General Breast Health

Do I need a mammogram if I check my breasts myself? Yes, self-checks are important for breast awareness, but they cannot replace a mammogram. Mammograms can detect tiny lumps up to three years before they can be felt. Women should generally start getting mammograms at age 40.

Am I too young to worry about breast health? No. Breast cancer can occur at any age, though it is more common in older women. Approximately 9% of new breast cancer cases are in women under 45. Regular self-exams (at least once a month, ideally the week after your period) are recommended.

Will a mammogram hurt or give me too much radiation? The amount of radiation from a mammogram is very small and the benefits of early detection outweigh the risks. While some discomfort from breast compression can occur, it is brief.

Breast Cancer

Why do I need routine mammograms? Only about 20% of breast cancer cases are related to family history and genetic links. The majority of risk comes from being female, having breasts, and ageing. Routine mammograms are crucial for early detection.

What can I do to prevent breast cancer? Maintaining a healthy lifestyle is key — not smoking, minimising alcohol consumption, and maintaining an ideal body weight through diet and exercise.

Is a lump in the breast always cancer? No, a breast lump is not always cancer, but it should always be reviewed and examined by a physician.

What is the significance of having the mutant BRCA1 or BRCA2 gene? Inheriting a mutant BRCA1 or BRCA2 gene significantly increases the lifetime risk of breast cancer and ovarian cancer. These mutations are responsible for 5-10% of breast cancers.

Do all breast cancer patients have chemotherapy? No, the use of chemotherapy is determined on a case-by-case basis.

Breast Cancer Risk Factors

Breastfeeding Challenges

What are common breastfeeding challenges? Common challenges include sore or cracked nipples, low milk supply, oversupply, strong let-down reflex, breast engorgement, plugged ducts, and mastitis.

What causes sore or cracked nipples? Sore or cracked nipples are often caused by an improper latch. Ensuring the baby takes a large portion of the areola into their mouth, not just the nipple, can help.

What is breast engorgement? Breast engorgement occurs when breasts become overly full of milk, leading to swelling, hardness, and pain. Breastfeed frequently (every 1-3 hours) and use warm compresses before feeding.

What is mastitis? Mastitis is an inflammation of the breast, often caused by an infection, leading to flu-like symptoms, fever, and a red, painful, swollen area on the breast. It requires medical attention, often antibiotics.

When should I seek professional help for breastfeeding issues? Consult a healthcare provider if you experience persistent pain, severe engorgement, signs of infection (fever, red streaks on breast), persistent low milk supply, or if your baby is not gaining weight adequately.

If you have concerns about breast health or breastfeeding complications, Dr Jesse Hu at Aeden Health specialises in breast surgery and breast conditions. Book a consultation at our Mount Elizabeth Orchard or Novena clinic.

Can breastfeeding reduce the risk of breast cancer?

Yes, it can. Most women who breastfeed experience hormonal changes during lactation that delay the return of their periods after childbirth, which reduces lifetime exposure to estrogen — a hormone that can promote breast cancer cell growth. Breastfeeding can also lower the risk of ovarian cancer by preventing ovulation. The World Health Organization recommends breastfeeding for the first six months of a baby's life for the health of both mother and baby. According to a 2015 meta-analysis, breast cancer risk drops by around 26% in women who breastfeed for more than 12 months.