Nolvadex-Tamoxifen Citrate – The World’s Largest Selling Breast Cancer Treatment!

Nolvadex-Tamoxifen Citrate is oral anti-oestrogen, and the world’s largest selling breast cancer treatment. In 1998, the Food and Drug Administration (FDA) approved Nolvadex-Tamoxifen Citrate for diminishing the occurrence of breast cancer in women who is at high risk of developing the disease. With Nolvadex-Tamoxifen Citrate, it is achievable to reverse a subsisting growth process of dead tissue and stop further growth.

Nolvadex-Tamoxifen Citrate is also called Istubal - Tamoxifen Citrate or Valodex - Tamoxifen Citrate. Nolvadex-Tamoxifen Citrate has proved competence when cancer has reached to other body parts. A further new indication for Nolvadex is also sanctioned by the FDA for reducing contralateral breast cancer. Tests for paediatric use of Nolvadex are in progress. Nolvadex-Tamoxifen Citrate is not an anabolic or androgenic steroid. It belongs to the group of sex hormones.

In the late 80’s, Dan Duchaine stated that Nolvadex-Tamoxifen Citrate could also be used by muscle-builders to close down the growth of the other type of tumor in the mammary gland, Gynocomastia. Nolvadex-Tamoxifen Citrate is commonly named as a SERM (Selective Estrogen Receptor Modulator), as an anti-estrogen and also a triphenylethylene. It is also prescribed to minimize the risk of invasive breast cancer following surgery and radiation therapy for ductal carcinoma in situ.

The side effects of Nolvadex-Tamoxifen Citrate are generally low in doses of up to 30 mg on a daily basis. Nausea, hot flashes, numbness, vomiting and blurred vision can happen rarely. In women irregular menstrual cycles can occur that manifest themselves in weaker menstrual bleeding or even complete missing of a period. It increases the chances of developing uterine cancer. Women should have gynecological examinations on regular intervals. They should also be careful not to get pregnant while taking Nolvadex-Tamoxifen Citrate.

Muscle-builders who take Nolvadex-Tamoxifen Citrate also make use of anabolic steroids simultaneously. Various musclemen like to use Nolvadex-Tamoxifen Citrate at the end of a steroid cycle since it raises the body’s testosterone production. Jocks who have propensities toward gynecomastia, strong water retention and increased fat deposits with steroids such as D-bol, Testoviron Depot, Anadrol, and Deca Durabolin frequently take 20-30 mg Nolvadex-Tamoxifen Citrate per day. The blended application of Nolvadex 20-30 mg/day and Proviron 25-50 mg/day leads to outstanding outcomes.

Take Nolvadex-Tamoxifen Citrate correctly as prescribed. Don’t stop taking Nolvadex-Tamoxifen Citrate without consulting the doctor. Before starting Nolvadex-Tamoxifen Citrate, it is also important to tell the physician about all allergies, problems, infections or other important things.

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Breast Cancer – Problem Faced By Women

There was a time when Breast Cancer was termed to be as a dreaded disease. But things have changed now. If detected earlier, this could be easily treated. Removal of your breast during the treatment of breast cancer can be one of the painful things you would have to go through. It may not be the same case for all patients. With the increasing knowledge about the cures and treatment breast cancer can be treated very easily.

Breast cancer occurs when cell in our breasts known as tumor grow out of control causing damage to the nearby tissues and spreads throughout. These tumors which are cancerous are known as malignant tumors and cause lot of damage to your body. As it takes lot of time for a tumor to grow, it may not be easy to detect the tumor during self exam. But these can be detected with mammograms.

Breast cancers best treatment - early detection. Once, cancer is detected it becomes easier for the doctors and yourself to fight it out. By the age of 20 all women should start doing Breast Self Examination (BSE) it is one of most easiest and earliest ways of detecting cancer. These check ups should be done few days after your periods. You should do this check up at least once a month. A clinical breast exam should be done at least once a year.

Some of the signs to look for, while doing BSE

-A lump found in and around the nipple or underarm
-Change in size or shape
-Nipple discharge or nipple turning inward
-Redness of skin or warmth
-Formation of dimple or change in skin texture

Some of the causes of having breast cancer

Gender: Being a woman is one of the common reasons for suffering from breast cancer. Event though men suffer from this disease too, just being a woman puts you in lot of danger.

Age: As you grow older your chances of having breast cancer increases.

Family history: If somebody in the family has suffered from breast cancer your chances of having breast cancer increases.

Being overweight or obese: If you are an overweight women your chances of breast cancer increases after menopause.

Lack of exercise: Being lethargic and lack of any physical activity leads you towards increasing weight and chances of breast cancer

Alcohol: Drinking alcohol becomes very risky as it increases your chances of breast cancer

Methods to Prevent Breast Cancer

-Turn into a vegetarian
-Have plenty of organic food and vegetables
-Avoid red meat and any processed foods
-Avoid alcohol and colas
-You can have something sweet by having Stevia, an herb which is a substitute to any other toxic artificial sweetener
-Having whole grains is very good such as Oatmeal, Kamut and Psyllium, which are a good source of fiber and enters directly into your bloodstream
-Your diet must include wheat, bran and Cabbage as they are very nutritious food which helps to prevent breast cancer
-Garlic, Ginger, carrots, celery, cilantro, parsley and parsnip has some of the highest cancer fighting nutrients. Include them in your daily diet.

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Breast Cancer Treatment: Surviving Chemotherapy

Chemotherapy is a word that strikes fear into most of our hearts. We've seen the movies and heard such horrible stories about undergoing this difficult treatment for a disease that could very well kill us. I underwent chemo for breast cancer and know that, in some cases, the cancer isn't hard … it isn't painful … it doesn't make us sick. That's the case for most of us who have breast cancer, but don't have distant metastases. But then, they say we need to do chemo and we know we'll feel that.

Although chemo drugs haven't changed that much, and they're still terribly hard on our bodies, the management drugs have changed a lot. Chemotherapy, for many of us, isn't the show-stopper we thought it would be. Of course, each of us is different and the chemo drugs affect each of us in different ways, but, for the most part, chemo is definitely doable.

My breast cancer was Stage IIIa, with a 5.8 cm tumor, 8 of 10 lymph nodes positive, and I was only 39 years old. That bought me a ticket for the chemo ride. And I was scared out of my wits. But, I found an online breast cancer support group, at WebMD, and those women told me everything to expect and more. I went through four rounds of adriamycin and cytoxan. Both of them are some pretty stout breast cancer chemo drugs. After that, I did a controversial treatment that involved extremely high doses of cytoxan, taxol, and cisplatin, so I learned quite a bit about surviving chemotherapy.

First of all, I would highly recommend getting a port. This is a line that goes into a vein in your chest, the entrance to which sits just under your skin, right below your collarbone. It requires a quick surgery to put it in but, if you're having a mastectomy for your breast cancer, you can get the chemo port put in at the same time. If you choose not to do that, you'll have to get your chemo treatments through your veins and chemo is really hard on your veins. This means that you will, most likely, have to endure multiple attempts for them to find a vein, as time goes by. With the port, it's already in a vein, so all they have to do is stick the needle into the port to access it. If you find this uncomfortable, there is a cream they can give you called Emla cream. One of the first things I learned was to tell them the moment I was uncomfortable. It's all fixable. You'll put the Emla cream on a bit before you have to have your port accessed and it'll numb your skin.

Most breast cancer chemotherapy drugs will cause your hair to fall out. This is because chemo kills the rapidly dividing cells in your body. Your mucous areas and hair follicles are affected for this reason. That's why you may have nausea or develop mouth or throat sores. Again, all this sounds scary, but is totally manageable. Since you will probably be losing your hair, which can be quite traumatic, I would advise going wig or hat shopping before you even get your first chemo. Take a girlfriend with you and be adventurous. Try on different styles, and even colors. If you've always wanted to be a blonde, now's your chance! Make a day of it and have fun with it. Goodness knows, you have to look for that silver lining every chance you get. Also, make sure to have your nausea med prescription filled before you go so you'll have it waiting for you if you need it at home. You may be pretty tired, afterward, so don't wait till then to get those meds.

On your first chemo day, they will probably give you some steroids, intravenously or through your port, to help with the nausea. This may make you hungry; it sure did for me! But, I would recommend you don't eat your favorite food on chemo day. Chemo is manageable, but after you're all done, you may find that you have associations. For example, I used to love the cucumber melon fragrance when I was going through chemo. I had cucumber melon everything! But, to this day, the smell of cucumber melon makes my stomach do a little somersault because it reminds me of such an unpleasant time in my life. The same can happen with food. I still can't look a chicken burrito in the eye! But, I'm sure glad I didn't eat a taco because I would've hated for that to be ruined for me!

Many breast cancer chemo drugs are hard on your bladder, so be sure to drink, drink, drink. If you don't feel like drinking water, then broth, jello, or even popsicles will help. Since you've gotten your nausea meds all filled in advance, be sure to take them as prescribed, whether you think you need them or not. Chemo nausea isn't just any kind of nausea and it's much easier to stay ahead of it than to try to fix it once it occurs. If you do happen to get nauseated, and I can't stress this enough, call your doctor!!! There are many, many nausea meds and you do not have to feel sick just because you're doing chemo. Once they find the right drug for you, it will be so much easier. So, do not suffer this in silence! The same applies for if you get sores in your mouth or throat.

You will be tired from this treatment. Most of us get more tired as the treatments progress because they make our white blood cell counts drop really low. Because of this, it's a good idea to keep some Purell, or something similar, with you all the time for use when you've had to touch, for example, public restroom door handles. Your risk of infection will be much higher during this time.

If you lose your hair, it will typically happen in 10-14 days after your first chemo treatment. If you have long hair, you might want to cut it short in preparation. I know I felt so out of control of everything, during that time. When your hair comes out, it lets go quickly and in large clumps, getting all over your pillow and clogging your drain. For many women, that is more traumatic than even losing a breast. So, I figured that was the one thing I could control about this whole breast cancer thing … when my hair came out. I cut it really short, beforehand and, when it started to let go, I had my husband get the clippers and shave my head. My daughter helped and we did a little Mohawk and stripe action first!

That was my way of shaking my fist at this cancer … it might take my breasts, and it might take my hair for a while, but I beat it to the punch! It was my way of saying, "You cannot take my spirit!" You can do the same thing. Your breast cancer does not define you. It is but a speed bump in the course of your life. Strap on your gloves and step into the ring. This chemo is your biggest punch. Your spirit is your own and that breast cancer can't touch it!

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Breast Cancer - A Death Sentence Caused By Neglect

The biggest majority of women who concern themselves over develping breast cancer are the ones who do not even bother to do a self examination (Not all)
Self inspection of the breasts should be a main priority for every woman. Breast cancer caught in the early stages of growth will give better odds for the patient to control the disease with the help of today`s modern medicines and technology.

Breast cancer is common among the female species and can be a death sentence if ignored. By neglecting yourself in this department with absent regular check ups then you can expect a painful road ahead - comgested of heartache and pain for those close to you as well. Breast cancer is treatable, so now is the time to set a date in the diary for regular self breast examination.

One of the first signs or symptoms of breast cancer is a lump in the breast. You will find that most breast lumps discovered early are rated as 9 out of 10 as being benign. Breast lumpiness can be that of breast change which usually becomes more obvious just before the start of a period, particularly in women over the age of 35

Also cysts/sacs of fluid is not uncommon in the breast tissue causing a feel of lumpiness. Fibroadenoma is a collection of fibrous glandular tissue which is more notably known to occur in younger women
If you notice a change in the shape/size of the breast or a lump even thickening then always check this out with your doctor. Other signs to look out for is dimpling of the skin or nipple shape changing, for example, if ithe nipple turns in or sinks back into the breast. Blood-stained discharge from the nipple or an unusual blemish or rash around the surrounding area needs to be checked out.

A swelling or lump under your armpit can also be a sign. If you have found that you have any of the above symptoms then seek medical attention right away.

Do not worry at this stage because breast lumps as such do not necessarily mean cancer. However the above mentioned inverted nipple or blood stained discharge etc can mean another type of ailment, either way these will need attention

The doctor will examine the breast and if necessary will refer you to a specialist for further checks. If the results from a mammogram or ultra sound shows a cyst, then to have it removed may entail draining it through a fine needle. If the lump is solid then treatment will be with the use of a very fine needle where a sample of tissue will be taken and tested for cancer cells.

This is a disease you can fight but once it spreads, then the breast cancer becomes a battlefield leaving you fighting for survival. Early detection can stop this war.

Cosmetic Surgery for women is common after a a breast operation.

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Breast Cancer Ribbon

These days almost every worthy cause finds itself a proper ribbon, without getting into the debate about the use of ribbons and how people use them, there are not many ribbons that I know of that are more important than the breast cancer ribbon.

Breast cancer is a dangerous enemy, while it is true that the awareness to its risks and the understanding of the prevention measures that need to be taken on a regular basis has increased over the years and had probably saved many lives, some people are still not aware of breast cancer and others prefer to live in some sort of denial.

So why is it important to use the pink ribbon and join the fight against breast cancer? First of all it shows the most important thing a person can show, it shows that you care, its shows that you are willing to give a little of your time or energy to try and educate more people, to warn some others and to maybe, just by doing this very small action contribute to saving a life. This is not a joke, sometimes awareness is all that separates the ill from the healthy and the dead from the living, we are at an age where people are learning of new dangers every day, and with all these upcoming potential dangers of terrorism and natural disasters breast cancer has been here long enough and has cause so much pain and suffering that it certainly deserves to be treated as something we should all remember, even on a daily basis.

Every October is the international breast cancer awareness month, this is the time to try and do the most to increase the public awareness of this disease, and educate woman about the ways they can fight breast cancer, this month is also dedicated to raising money for the many different organizations and foundations that are working all year round on helping victims of breast cancer, some of these patients have no money and no funds they can use to try and treat the cancer, and these organizations help them get the support that they need.

So all you got to do is just place one of these pink ribbons on your shirt of jacket, and show the solidarity you have with the breast cancer patients, the victims and the family and friends of those who have been effected by this terrible disease. Remember that you do not have to limit yourself only to the month of October, and that it is enough for only one person to ask you about this ribbon – once a year to make a huge difference, think about hundreds, if not thousands of people like you doing the same thing every day, and each one of these people is approached by an uneducated person, how many lives can be speared.

Lets hope that in the future the fight against breast cancer, as the fight against all kinds of cancer, will achieve its goals and that this disease will claim less victims, that modern medicine and science will find cures and that more and more people around the world will live healthier and happier lives.

Visit http://breastcancer.healthandcosmetics.com/ for more Breast Cancer information.

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Lower Your Risk For Breast Cancer & Heart Disease

Many postmenopausal women are looking for alternatives to hormone therapy, especially in light of the recent Women's Health Initiative research findings concerning the risks of combined estrogen and progestin therapy. Of particular interest are phytoestrogens, which have been gaining popularity due to their "natural" status, alleged health claims, and availability in a wide range of foods and supplements.

What are Phytoestrogens?

Phytoestrogens are naturally occurring plant compounds that have some similarities to estradiol, the most potent naturally occurring estrogen. However, phytoestrogens tend to have weaker effects than most estrogens, are not stored in the body, and can be easily broken down and eliminated.

Observational studies have found a lower prevalence of breast cancer, heart disease and hip fracture rates among people living in places like Southeast Asia, where diets are typically high in phytoestrogens. In North America, knowledge of these reported health effects has stimulated great interest in the health benefits of phytoestrogens. According to the Food and Drug Administration, the sale of soy foods, a major source of phytoestrogens, has increased dramatically in the past decade.

Dietary Sources of Phytoestrogens

Phytoestrogens consist of more than 20 compounds and can be found in more than 300 plants, such as herbs, grains and fruits. The three main classes of dietary phytoestrogens are isoflavones, lignans and coumestans:

1. Isoflavones (genistein, daidzein, glycitein and equol) are primarily found in soy beans and soy products, chickpeas and other legumes.

2. Lignans (enterolactone and enterodiol) are found in seeds (primarily flaxseed), cereal bran, legumes, and alcohol (beer and bourbon).

3. Coumestans (coumestrol) can be found in alfalfa and clover. Most food sources containing these compounds typically include more than one class of phytoestrogens.

The Skeletal Effects of Phytoestrogens

Much of the evidence concerning the potential role of phytoestrogens in bone health is based on animal studies. In fact, soybean protein, soy isoflavones, genistein, daidzein and coumestrol have all been shown to have a protective effect on bone in animals who had their ovaries surgically removed.

In humans, however, the evidence is conflicting. Compared to Caucasian populations, documented hip fracture rates are lower in countries such as Hong Kong, China and Japan where dietary phytoestrogen intakes are high. Yet reports suggest that Japanese women have a greater risk of sustaining a vertebral fracture than Caucasian women.

Several studies have explored the effects of soy isoflavones on bone health, but results have been mixed, ranging from a modest impact to no effect. Most of these studies have serious limitations, including their short duration and small sample size, making it difficult to fully evaluate the impact of these compounds on bone health.

Ipriflavone Supplements

Ipriflavone, a synthetic isoflavone, has shown some promise in its ability to conserve bone in postmenopausal women. Ipriflavone has also been shown to have a protective effect on bone density in pre-menopausal women taking gonadotropin-releasing hormone (GnRH), a treatment for endometriosis that triggers bone loss.

However, a definitive three-year study of more than 400 postmenopausal women concluded that ipriflavone did not prevent bone loss. Additionally, the compound was linked to lymphocytopenia (a reduction in lymphocytes) in a significant number of study participants. Lymphocytes are a type of white blood cell that helps the body fight infection.

Risks and Benefits Are Unclear

Some studies suggest that, unlike estrogen, phytoestrogens do not appear to target breast or uterine tissue. This suggests that they may act more like SERMS (selective estrogen receptor modulators such as raloxifene and tamoxifen) than actual estrogens. However, in other studies high isoflavone levels have been linked to an increased risk of breast cancer.

Clearly, additional research is needed to further evaluate the effects of phytoestrogens before judgments regarding their safety and usefulness can be made.

Key Points

Based on information available at this time, it is reasonable to make the following conclusions concerning phytoestrogens and bone health in postmenopausal women:

1. Moderate amounts of foods containing phytoestrogens can be safely included in the diet but do not expect it to help build bone. Keep to the basic rule - eat the least processed forms.

2. Due to a lack of evidence and concerns about safety, supplementation with synthetic isoflavones (ipriflavone) is in question.

3. Postmenopausal women are encouraged to view evidence concerning phytoestrogens and bone health as conflicting and incomplete. For women who are estrogen dominant increasing their phytoestrogen intake may not improve their bone position.

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Breast Cancer; Its Causes

Breast cancer is a malignant tumor developed from cells of the breast, and it is one of the most common cancers affecting females, at time has not been established what is the exact cause of this one, but last researches clearly pointing that there are several risks factors;
These are the most probably breast cancer risk factors;

- Last researches have established that in the age group above 50 years there is a high incidence; on the other hand, in the age group below 25 years the incidence is very low. It is very important to say that this disease is very aggressive in patient 25-50 years old.

- Menstrual cycle is other factor that should be considered; common in the ladies who have a longer menstrual life, i.e. the onset of menarche is earlier and cessation of menstruation is late.

- The women that smoke and drink alcohol increase the risk of developing breast cancer.

- Breast cancer is developed more frequently in spinsters and married woman that have not given birth to children, or if given birth then have not breast fed their offspring.

- The women that have had a breast cancer on one side have greater risk to develop cancer on the opposite side, and if there are antecedents of breast cancer in their families (mother, sisters and daughters), there are greatest risks too.

- Breast cancer is linked with obesity and higher intake of saturated fatty acids

- Breast cancer is linked too, with the continuous or sequential uses of combined oestrogen plus progestin hormone therapy (CHT)

- Women that have been using oral anti contraceptives for more than ten years are more vulnerable to the development of this disease.

On the other hand, women doing 4-5 hours of exercises per week reduce their risk of developing breast cancer.

In short, these facts derive from the statistical analysis; they should not be taken as causative or predisposing factors.

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Recognizing And Battling Breast Cancer

Breast cancer occurs due to the irrepressible growth of cells in the breast that invades the nearby tissues and spreads throughout the body. These collections of irrepressible growth of tissue are called tumors or malignant tumors. However, not all tumors are cancerous.

Breast cancer has been diagnosed in large numbers in North America and Europe. In 2001, about 200,000 cases of breast cancer were diagnosed in the United States alone. Every woman has a 1 in 8 risk of developing breast cancer, but the risk of dying from breast cancer is much lower, barely 1 in 28.

The risk of getting breast cancer is generally higher among older women, women with a family history or previous history of breast cancer, women who had radiation therapy in the chest region, women who started their periods before 12 years old, women who had menopause after 50 years old, women who never had children or had them age 30 or older, or women with genetic mutation. In recent times genetic mutations for breast cancer have become a hot topic of research.

The breast cancer tumor has the following symptoms: lump or thickening that appears on the breast or underarm, changes in the breast's shape, nipple turned inwards followed by colorless discharge, red or scaled skin or nipple, or ridges on the breast skin.

If a woman experiences any of these symptoms, it does not necessarily mean she has breast cancer. In such a case she should undergo a breast cancer personal check-up. It is estimated that 95% of breast cancer is detected through personal check-up. The breast cancer personal check-up includes checking for lumps in the breasts after each menstrual period, puckering the skin, and checking for nipple retraction or discharge. For consistent result, every woman should do a breast cancer personal check-up at the same time every month. Various other techniques such as mammography, thermography, ultrasonography, computerized tomography scan etc, can also help detect breast cancer.

Breast cancer treatments include surgery that removes cancerous tissues, with breast conservation therapy (BCT) being one such surgery. Other breast cancer treatments include chemotherapy, radiotherapy, hormonal therapy and biologic therapy. Radiotherapy is a common breast cancer treatment, and radiation treatment and chemotherapy may follow surgery to ensure the destruction of the stray cancer cells.

Even after undergoing many or all of these breast cancer treatment measures, unfortunately almost half the women suffer from a recurrence of the disease.

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Antiperspirants And Breast Cancer

Most underarm antiperspirants contain as the active ingredient, Aluminium Chlorohydrate, as you will probably remember there has been controversy about Aluminium, since the 1950's when it was a popular metal used for making cooking pots, Saucepans and Fry Pans and that it could be one of the contributing factors to Alzheimer's, now we have another problem that could also be related to Aluminium, Breast Cancer.

Research shows that one of the leading causes of Breast Cancer could be the use of antiperspirants. The human body has a number of areas, that it uses to purge Toxins from the body, these are, behind the knees, behind the ears, the groin area, and the armpits. The toxins are purged from the body in the form of perspiration and antiperspirant as the name clearly suggests prevents you from perspiring, thereby inhibiting the body from purging Toxins from the armpit area.

These Toxin do not just disappear, Instead, the body deposits them in the Lymph Nodes below the arms, since it is unable to sweat them out. A concentration of Toxins then builds up in the areas such as the armpits, which can then lead to cell mutations, which is cancer.

It cannot be ignored, that nearly all Breast Cancer Tumors occur in the upper outer quadrant of the breast area, this is where the Lymph Nodes are located. Men are less likely (but not totally exempt) to develop breast cancer prompted by the use of antiperspirants, because the antiperspirant is more likely to be caught in the armpit hair, rather than directly applied to the skin, but ladies, who shave their armpits, increase the risk by causing imperceptable nicks in the skin, which allow the chemicals to enter easily into the body through the armpits.

This article is aimed mainly at ladies, but please be aware that there are a few antiperspirants on the market that are made from natural products, but basically they would still trap the Toxins in the same areas. The best solution is to use deodorants, rather than antiperspirants, also please remember that the Eight Essential Sugars in Glyconutrients can also help to fight off Toxins.

There is a lot of controversy about this article, the medical profession scoff at the idea, and so do big business, but then again there are huge numbers of people that scoff at the problems associated with Fluoride in drinking water. You can make up your own mind on whether there is someting in this article or not, I know that if I was a lady, I would keep clear of Antiperspirants. I realise that Doctors everywhere, do a marvelous job, and they are appreciated, but they are reluctant to look at the bigger picture, also please remember that the fourth largest killer of people in the western world is prescription drugs.

This article and many more by Keith Londrie II can be found on his web site at http://treat-breast-cancer.info/
Visit today for more information on breast cancer.
Keith E. Londrie II
infoserve @ mchsi.com
http://treat-breast-cancer.info/

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Breast Cancer Treatment: Coping With A Mastectomy

As women, especially American women, much of our femininity is centered on our breasts. No matter where you look, there are pictures, billboards, commercials, television shows, and movies with women with these beautiful breasts and ample cleavage. The thought of losing one or both breasts, to breast cancer, can be devastating for many of us. Sure, there's reconstruction, but will it ever really look the same again? Even if you have reconstruction, you'll never have sensation there again and, for many of us, that definitely affects our sexuality.

I went through two separate mastectomies, for my breast cancer, despite the fact that I wanted them both done at the same time. Two different surgeons told me that wasn't necessary. They found out, later, that it was, as I had the same breast cancer in both breasts. Through these surgeries, I learned a few things about what to expect, and how to get up and running again, after a mastectomy for breast cancer.

The first thing to realize is that, apart from the emotional aspect of such an operation, this is a simple surgery. The breast is composed, mostly, of fatty tissue and, of course, milk ducts and lobes. The removal of this breast tissue is way easier than operating on an organ, but carries much more emotional impact for most of us. Most surgeons will get as much of the breast tissue out as they can to help alleviate the chance of a recurrence of your breast cancer. You will typically wind up with a horizontal scar about four inches long. The scar may be red for quite a while but, ultimately, should fade to where you can hardly see it anymore.

You want to be sure to take loose-fitting, button-down shirts (raiding your hubby's closet is helpful) with you, to the hospital, as you won't be able to raise your arms over your head for a while. You will also need a sports bra and I would highly recommend one that fastens in the front. They will put that on you after your surgery. Typically, you should be able to stay in the hospital for one night. If you're going to have lymph nodes removed, a small pillow, to slip under that arm, will help make you more comfortable. Check with your local American Cancer Society as they may have small pillows for you. An extra pillow to hold to your chest, if you need to cough, sneeze, or laugh, can help keep your incision from hurting.

When you wake up, you will have a couple of drain tubes for each side you have done. These tubes are important as they allow the excess fluid, which your body will produce, to drain out. If you didn't have them, the fluid would have to be aspirated with a needle. The drains, even though they're no fun, are better than that. These drains will have to be emptied a couple of times a day and you will have to write down how much fluid you drain so the doctor will know when you've slowed down enough to remove them. You may not know where to put these drains under your clothing. I pinned mine up to the sports bra and that way, they didn't pull when I moved.

When you get home, plan on having someone there to help you for the first few days. You won't be allowed to reach into your cabinets and definitely won't be able to clean house or pick up your children, if you have little ones. You'll be sent home with pain meds and definitely take them if you need them. Studies show that you will heal faster if you keep yourself out of pain, so don't be afraid to take them as prescribed.

If you have a recliner, you might consider moving it into the bedroom as you won't be able to lie flat for a while. You'll need to sleep in a partial sitting position. If you don't have one, or don't have space for it in your bedroom, lots of pillows will work, too. That's what I used. Just be sure you have enough pillows to keep yourself comfortable propped up.

If you would like someone who's been there before you to visit with, be sure to call your local American Cancer Society and ask for a Reach 2 Recovery volunteer. This is an American Cancer Society program where they try to match you with one of their volunteers who have as similar experience as you're facing. This woman will come visit you and will bring you all sorts of brochures and information on conventional treatment. She will also bring you a list of exercises you can start to do to regain your mobility and range of motion.

This is VERY important. It hurts to stretch your arm up, after surgery, but if you haven't had reconstruction, and you don't start soon, you will lose that range of motion. I would recommend starting to gently, slowly reach your arm up … let your body be your guide … the day after your surgery. This is ONLY if you have not had reconstruction. If you have, let your plastic surgeon tell you when to start stretching. Push to where it hurts just a little, but do not push too far past that. Little by little, you'll find yourself able to stretch a little farther every couple of days.

Most of all, allow yourself to heal emotionally, as well as physically. Some of us just can't look at that incision right away. That's OK. Take as much time as you need. I know I felt like some kind of freak with no breasts and, even six years later, I still do sometimes. But remind yourself that these scars are your battle scars. They do not make you less of a woman. They make you a warrior.

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