Breast cancer risk factors are essential knowledge for all women considering getting tested. 1 in 8 women develops breast cancer in their lifetime. Breast Cancer Risk Factors Breast Cancer Risk and Risk Factors You may be familiar with the statistic that says 1 in 8 women will develop invasive breast cancer. Many people misinterpret this to mean that, on any given day, they and the women they know have a 1-in-8 risk of developing the disease. That’s simply not true. In reality, about 1 in 8 women in the United States — 12%, or about 12 out of every 100 — can expect to develop breast cancer over the course of an entire lifetime. In the U.S., an average lifetime is about 80 years. So, it’s more accurate to say that 1 in 8 women in the U.S. who reach the age of 80 can expect to develop breast cancer. In each decade of life, the risk of getting breast cancer is actually lower than 12% for most women. People tend to have very different ways of viewing risk. For you, a 1-in-8 lifetime risk may seem like a high likelihood of getting breast cancer. Or you may turn this around and reason that there is a 7-in-8, or 87.5%, chance you will never get breast cancer, even if you live to age 80. How you view risk often depends on your individual situation — for example, whether you or many women you know have had breast cancer, or you have reason to believe you are at higher-than-normal risk for the disease — and your usual way of looking at the world. Even though studies have found that women have a 12% lifetime risk of developing breast cancer, your individual risk may be higher or lower than that. Individual risk is affected by many different factors, such as family history, reproductive history, lifestyle, environment, and others. Breast Cancer Risk Factors A “risk factor” is anything that increases your risk of developing breast cancer. Many of the most important risk factors for breast cancer are beyond your control, such as age, family history, and medical history. However, there are some risk factors you can control, such as weight, physical activity, and alcohol consumption. Be sure to talk with your doctor about all of your possible risk factors for breast cancer. There may be steps you can take to lower your risk of breast cancer, and your doctor can help you come up with a plan. Your doctor also needs to be aware of any other risk factors beyond your control, so that he or she has an accurate understanding of your level of breast cancer risk. This can influence recommendations about breast cancer screening — what tests to have and when to start having them. Risk Factors You Can Control Weight . Being overweight is associated with increased risk of breast cancer, especially for women after menopause. Fat tissue is the body’s main source of estrogen after menopause, when the ovaries stop producing the hormone. Having more fat tissue means having higher estrogen levels, which can increase breast cancer risk. Diet . Studies are looking at the relationship between diet and breast cancer risk and the risk of recurrence. The Women's Health Initiative Trial suggested that a diet very low in fat may reduce the risk of breast cancer. More research is needed in this important area for women who are interested in eating well to reduce their risk of ever getting breast cancer. In the meantime, here's what dietitians suggest: • Keep your body weight in a healthy range for your height and frame. Body mass index , though not a perfect measurement, can help you estimate your healthy weight. • Eat plenty of vegetables and fruit (more than 5 cups a day). • Try to limit your saturated fat intake to less than 10% of your total calories per day and limit your fat intake to about 30 grams per day. • Eat foods high in omega-3 fatty acids . • Avoid trans fats, processed meats, and charred or smoked foods. You'll find that processed foods generally don't fit in this type of diet as well as fresh foods do. For more information, visit our page on healthy eating to reduce risk of breast cancer in the Nutrition section. Exercise . Evidence is growing that exercise can reduce breast cancer risk. The American Cancer Society recommends engaging in 45-60 minutes of physical exercise 5 or more days a week. (See our Fitness Guide) Alcohol consumption. Studies have shown that breast cancer risk increases with the amount of alcohol a woman drinks. Alcohol can limit your liver’s ability to control blood levels of the hormone estrogen, which in turn can increase risk. Smoking. Smoking is associated with a small increase in breast cancer risk. Exposure to estrogen. Because the female hormone estrogen stimulates breast cell growth, exposure to estrogen over long periods of time, without any breaks, can increase the risk of breast cancer. Some of these risk factors are under your control, such as: • taking combined hormone replacement therapy (estrogen and progesterone; HRT) for several years or more, or taking estrogen alone for more than 10 years • being overweight • regularly drinking alcohol Recent oral contraceptive use. Using oral contraceptives (birth control pills) appears to slightly increase a woman’s risk for breast cancer, but only for a limited period of time. Women who stopped using oral contraceptives more than 10 years ago do not appear to have any increased breast cancer risk. Stress and anxiety. There is no clear proof that stress and anxiety can increase breast cancer risk. However, anything you can do to reduce your stress and to enhance your comfort, joy, and satisfaction can have a major effect on your quality of life. So-called “mindful measures” (such as meditation, yoga, visualization exercises, and prayer) may be valuable additions to your daily or weekly routine. Some research suggests that these practices can strengthen the immune system. (See our resources on Positive Thinking, Meditation and Affirmations ) Risk Factors You Cannot Control Gender. Being a woman is the most significant risk factor for developing breast cancer. Although men can get breast cancer, too, women’s breast cells are constantly changing and growing, mainly due to the activity of the female hormones estrogen and progesterone. This activity puts them at much greater risk for breast cancer. Age. Simply growing older is the second biggest risk factor for breast cancer. From age 30 to 39, the risk is 1 in 228, or .44%. That jumps to 1 in 29, or just under 3.5%, by the time you are in your 60s. Family history of breast cancer. If you have a first-degree relative (mother, daughter, sister) who has had breast cancer, or you have multiple relatives affected by breast or ovarian cancer (especially before they turned age 50), you could be at higher risk of getting breast cancer. Personal history of breast cancer. If you have already been diagnosed with breast cancer, your risk of developing it again, either in the same breast or the other breast, is higher than if you never had the disease. Race. White women are slightly more likely to develop breast cancer than are African American women. Asian, Hispanic, and Native American women have a lower risk of developing and dying from breast cancer. Radiation therapy to the chest. Having radiation therapy to the chest area as a child or young adult as treatment for another cancer significantly increases breast cancer risk. The increase in risk seems to be highest if the radiation was given while the breasts were still developing (during the teen years). Breast cellular changes. Unusual changes in breast cells found during a breast biopsy (removal of suspicious tissue for examination under a microscope) can be a risk factor for developing breast cancer. These changes include overgrowth of cells (called hyperplasia) or abnormal (atypical) appearance. Exposure to estrogen. Because the female hormone estrogen stimulates breast cell growth, exposure to estrogen over long periods of time, without any breaks, can increase the risk of breast cancer. Some of these risk factors are not under your control, such as: • starting menstruation (monthly periods) at a young age (before age 12) • going through menopause (end of monthly cycles) at a late age (after 55) • exposure to estrogens in the environment (such as hormones in meat or pesticides such as DDT, which produce estrogen-like substances when broken down by the body) Pregnancy and breastfeeding. Pregnancy and breastfeeding reduce the overall number of menstrual cycles in a woman’s lifetime, and this appears to reduce future breast cancer risk. Women who have never had a full-term pregnancy, or had their first full-term pregnancy after age 30, have an increased risk of breast cancer. For women who do have children, breastfeeding may slightly lower their breast cancer risk, especially if they continue breastfeeding for 1 1/2 to 2 years. For many women, however, breastfeeding for this long is neither possible nor practical. DES exposure. Women who took a medication called diethylstilbestrol (DES), used to prevent miscarriage from the 1940s through the 1960s, have a slightly increased risk of breast cancer. Women whose mothers took DES during pregnancy may have a higher risk of breast cancer as well. > What's the Difference between Diet and Nutrition? On Breast Cancer Conversations, the Podcast Listen Now

A virtual breast cancer support group offered in Spanish. Comunidad Después de un Diagnóstico es un grupo de apoyo para nuestra comunidad hispanohablante. Únete a nosotros (el segundo y cuarto martes de cada mes) para compartir tus experiencias, conocer a otros, y sentirte acompañado/a. Únete Próximos eventos ! Preguntas para tu Oncólogo Descargar PDF Preguntas para tu Radiólogo Descargar PDF Preguntas para tu Cirujano Descargar PDF Suscríbete a nuestro boletín informativo Suscríbete Calendario Todos nuestros eventos son gratuitos. ¡Descarga el calendario y reserva las fechas! Descargar Después de un Diagnóstico Un servicio proporcionado por SurvivingBreastCancer.org Después de un diagnóstico, nacemos con el propósito de brindar apoyo a la comunidad hispana que ha sido diagnosticada con cáncer de mama. Ofrecemos acompañamiento a los pacientes, sus familias y cuidadores, a partir del diagnóstico. Clases Pregrabadas Historias Inspiradoras Enviar Contenido Podcast More

Breast cancer reconstruction surgery poses many questions and concerns for patients. Discover information on life-saving surgical options for breast cancer. Surgery Options Questions to ask your Surgeon Download PDF What should I expect during a consultation for breast reconstruction? During your breast reconstruction consultation, be prepared to discuss: Your surgical goals Medical conditions, drug allergies and medical treatments Current medications, vitamins, herbal supplements, alcohol, tobacco and drug use Previous surgeries Your plastic surgeon will also: Evaluate your general health status and any pre-existing health conditions or risk factors Examine your breasts and take measurements of their size and shape, skin quality and placement of nipples and areolae Take photographs Discuss your options and recommend a course of treatment Discuss likely outcomes of breast reconstruction and any risks or potential complications Be sure to ask your plastic surgeon questions. It's very important to understand all aspects of your breast reconstruction. To help, we have prepared a checklist of questions to ask your breast reconstruction surgeon that you can take with you to your consultation. It's natural to feel some anxiety, whether it's excitement for your anticipated new look or a bit of preoperative stress. Don't be shy about discussing these feelings with your plastic surgeon. What options are available for breast reconstruction? If you've decided to have breast reconstruction, you'll still have many things to think about as you and your doctors talk about what type of reconstruction might be best for you. There are many different reconstruction techniques available. Take the time to learn about the breast reconstruction options and consider talking to others who have had that procedure before you make a decision. Breast reconstruction with implants Implant-based breast reconstruction may be possible if the mastectomy or radiation therapy have left sufficient tissue on the chest wall to cover and support a breast implant. For patients with insufficient tissue on the chest wall, or for those who don't desire implants, breast reconstruction will require a flap technique (also known as autologous reconstruction). The most common method of tissue reconstruction uses lower abdominal skin and fat to create a breast shape. There are several techniques that can be used for implant-based breast reconstruction. Make sure to discuss with your plastic surgeon which is appropriate for you. Immediate breast reconstruction above the pectoral muscle This procedure is performed in combination with the mastectomy and results in an immediate breast mound. After the mastectomy has been performed by the breast surgeon, the plastic surgeon will place the breast implant, wrapped in a biological mesh known as acellular dermal matrix (ADM), to help the implant maintain correct anatomic position, above the pectoralis muscle. With this procedure, recuperation may be more rapid because the muscle in the chest has not been elevated. Further, the breast implant itself is not influenced by the contraction of the muscle. Complications, while rare, may include skin loss, excess bleeding, infection, malposition of the implant so that asymmetry occurs, wrinkling or rippling of the implant, possible fluid collection underneath the implant and/or unfavorable scarring. This procedure may also require secondary autologous fat transfer to eliminate upper pole wrinkling and rippling over time, which will occur over secondary procedures. Immediate breast reconstruction under the pectoral muscle This procedure is also performed as a combination with the mastectomy and results in an immediate breast mound. The incision generally is performed through the mastectomy site. Once the mastectomy is completed, the plastic surgeon will elevate the pectoralis major muscle. This will allow the muscle to retract upward and allow a pocket to be developed underneath the muscle and at the bottom of the normal breast position. Delayed breast reconstruction utilizing tissue expander. The initial portion of this procedure entails the breast surgeon performing a standard mastectomy and possible axillary dissection. In many instances, a drain will be placed between the muscle and the skin of the mastectomy. Once these procedures have been performed, the plastic surgeon will divide the lower pole of the chest wall muscle, elevate the chest wall muscle and the lateral chest muscle together upwards towards the collarbone. After that is done, the muscle and tissue below is elevated together to form the pocket for the breast expander at the base of the breast or the inframammary crease. The pocket is made large enough for the expander to be placed and the muscle closed. Occasionally, there is a need for placement of a small amount of acellular dermal matrix (ADM) to assist in the closure of the muscle. There are two types of breast tissue expander ports. One, similar to a chemotherapy port, is placed separate from the tissue expander, usually along the rib cage. This will require a separate small incision for the port. The second type is a port that is contained within the expander itself. In both instances, the ports will be used to inflate the tissue expander over several visits with saline solution. The port is accessed with a small needle and saline is injected into the expander through the port site Tissue expansion usually occurs weekly according to patient tolerance. The volume of the tissue expanders commonly exceeds the weight of the mastectomy tissue. Once the final tissue expansion, or stretching, is completed there will be a time of passive expansion where little to no volume is added to the tissue expanders. This allows the muscle and skin to stretch and relax. The length of time will vary from patient to patient. Once this is completed, a second outpatient procedure will be necessary to remove the tissue expander and place the permanent breast prosthesis. Complications, while rare, may include skin loss, exposure of the expander, excess bleeding, infection, malposition of the implant so that asymmetry occurs, wrinkling or rippling of the implant, possible fluid collection underneath the implant, pain at the injection site, muscle spasms with expansion and/or unfavorable scarring. Lymphedema 101 On Breast Cancer Conversations, the Podcast Listen Now A biodegradable acellular dermal matrix (ADM) will be placed at the bottom of the breast or inframammary crease and attached to the muscle. The breast implant will be placed under the ADM and your own muscle. This allows the breast implant to settle in a normal position, and the ADM stretches into a pleasing, rounded lower breast shape. It is not uncommon to have drains placed with this procedure. They may be removed anywhere from 48 hours to 2 weeks after surgery. This procedure is a one-staged procedure, which allows the desired shape to result without any further surgical intervention. The muscle on top of the implant will help prevent the development of upper pole wrinkling. Complications, while rare, may include skin loss, excess bleeding, infection, malposition of the breast implant so that asymmetry occurs, wrinkling or rippling of the implant, possible fluid collection underneath the implant and/or prosthesis deflation. Immediate breast tissue expander placement The surgical process for saline breast tissue expanders and breast expanders following mastectomy are the same. Expanders with saline have been used for decades but recently, a new type of expander using air, which allows for more patient control, have been introduced. Expanders have some of the same complication rates and risks as the other types of breast reconstruction, which include infection, seroma, hematoma, extrusion and/or expander deflation. The expander is placed into a submuscular or subcutaneous space with no external filling ability. The expander will fill with compressed air contained within the expander itself. The patient will do self-controlled expander fills utilizing an external automatic activation device at home and will achieve similar results to the standard saline filled tissue expansion devices. It will be necessary to monitor the incisions and progress on your own and contact the physician if you feel there is something wrong. The advantage of the expander it that it may decrease doctor visits and decrease total expansion time. Immediate breast reconstruction utilizing latissimus dorsi muscle. This procedure is performed as a secondary operation immediately during the mastectomy or delayed after radiation. The latissimus muscle is a very large vascular muscle in the back that is attached at the base of the arm, extends onto the chest from the arm past the shoulder blade and attaches close to the spinal column. The latissimus muscle stretches to the tip bone and hallway into the axilla or armpit area and is supplied mostly by artery in the axilla. The latissimus flap is frequently used when the amount of soft tissue is limited secondary to surgery, the pectoralis muscle is absent, partially removed or damaged secondary to radiation. It entails undermining the skin on the back and releasing some of the skin allowing it to remain attached to the muscle. The main muscle and artery is called pedicle flap. This flap is released from the back, passed through a tunnel that is made underneath the axilla and into the anterior chest to fill the mastectomy defect site. The muscle is placed and sutured to the chest wall. An implant is then placed behind this flap and in front of the chest. One can also use a tissue expander and gradually increase to breast size. The advantage to this expander is it can completely replace the amount of breast tissue that has been removed and protect the latissimus flap. A completely inflated implant or a postoperative adjustable expander/implant can be immediately placed. It is not uncommon to require a secondary revision procedure to gain more accurate symmetry of both breasts. The latissimus flap is recommended for patients who have already had mastectomy and radiation. The use of radiation frequently limits the amount of implant surgery that can be performed. The secondary advantage of this flap is that it brings new blood flow and healthy skin to the radiated field. It is also recommended for patients who are very thin and have limited options for flap reconstruction. Complications, while rare, may include limited blood flow of the artery compromising the flap, skin loss, exposure of the expander, excess bleeding, infection, malposition of the implant so that asymmetry occurs, wrinkling or rippling of the implant, possible fluid collection underneath the implant, pain at the injection site, muscle spasms with expansion and/or unfavorable scarring. Breast reconstruction with abdominal-based flaps Sometimes a mastectomy or radiation therapy will leave insufficient tissue on the chest wall to cover and support a breast implant. In these cases, breast reconstruction usually requires a flap technique (also known as autologous reconstruction). This is the most common method of tissue reconstruction, using lower abdominal skin and fat to create a breast shape. A woman may also choose not to have an implant for personal reasons. The skin and fat used for this procedure is the tissue between your belly button and pubic bone that you can pinch. Once this tissue is taken to make a breast, you will typically have a scar from hip bone to hip bone and around your belly button. However, some women may not be candidates for abdominal-based flaps for various reasons: • Not enough donor tissue in the lower abdomen • Prior scars that may have damaged important blood vessels • Previous flaps that have failed and seeking an alternative Specific flap options Several different flaps use the tissue from the lower abdomen. The difference between each of them is related to blood vessels that supply these flaps. These flaps include the Pedicled TRAM (traverse rectus myocutaneous) flap, the free TRAM flap, the DIEP (deep inferior epigastric artery perforator) flap and the SIEA (superficial epigastric artery) flap. Pedicled TRAM flap A TRAM flap uses the muscle, fat and skin from your lower abdomen to reconstruct a breast. In order to survive on your chest in its new location, this tissue requires a blood supply. The blood supply to this tissue comes from the underlying rectus (six-pack) muscle. The flap remains attached to your rectus abdominis muscle and is tunneled up through the abdomen and chest to create the breast mound. Since your entire muscle is sacrificed, you may experience some abdominal weakness or have difficulty performing sit-ups. Free TRAM flap Like the TRAM flap, the free TRAM flap is also based on the blood vessels coming through the rectus abdominis muscle. However, in this flap the muscle above and below the blood vessels is divided, so that only a portion of muscle is removed. The entire flap is then transplanted to the chest. The blood vessels from the muscle are connected to blood vessels in the chest using a microscope. DIEP flap The DIEP flap utilizes the same lower abdominal skin and fat as the TRAM and free TRAM flap; however, it spares the rectus abdominis muscle and fascia. Rather than taking the entire muscle or a small portion of the muscle, the small blood vessels – an artery and a vein – that come through the muscle to the skin and fat are identified; these vessels are then dissected through the muscle prior to being divided. Once they are divided, the tissue is again transplanted to the chest and the vessels are connected to blood vessels in the chest. Since your muscle is preserved, there is a lower risk of abdominal weakness or hernias and less postoperative pain. SIEA flap The SIEA flap also uses the lower abdominal skin and tissue, but the blood vessels that supply this flap do not go through the abdominal muscle. Rather, they only go through the fat. Advantages of this flap include preservation of the abdominal muscles, resulting in less postoperative pain and a speedier recovery. However, these blood vessels may not be present in all women; and even when present, may be too small to provide a reliable blood supply for a flap. For these reasons, the SIEA flap is not performed as frequently as the DIEP or free TRAM flaps. Special notes regarding recovery Because the free TRAM, DIEP and SIEA flaps involve microsurgical tissue transfer, blood flow to the flap is closely monitored in a hospital setting after surgery. If there are concerns about the flap, a reoperation may be necessary to assess the blood flow. Breast reconstruction with thigh-based flaps Sometimes a mastectomy or radiation therapy will leave insufficient tissue on the chest wall to cover and support a breast implant. In these cases, breast reconstruction usually requires a flap technique (also known as autologous reconstruction). Thigh-based flaps may be a good option for women with small to medium volume breasts. To achieve a larger size, these flaps may be combined with an implant or another flap (called "stacked flaps," which are not widely available). All of these techniques require your plastic surgeon to have skill and training in microsurgery. However, some women may not be candidates for thigh-based flaps for various reasons: • Not enough donor tissue in the upper thighs • Prior scars that may have damaged important blood vessels • Previous flaps have failed and they are seeking an alternative Specific flap options Gracilis-based flaps are based on the gracilis muscle, located in the upper inner thigh. The gracilis muscle helps bring the leg toward the body, and its function will be lost after this type of surgery. During these procedures, a flap of skin, fat, muscle and blood vessels from the upper thigh is moved to the chest to rebuild the breast. Blood vessels are carefully reattached using microsurgery. Different names are used to describe the orientation of the resulting donor site incision on the upper inner thigh: • TUG flap: Transverse Upper Gracilis flap • VUG flap: Vertical Upper Gracilis flap • DUG flap: Diagonal Upper Gracilis flap The choice of incision depends on your unique thigh shape and your surgeon's experience. Most surgeons will try to conceal the scars in the crease at the top of the thigh, but the scar may end up a bit lower and be visible while wearing a bathing suit. These flaps result in a tighter inner thigh, similar to an inner thigh lift. Similar to the gracilis-based flaps, a PAP flap uses skin and fat from the back of the upper thigh to reconstruct the breast using microsurgery. PAP stands for Profunda Artery Perforator, which is a blood vessel that supplies this area of the thigh. No muscle is used, so a PAP flap is considered muscle-sparing. PAP flap scars are usually hidden in the crease between the lower buttock and upper thigh. Special notes regarding recovery Because these flaps involve microsurgical tissue transfer, blood flow to the flap is closely monitored in a hospital setting after surgery. If there are concerns about the flap, a reoperation may be necessary to assess the blood flow. Thigh-based flaps do tend to have more healing problems at the donor site than abdominal-based flaps due to the location of the incision. Lower leg swelling may occur but usually resolves with time. When one thigh-based flap is used to reconstruct one breast, asymmetry may result due to tightness and thinness of one thigh. Additional procedures may be recommended to improve symmetry between the thighs.

Learn how exercise, breast cancer risk, and recovery are connected. Regular activity can lower estrogen, reduce obesity, and support overall health. Home Page Breast Cancer 101 Lifestyle & Wellness Resources Programs Content Library Podcast: Breast Cancer Conversations Download the App Subscribe to the Newsletter Donate to a Program More Fitness & Exercise Tips for Breast Cancer Survivors It is well documented that physically active women have a lower risk of breast cancer than do others who are not. Thus, it stands to reason that physically active breast cancer survivors may reduce the risk of cancer’s return, and dramatically improve quality of life. As always, consult your oncological team before starting out on your fitness program. According to Breastcancer.org, exercise can lower your risk of breast cancer coming back, as well as help you maintain a healthy weight, ease treatment side effects, boost your energy, and more! Exercise Is Safe Per Breastcancer.org (one of the attached links below), “a roundtable convened by the American College of Sports Medicine in 2010 reviewed available research and concluded that exercise is safe during and after all breast cancer treatments (as long as you take any needed precautions and keep the intensity low) and improves physical functioning, quality of life, and cancer-related fatigue. There also is evidence that exercise can help breast cancer survivors live longer and lead a more active life.” Risk Reduction According to Cancer.gov (link below) “studies show that physically active women have a lower risk of breast cancer than inactive women. Physical activity has been associated with a reduced risk of breast cancer in both premenopausal and postmenopausal women; however, the evidence for an association is stronger for postmenopausal breast cancer.” This study further elaborates on how exercise can reduce the risks of cancer, and, or its return: Exercise has a number of biological effects on the body, including: Lowering the levels of hormones , such as estrogen , and of certain growth factors that have been associated with cancer development and progression Helping to prevent obesity and decreasing the harmful effects of obesity Reducing inflammation Improving immune system function Cognitive Impairment (“chemo brain”) Furthermore, a new study (found in the Sciencedaily.com link below) “indicates that cancer patients and survivors have a ready weapon against fatigue and "chemo brain": a brisk walk. Their data suggests “that being more physically active could reduce two of the more commonly reported symptoms in breast cancer survivors: fatigue and cognitive impairment". Cognitive impairment, such as memory problems or shortened attention spans, is a common complaint among cancer patients and survivors, and is thought to be similar to decline due to aging. Fitness Recommendations With the above (and below) referenced studies in mind, we at Survivingbreastcancer.org are recommending the following exercise possibilities: Walking The health effects of a brisk walk cannot be overstated, notably for cognitive impairment, but also for muscular and circulatory systems. Yoga This discipline combines stretching, deep breathing, toning of the muscular system and offers a wonderful way to relax the nervous system. Meditation According to the Laura-Sage (link below), meditation can effectively reduce stress, anxiety, depression, fatigue, and fear of recurrence. It can also help reduce hot flashes. Weight Resistance & Training Program In another recent study study, researchers looked at data from the Physical Activity and Lymphedema (PAL) trial to determine whether slowly increased weight lifting could increase muscle strength among breast cancer survivors and help them avoid frailty and maintain physical function. Aerobic and Cardio Training (swimming, running, elliptical, stairmaster, etc.) Lastly, another recent study (for the NIH) showed that a “10 week moderate-intensity aerobic exercise program significantly improves quality of life and physical functioning in breast cancer survivors.” Please note that further long-term studies have been recommended Related Articles 1 2 3 Additional Resources We found the following links to be beneficial: https://www.cancer.gov/about-cancer/causes-prevention/risk/obesity/physical-activity-fact-sheet https://www.scribd.com/document/268275865/Breast-cancer-and-physical-activity https://www.acefitness.org/education-and-resources/lifestyle/blog/6753/exercise-for-breast-cancer-survivors https://www.sciencedaily.com/releases/2017/07/170725122242.htm https://www.cdc.gov/physicalactivity/basics/pa-health/index.htm#ReduceCancer https://www.cancer.org/treatment/survivorship-during-and-after-treatment/staying-active/physical-activity-and-the-cancer-patient.html http://www.breastcancer.org/tips/exercise https://community.breastcancer.org/forum/44/topics/836196 http://www.lbbc.org/building-and-restoring-physical-fitness-after-breast-cancer https://www.mindbodygreen.com/articles/what-you-need-to-know-about-exericse-and-cancer https://www.huffingtonpost.com/laura-sage/5-benefits-of-meditation_b_10617412.html https://www.cancer.org/.../study-weight-lifting-helps-breast-cancer-survivors-stay-health ... https://www.ncbi.nlm.nih.gov/pubmed/25313756

Join our expressive writing workshops designed for breast cancer patients and survivors. Reduce stress, process emotions, and find healing through the power of writing. RSVP for our upcoming virtual and in-person sessions. Expressive Writing for Breast Cancer Support & Healing Discover the power of words. Learn More What is Expressive Writing Expressive writing is a proven technique that helps people process emotions, reduce stress, and promote healing. At SurvivingBreastCancer.org, we offer expressive writing sessions tailored specifically for those navigating a breast cancer diagnosis, treatment, or survivorship. Why Expressive Writing Works Reduce anxiety and depression through storytelling Process complex emotions around diagnosis and survivorship Connect with others in a safe, supportive environment Improve overall emotional well-being and clarity "Expressive writing has been my outlet during treatment. I’ve never felt so seen and supported." Backed by Research Expressive writing isn't just therapeutic—it’s backed by science. For decades, researchers have studied the emotional and physical health benefits of expressive writing, particularly for people coping with chronic illness and trauma. For those impacted by breast cancer, the act of writing can be a profound tool for reflection, resilience, and renewal. Improves Emotional Well-being: According to Dr. James Pennebaker, a pioneer in expressive writing research, writing about emotional experiences can lead to significant improvements in mental health, including reduced stress, anxiety, and depression [1]. Supports Immune Function: A landmark study showed that expressive writing may even improve immune system functioning and decrease the number of visits to the doctor [2]. Helps Process Trauma and Grief: A meta-analysis published in the journal Health Psychology found that expressive writing can be particularly helpful in reducing symptoms of PTSD and supporting emotional recovery after trauma, including illness-related trauma. Enhances Meaning-Making: Writing helps individuals make sense of their experiences, identify patterns, and find meaning—even during difficult health journeys. This sense of meaning has been linked to improved psychological resilience in cancer patients [4] as well as allowing individual to process complex emotions associated with one's diagnosis [5]. Read the Incredible Poems Coming Out Of Our SBC POETRY LAB Looking for more ways to support your well-being? View Programs References: [1]. Pennebaker, J. W., & Beall, S. K. (1986). Confronting a traumatic event: Toward an understanding of inhibition and disease. Journal of Abnormal Psychology, 95(3), 274–281. [2]. Pennebaker, J.W. (1997). Writing about emotional experiences as a therapeutic process. Psychological Science, 8(3), 162–166. [3]. Frisina, P. G., Borod, J. C., & Lepore, S. J. (2004). A meta-analysis of the effects of written emotional disclosure on the health outcomes of clinical populations. Health Psychology, 23(6), 763–771. [4]. Stanton, A. L., et al. (2002). Randomized, controlled trial of written emotional expression and benefit finding in reast cancer patients. Journal of Clinical Oncology, 20(20), 4160–4168. [5]. Patient Education and Counseling. (2022). Using expressive writing to improve cancer caregiver and patient outcomes: A systematic review.

Breast Health Understanding Your Breast Health is the first step in being breast-aware and knowing your body so that you can proactively advocate for yourself when you sense that something is not quite right. Despite how well we eat, exercise, and maintain a healthy life-style, it is still possible to develop breast cancer. This information serves as strategies to empower you and reduce the risk of developing breast cancer. If you develop breast caner, know that it is not your fault. The founder of Surviving Breast Cancer was a vegetarian since the age of 16 later to become a vegan. Out of the blue she was diagnosed with breast cancer at the young age of 34. We don't have all of the answers nor know why some people get breast cancer while others do not. What we do know are tools we can use to be breast aware, get screened, and understand our family history. >

Your mental health during breast cancer treatment is vital. Explore our resources for dealing with mental struggles accompanying a breast cancer diagnosis. Breast Cancer & Mental Health

Art Therapy and Expresive Writing are excellent modalities for coping with a breast cancer diagnosis. Attend our free programs and events, meet those on a similar journey, and take a deep dive into managing breast cancer through the arts. 1 2 3 4 5 Healing Through The Arts A cancer diagnosis can ignite our deepest fears, and while navigating this life-altering experience, we often lose touch with the present moment. Through art, writing, and other creative modalities, we hold the power to manage our stress, make sense of our now, and relax into moments of stillness. Express yourself, get it out, connect with others, and find your breath again. Upcoming Events Stitch & Share: A Mindful Crochet Gathering Wed, Dec 03 Online Event More info RSVP Upcoming Events Multiple Dates Reflect and Recharge with Thomas Dooley Mon, Dec 08 Online Event More info RSVP Multiple Dates Reflective Writing for Metastatic Breast Cancer Fri, Dec 12 Online Event More info RSVP Expressive Art: Unveiling my self Express your feelings, release tension, and explore your healing process without fear of judgment or perfection. Expressive Art: Season of Gratitude Adopting gratitude as a consistent practice helps transform a person's entire outlook, fostering optimism and resilience even in challenging circumstances. Expressive Arts: Honoring Your Life Celebrate resilience, courage, and self-expression through art. Expressive Arts Blossoming Beyond Embark on a transformative journey of renewal, where we blossom beyond challenges and embrace happiness through creativity and self-expression. Expressive Arts: Exploring Relationships In this class, we use art as a tool for healing, reflection, and self-discovery. Expressive Arts Class: Love Yourself Join us for a powerful Expressive Arts space focused on self-love, healing, and creativity. Expressive Arts: Creating Mandalas for Inner Peace and Reflection explore the power of mandalas as a creative tool for healing, mindfulness, and emotional expression. Expressive arts: Pebble Drawing Releasing the need to control is part of our learning process. We need to learn how to trust the flow, and find beauty in the unexpected. Expressive Arts: Write it, Feel it, Transform it Explore how expressive arts and creative arts can help breast cancer survivors process emotions, reduce stress, and foster healing. Expressive Art: Self Portrait This creative workshop is designed to help you explore your identity, emotions, and inner voice through the powerful tool of self-portraiture. Expressive Art Colors of my voice In this session, we invite you to explore the connection between emotion, voice, and color, using art as a gentle path to self-expression and healing. Expressive arts: Tree of Life Explore the Tree of Life as a tool for healing, reflection, and hope. Expressive Writing Art As Therapy Art As Therapy Art As Therapy Art As Therapy Read the Incredible Poems Coming Out Of Our SBC POETRY LAB Looking for more ways to support your healing journey? View Programs New to Expressive Art as Therapy? No worries, we have you covered! In the canvas of life, every stroke tells a story, and we believe that art can be a powerful medium for healing and self-expression. Join Elisa and other resilient individuals as we explore the therapeutic benefits of artistic expression, fostering a supportive community where stories are shared, and strength is discovered. Embrace the canvas of your life with bold strokes of self-discovery, and let the vibrant colors of your resilience paint a masterpiece of healing and growth.

Find an event near you Studio 1 Date Location Registration Description Register or Donate Studio 2 Date Location Registration Description Register or Donate Studio 3 Date Location Registration Description Register or Donate Join us in an empowering movement where strength, wellness, and community come together for a powerful cause. STRONGER together together together together This month, fitness and yoga studios across the country are uniting to support SurvivingBreastCancer.org — a nonprofit dedicated to providing free education, community support, and resources to those impacted by breast cancer. Through special "Stronger Together" classes, your sweat will support survivorship. 100% of proceeds from these events will help fund free programs like support groups, expressive arts therapy, wellness webinars, and educational resources for those diagnosed with breast cancer. Register or Donate Together, we can make an impact. Together, we are stronger. Register or Donate

In Loving Memory We honor the brothers and sisters we have lost to Metastatic Breast Cancer and the 119 people we lose each day to this disease. We promise to: Say their names Talk about them often Share their stories and honor their legacy

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We provide free breast cancer events, programs, and webinars to support breast cancer patients and survivors. Explore our supportive community events today! Surviving Breast Cancer provides breast cancer events, support, and webinars at no cost to you! Whether you are looking to gain more knowledge on a particular topic or meet up with other breast cancer survivors, we have something for everyone. Supporting you, every step of the way Learn More and RSVP for Upcoming Events & Programs (Click here for Programs in Spanish) Multiple Dates Restorative Yoga with Kate: Rest in Abundance Mon, Nov 17 Online Event More info RSVP Webinar: Managing Medical Menopause: Painful Sex, Dryness, Hot Flashes, and more Mon, Nov 17 Zoom More info RSVP Multiple Dates The Caregiver Huddle Tue, Nov 18 Zoom More info RSVP Multiple Dates Triage Cancer: What Should I Know About Medicare? – Part 2 Wed, Nov 19 webinar More info RSVP Multiple Dates MBC Support Group with Nancy Gaulin Thu, Nov 20 Virtual More info RSVP Multiple Dates Early Stage Meetup -Thursday Nights Thrivers Thu, Nov 20 Virtual More info RSVP Multiple Dates Pilates with Nina: Strengthen, Restore & Breathe Fri, Nov 21 Online Event More info RSVP Multiple Dates Meditation Reflection Mon, Nov 24 Online Event More info RSVP Multiple Dates SBC Well-Being Club Mon, Nov 24 Online Event More info RSVP Multiple Dates Reiki Circle of Care Mon, Nov 24 Online Event More info RSVP Multiple Dates Thursday Nights Thrivers Meetup Thu, Nov 27 Virtual More info RSVP SBC’s 5-Day Holiday Creativity Challenge Mon, Dec 01 Online Event More info RSVP Multiple Dates Artistic Expression Mon, Dec 01 Online Event More info RSVP Stitch & Share: A Mindful Crochet Gathering Wed, Dec 03 Online Event More info RSVP Multiple Dates Hypnotize Yourself: Learn Self-Hypnosis Wed, Dec 03 Online Event More info RSVP Multiple Dates MBC Peer to Peer Support Thu, Dec 04 Virtual More info RSVP SBC's Game Night! Fri, Dec 05 Online More info RSVP Multiple Dates Breast Cancer Book Club Sun, Dec 07 Zoom Meetings More info RSVP Load More Breast Cancer Events & Support Curated For You Upcoming Events November 2025 Today Sun Mon Tue Wed Thu Fri Sat 26 27 10:00 AM Meditation Reflection +2 more +3 more 28 8:00 PM Grupo de Apoyo: Después de un Diagnóstico +1 more 29 30 7:00 PM Thursday Nights Thrivers Meetup +1 more 31 1 2 11:00 AM Breast Cancer Book Club +1 more 3 8:00 AM Pictionary Prep Challenge +2 more +3 more 4 5 8:00 PM Hypnosis: Practice the Pause +1 more 6 7:00 PM MBC Peer to Peer Support +2 more +3 more 7 10:00 AM Pilates with Nina: Strengthen, Restore & Breathe +1 more +2 more 8 9 10 10:00 AM Meditation Reflection +2 more +3 more 11 6:00 PM Yoga Stretching for DIEP Flap +2 more +3 more 12 3:00 PM Metastatic Breast Cancer Community Conversation: From the Start: Living with MBC De Novo +1 more +2 more 13 7:00 PM Thursday Night Thrivers IBC Meetup +1 more +2 more 14 10:00 AM Reflective Writing for Metastatic Breast Cancer +1 more 15 16 17 10:00 AM Meditation Reflection +2 more +3 more 18 7:00 PM The Caregiver Huddle +1 more 19 1:00 PM Triage Cancer: What Should I Know About Medicare? – Part 2 +1 more 20 Day (1/2) Círculo de mujeres +2 more +3 more 21 Day (2/2) Círculo de mujeres +1 more +2 more 22 23 24 10:00 AM Meditation Reflection +2 more +3 more 25 8:00 PM Grupo de Apoyo: Después de un Diagnóstico +1 more 26 27 7:00 PM Thursday Nights Thrivers Meetup +1 more 28 29 30 1 10:00 AM Meditation Reflection +2 more +3 more 2 3 6:00 PM Stitch & Share: A Mindful Crochet Gathering +1 more +2 more 4 Day (1/2) Círculo de mujeres +2 more +3 more 5 Day (2/2) Círculo de mujeres +1 more +2 more 6 Breast Cancer Awareness Month Make an Impact TODAY TODAY TODAY TODAY Inspire. Empower. Support. Donate Join Our Breast Cancer Awareness Month Silent Auction! We are thrilled to be launching our silent auction which will run untill Friday, October 25. You can check out amazing travel packages including glamping at the Grand Canyon, tickets to the Kentucky Durby, two nights at a hotel to see Cirque Du Soleil and more! Explore all of the auction items and Bid For Good!