a lump in the breast, Regardless, we ALWAYS double check with imaging tests. The best test is an ultrasound to check the area(s) of pain and sometimes a mammogram as well. Occasionally the ultrasound will show a cyst in the area which is causing the pain, but most of the time, there’s nothing there.most commonly what’s seen is normal, healthy breast tissue and nothing which looks abnormal on the imaging tests. “So what’s causing my pain then, Doc? Can you fix it??” is the conversation which starts as soon as I tell someone we didn’t find any cause for the pain. The truth is hormonal changes in the breast are complicated and we don’t know the exact cause or the best treatment for breast pain. There are ongoing studies and theories, but we are still working on understanding the interactions between breast tissue and the rest of the body. Additionally there are other disorders which can cause referred breast pain, such as inflammation of the cartilage of the ribs. Even if the cause or an easy fix for breast pain has not been identified, there are treatment options available. Studies have shown that over 70% of women wear improperly fitting bras and switching to a more supportive bra or a sports bra will help. Non steroidal anti-inflammatories like Ibuprofen have also been shown to be effective in 80% of women (Kataria et al). For focal pain, there is a topical version of Ibuprofen which works better than other treatments. Relaxation techniques such as meditation and acupuncture which work for other forms of pain may also help. But as you probably noticed, none of these are treatments designed to treat only breast pain specifically. Studies on breast specific pills such as evening primrose oil and danazol have not had convincing enough results to recommend them for everyone. Additionally, they can have serious side effects such as diarrhea or facial hair growth. Most of the time breast pain goes away on its own, especially as we get older and our breast tissue becomes less active. Studies have shown that non cyclical breast pain may resolve on its own in up to 50% of patients (Kataria et al.). If not, changing bras and/or taking Ibuprofen may help. If none of the above works, there are other medications which are worth trying. Before taking anything, please discuss the risks and benefits with your doctor and decide on a plan that works for you. After reading this if you develop breast pain, what should you do? If it’s new and doesn’t go away in a day or two, see your primary care doctor or Ob Gyn. Make sure your care plan includes an ultrasound and/or mammogram and not just a physical exam. If your doctor doesn’t order an imaging test - don’t be afraid to ask about it. Your care plan is always something you should fully understand. If you’re worried about insurance coverage, new breast pain is a clear indication for an imaging test, even if you’ve had a normal mammogram recently. You should not have to pay out of pocket, provided your insurance covers imaging studies at baseline. Once you get the ultrasound +/- mammogram, be prepared for the results. Most of the time there won’t be a cause for your pain and sometimes that’s hard to hear. The most important thing is that cancer has been ruled out.Even if we don’t know the cause we do have treatment options. You will expand on your care plan with your doctor - you do not have to keep living with breast pain! In most situations, one of the above mentioned treatments works well, or in some women, the pain gets better on its own. It may take some trial and error to figure out the best combination of therapies for your pain. Rest assured, you will not need another doctor’s visit or repeat imaging.However, if the pain is persistent despite treatment or you develop new breast pain, have it checked out. Don’t assume it’s nothing because you’ve had negative imaging tests recently. You should feel empowered to consult your physician with ANY new breast symptoms, not just breast pain. And of course, if you’re over 40 or have a strong family history, make sure you get yearly mammograms and take control of your breast health!Dr. Amani Jambhekar MDBoard Certified in General SurgeryFellowship Trained in Breast Surgical OncologyKataria, et al. “A Systematic Review of Current Understanding and Management of Mastalgia.” Indian J Surg. 2014 Jun; 76(3): 217–222.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4141056/https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4960349/https://www.ajronline.org/doi/full/10.2214/AJR.17.18879
5 min read
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