Over the last few years, several professional and sociolo gical organizations including the American Cancer Society, the World Health Organization and the U.S . Preventative Task Force have modified their recommendations pertaining to routine breast care by stating that self-screening breast exams arent necessary. However, not all the medical professionals agree. Using large-scale clinical trials, some medical literature published a recent review. They, too, concluded that routine self-exams do not lower the number of deaths from breast cancer. However, women who found lumps in their breast(s) disagree. Many state that by the time they would have received their next mamm ogram; their cancer could have progressed or even spread. 1. One doctor,

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， Nike Air Max 90 Mens Shoes， Nike Air Max ACG Mens Shoes， Nike Air Max ACG Mens Running Shoes， Nike Air Max Classic BW， Nike Air Max Griffey， Nike Air Max LTD Mens Shoes， Nike Air Max Tn Mens Shoes， Virginia Kaklamani, who is an assistant professor in the Department of Hematology/Oncology at Northwestern University and is an oncologist at Chicagos Northweste rn Me morial Hospital states that there are currently many statements concerning self-exams in the medical community that are controversial, bas ed on these recent studies. However, she states that self-exams are an extremely important aspect of a womans arsenal in the detection of breast cancer. 2 . Dr. Kaklamani believes that many women who routinely perform breast self-exams will know how her breasts normally feel making them adept at detecting changes. This is helpful because she may detect changes in her breasts sooner than her doctor would. This is very important for the women whose breasts generally feel lumpy. The women who per form regular breast exams will be proficient at detecting subtle and significant changes in their breasts ac cording to Dr. Kaklamani. 3. Doroth y Pierce, RN, who is an advance practice nurse in New Brunswick at the Cancer Institute of New Jersey, stated that although mammograms being done on a regular basis (yearly) are very effective at detecting breast cancer and saving lives, they are not perfect. She continued saying that a mammographys sensitivity level is 80%; for this reason, using mammography alone would mean that a considerable number of cancers would go undetected. Best Time to Do Your Self-Exam When you should do your breast cancer self-exam will depend on several factors. However, all women should perform their exam once each month. Premenopausal Women with Regular Cycles If your menstrual cycles are normal and you are premenopausal, you should schedule your self-exam between the seventh and tenth days of your cycle. This is because this is the point when your breasts will be the least tender, swollen or lumpy because of hormonal changes. Even women that have breast implants need to perform a monthly exam. Postmenopausal Women and Women with Irregular Cycles Those women who are postmenopausal and women who a re premenopausal with irregular cycles will choose a day. Since they wont be tracking their cycle to choose a d ay, it needs to be one thats easy to remember. Many women find that performing their exam on the first day of each month is an easy day to remember. Tips for a Successful Exam/What to Look For It doesnt matter what time of day she chooses to perform the self-exam. Pierce does suggest that performing your self-exam in the shower is helpful. This is because soapy hands may help you detect changes more easily. Be sure once you exit the shower that you look in the mirror for breast changes. Look for changes suc h as swelling, puckering, retraction, dimpling or skin thickening. Why Self-Exams are Essential According to doctors, the best chance a woman has to fight breast cancer and win is with early detection. According to Pierce, early detection is achieved using several tools. These routine breast care tools include regular breast exams annually, monthly breast cancer self-exams and yearly mammograms.Nike Air Max Tn Mens ShoesNike Air Max 90 Mens Shoes