What Young Women Should Know About Their Mother's Breast Health (Ages 40 to 60)

1.  Screening mammograms can help detect breast cancer early.
Mammography is a not the study of prehistoric tusked mammals. It's a special type of x-ray imaging used to create detailed images of the breast and it plays a major role in the early detection of breast cancers. The U.S. Food and Drug Administration (FDA) reports that mammography can find 85% to 90% of breast cancers in women over 50 and can discover a lump several years before it can be felt. And several years is a lot of years when you've got breast cancer.

Because the risk of breast cancer increases significantly as we get older, it's recommended that all women receive yearly screening mammograms starting at 40. If a breast abnormality is detected by mammography or physical exam, additional breast imaging may be necessary. Based on the results of the additional imaging tests, a breast biopsy may be recommended.

2.   Breast self-exams and clinical breast exams should supplement mammography.
Though mammography can help detect 85% to 90% of breast cancers, it may miss cancer in some cases. Therefore, women should continuing practicing monthly breast self-exams and receive yearly clinical breast exams (performed by a healthcare professional) once they reach 40 as well. It's an easy precaution to take.

3.  Women should know the risk factors for breast cancer, including the benefits and risks of hormone replacement therapy.
It is important that all women know the risk factors for breast cancer-age, family history, late menstruation, delayed childbirth, diet, and alcohol intake. Menopausal and post-menopausal women considering hormone replacement therapy (HRT) should discuss the benefits and risks of taking estrogen with their physician, since HRT may increase the risk of breast cancer.

Although studies have been inconsistent, there seems to be an emerging consensus HRT does not significantly increase the risk for breast cancer. This appears to be true for women who are on estrogen less than five years or who take less than 0.625 mg per day. After five years of HRT, a woman's risk of breast cancer does increase, although the degree of risk is still uncertain. The decision to take long term hormone replacement is a tradeoff between the proven benefits of preventing osteoporosis (a debilitating bone disease) and other conditions versus the possibility of increasing the risk of breast cancer.

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