Breast Health Q&A with Lynn Howie, MD
Medical Oncologist
In recognition of breast health awareness, we spoke with Lynn Howie, MD—a medical oncologist and Casting for Recovery volunteer to answer some of the most common questions about breast cancer risk, screening, and self-exams. This Q&A is proudly in partnership with our national sponsor, BRANWYN.
Does anything increase the risk of breast cancer?
Yes. Several factors are associated with an increased risk of breast cancer, including:
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Increased alcohol use
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Age
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Having a close family member (mother, sister, grandmother, aunt) with breast cancer
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Family history of other cancers such as ovarian, gastric, or pancreatic cancer
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Increased breast density
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History of radiation to the chest
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Certain types of hormone replacement therapy (HRT)
Is there a best time to do a breast self-exam?
The recommended timing depends on whether you are premenopausal or postmenopausal:
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Premenopausal: The week after your menstrual cycle has completed
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Postmenopausal: Around the same day each month
What are the main reasons regular breast self-exams are important?
A breast self-exam is an awareness tool that helps you become familiar with the typical look and feel of your breasts so you can notice any changes. Breasts can change with your menstrual cycle and weight fluctuations—these changes typically come and go. A concerning change is usually a firm, hard area that persists and/or increases in size.
Self-exams do not replace regular screenings such as mammograms, and any concerning findings should be discussed with your healthcare provider.
At what age should women start getting mammograms?
It depends on your individual circumstances, including family history and other risk factors. For women at average risk, general recommendations are to begin screening between ages 40 and 45, with earlier screening for those at higher risk. Consulting your healthcare provider is the best way to determine a screening schedule tailored to your personal risk factors.
How often should people perform self-exams and schedule mammograms?
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Self-exams: Once a month
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Mammograms: Frequency depends on your individual risk factors—consult your healthcare provider to determine the right schedule for you.
What are some common misconceptions about breast screening, mammograms, or breast cancer detection?
Some of the most common myths include:
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Myth: Screening prevents cancer.
Fact: Screening does not prevent cancer—it helps detect it earlier. -
Myth: Screening identifies only cancer.
Fact: Mammograms often detect non-cancerous breast changes as well. -
Myth: Radiation from mammograms increases cancer risk.
Fact: The radiation dose is low and does not increase the risk of cancer or other health issues. -
Myth: Mammograms take a long time and are extremely painful.
Fact: While compression can be briefly uncomfortable, a routine exam typically takes only 10–15 minutes. Even a more in-depth exam usually lasts well under an hour.
What are the steps to performing a breast self-exam?
Follow the steps outlined by a trusted source, such as the National Breast Cancer Foundation. Using a reliable guide ensures proper technique and consistency.
For more insights or to consult about your personal risk, always speak with a qualified healthcare provider.
