Breast self-exams have been widely hailed as a procedure that can help women discover breast cancer early, says pharmacist and women’s health expert, Marla Ahlgrimm. There's just one problem: No study ever has found that breast self-exams reduce breast cancer deaths. That's why the American Cancer Society has revised its breast cancer screening guidelines and now calls breast self-exams optional.
Q: Is it true that many women find their breast cancers themselves?
Marla Ahlgrimm: Yes, it’s true. Many women find their own cancers but very few find them while doing a breast self-exam. More typically, the woman just rolls over in bed, feels a lump in the shower or when applying deodorant, or has it pointed out by her partner. This is why it's important for women to become acquainted with their breasts.
Q: But isn’t getting ‘acquainted’ with my breasts the same as performing a breast self-exam?
Marla Ahlgrimm: No, there's a crucial difference between getting acquainted with your breasts and a self-exam. A self-exam often makes a woman nervous; it’s all about trying to find cancer and expecting the worst. In contrast, getting acquainted with one’s breasts gives you a good sense of your body, and that will help you know when something doesn't feel right.
Q: What is a good way to get ‘acquainted’ with my breasts?
Marla Ahlgrimm: Starting in their 20s, women should learn about the benefits and limitations of breast self-exams. Women should also be aware of how their breasts normally feel and should notice something like a lump on their breasts to the same extent that they would on their arms.
Q: What actions can I take to help prevent breast cancer?
Marla Ahlgrimm: Both mammograms and clinical exams are important. Maintaining a healthy weight is important in decreasing cancer risk, as is physical activity. Limiting alcohol intake is also linked to decreased breast cancer risk.