Receiving a breast cancer diagnosis  can evoke a complex array of emotions. Initially, you may feel shock and disbelief. Those feelings can quickly give way to fear and anxiety, sadness or grief, anger, and frustration. It can seem unfair and have you questioning, “Why me?” In addition to the mix of emotions, you’re also trying to absorb mind-boggling mountains of information.  The combination of emotions, urgency, and the perceived authority of medical professionals causes many people to feel locked into the first opinion they receive, making them reluctant to seek a second opinion, either due to emotional distress, financial concerns, or the fear of offending their doctor.  Some people may hesitate to seek a second opinion or discuss their diagnosis with another doctor, fearing it might upset or offend their current physician. It’s important to understand that feeling uncertain and wanting reassurance through additional consultations is completely normal and essential to managing your healthcare. For example, you might express your concern by asking your doctor, “Is it right if I consult another specialist to get a second opinion on my treatment options?” Most doctors will respond positively to such questions, affirming that seeking a second opinion is prudent and can help ensure the best treatment plan. They might say, “Absolutely, getting a second opinion can provide additional perspectives that might be beneficial, and I can recommend specialists who have experience in this area.” Medical professionals generally encourage seeking a second opinion  and view it as a standard part of medical care, especially for significant diagnoses like cancer. You should feel empowered to pursue all avenues to help you feel more confident and informed about your treatment decisions. Breast cancer is a complex disease with various treatment options, each with risks and benefits. Different specialists might have varying experiences and expertise, which can lead to alternative insights or treatment approaches. The process can provide reassurance, confirm a diagnosis, and help you understand the full range of treatment options available. A second perspective can offer reassurance about your diagnosis and treatment plan or reveal alternative options previously unknown. Continue reading to learn about the importance of obtaining a second opinion regarding a breast cancer diagnosis, illustrating how it’s not just beneficial but essential for comprehensive care. You will also learn about how to get started seeking a second opinion. Remember, it’s your health and your decision; seeking clarity and comfort through additional expert advice is a proactive step toward your well-being. The Initial Diagnosis  An initial diagnosis of breast cancer  typically involves a combination of clinical examinations and diagnostic tests. The process usually begins when an individual or a healthcare provider identifies symptoms , such as a lump in the breast or a change in breast shape or texture. A healthcare professional performs a clinical breast exam  to check for lumps or other physical changes.  If there is a lump or significant concern based on the initial examination, your healthcare team may recommend imaging tests like mammography , ultrasound, or magnetic resonance imaging ( MRI). These imaging techniques help visualize the breast’s internal structure and identify abnormalities. If these tests indicate the presence of potential cancer, a biopsy  is usually the next step. During a biopsy, a small tissue sample from the suspicious area is removed and examined under a microscope to check for cancer cells. The biopsy is a critical component of the diagnosis, as it confirms whether the abnormality is cancerous  and, if so, determines the specific type and characteristics  of the breast cancer.  The information is crucial for planning appropriate treatment. The diagnosis process may also include additional tests to assess your overall health and check for signs of cancer spread. Why a Second Opinion Matters According to BreastCancer.org , up to 40% of breast cancer patients had a change in their diagnosis  when they sought a second opinion. Reasons why a second opinion is so valuable include: Confirming your diagnosis and treatment plan:  A second perspective can provide reassurance that you’re on the best possible path. Discovering alternative treatment options:  Doctors at different facilities may be aware of emerging therapies you and others don’t know about. They may also have different experiences and perspectives on treatment options, offering a broader range of choices. Improving your chance for clinical trials:  Consulting another specialist can improve your odds of learning about potentially beneficial clinical trials . Gaining peace of mind:  Another opinion can give you confidence in your diagnosis and treatment plan, relieving stress. How To Seek a Second Opinion Seeking a second opinion for breast cancer is an essential step that can provide additional insights into your diagnosis and treatment options, empowering you to make more informed decisions about your care. Consult your primary doctor:  Your doctor can refer you to another specialist. Look for specialists:  Consider experts with extensive experience treating breast cancer, particularly those involved in research and teaching. When you meet the new specialist, ask questions about their treatment approach, the potential benefits and risks, and any alternative treatments they might suggest. Prepare your medical records:  Ensure you have all your medical reports, scans, and test results to help avoid unnecessary repeat tests and provide a comprehensive view of your condition. Count On Us for Information, Resources, and Support  When facing something as serious as breast cancer, it pays to gather as much expert knowledge as possible to make the most informed decisions about your health. Don’t hesitate to consult another doctor for a second (or third or fourth) opinion until all your questions are fully answered. Whether you’re newly diagnosed with breast cancer , are navigating survivorship, or are the loved one of someone experiencing breast cancer, you can count on SurvivingBreastCancer.org to keep you informed. We provide educational information to help you better understand symptoms , testing, treatment options , surgery, etc., and podcasts  that feature professionals, advocates, and caregivers who share valuable information. Your donations  enable SurvivingBreastCancer.org to offer resources and support every day, every month, and every year.  Note: This article is designed to provide general information and not replace professional medical advice. Always discuss your options with your healthcare provider. Learn More: Understanding Your Pathology Report: A Comprehensive Step-By-Step Guide Different Types of Breast Cancer Breast Cancer in Young Women: Common Questions Answered The Role of Hormones in Breast Cancer On the Podcast: Breast Cancer Conversations Understanding and Coping with Medical PTSD in Cancer Care SurvivingBreastCancer.org Resources & Support: Podcast Weekly Meetup s Free Events

By Olivia Smith Content warning: death and dying Grief comes in waves, and the waves can get bigger around important dates. I am still in my first year of “firsts” after the loss of my mother ,  and a lot of important dates in my life were overshadowed by her cancer diagnosis and death.  Two days before my wedding ceremony in Italy, my mom’s husband pulled me aside and told me that they thought she had cancer again. He said there was a rash on her breast and it was swollen, and she was having back pain. I was angry because I was supposed to be excited about getting married and now I was focused on this heavy news, something in me knowing we were facing heavy news soon. Olivia at her wedding ceremony in Italy with her mom, Michelle, and sister, Stephanie. About two weeks after the wedding/honeymoon trip, I was preparing for our casual post-wedding celebration back home when my mom asked my sister and I to join her on a three-way call and told us that she had breast cancer again. She didn’t have all of the information yet besides it was inflammatory breast cancer , which starts minimally at stage 3 because it’s already in the skin. She told us it wasn’t a death sentence, that she would fight it, and would tell us once she got results back from further testing and had more information.  A few days later, just as my in-laws were walking in my front door, I received a text from her with the full news; it was stage 4 – metastatic  – and had already spread to some spots in her bones. This was not the news we were hoping for, yet I had to put a smile on my face and host my guests who came to celebrate me at a party I really didn’t even want to have. My mom tried her hardest over the next ten months to keep the cancer at bay and continue living her life, but unfortunately, she died on August 20, 2023, after the cancer spread to her liver and caused it to shut down. On August 20 of the prior year, my husband and I got legally married in our home state of South Carolina before our wedding abroad. My mom wanted to be cremated after her death, and we honored that wish. Her ashes were ready to be picked up and brought home on September 5, 2023 – my husband’s and my first wedding anniversary. My mom always loved to be the center of attention, so although it was fitting (and a little humorous) for her to continue the trend of overshadowing any event surrounding my wedding and first year of marriage, it made things difficult. The first year of marriage is supposed to be a giddy, lustful year full of love and happiness. That was not my experience. While I am so thankful for my husband’s continued support and understanding, I was not a happy, fun wife for our first year of marriage. I was stressed, sad, worried, and grieving the inevitable loss of my mom  along a roller coaster of emotions that went with her cancer diagnosis and treatment. Our first anniversary was supposed to be spent in Hawaii enjoying some rest and fun together, but we canceled it as it was just under two weeks after her death. I am so incredibly thankful my mom was able to attend our wedding and will cherish those memories forever. However, our anniversary will now forever be overshadowed by watching my mother die, not simply our dreamy Italian wedding ceremony and honeymoon.  I hope to be able to honor both events each year. Death and grief are difficult, but as difficult as they can be, finding ways to honor them can be so fulfilling and healing, too. Honoring a loved one can look different for everyone, but I truly believe it’s important to be present in your grief, even though it comes with pain. Some people honor their loved ones by visiting their grave site on holidays and bringing flowers or other items that their loved ones loved. I don’t believe there is a “wrong” way to do it, but I will let you know some of the ways I have found that have worked for me. My sister, Stephanie, and I enjoy coping through dark humor. It’s common to talk about the best parts of a person when they’re gone or glamorize them in a sense. But sometimes we laugh about, “What would mom really think about this?” or “What would she actually say?” We created a TikTok that made us laugh so hard, “touring” our mom around my sister’s new house and commenting on what we think she would’ve thought about it. For example, we included things like “She loved the front door – orange was her favorite color” and “She loved the dining room, tons of natural lighting.” But we also included comments like, “Here is the mantel she will stay on to judge my sister’s life choices, starting with wondering why she is sitting next to the sage and other spirit-cleansing agents,” and “Here is where she would rather stay (on the top of the stairs in the foyer) so everyone could see her when they walked in; she always loved being the center of attention.” We were cracking up and had such a great time “spending time” with our mom again. I have created a few other funny and more serious TikToks remembering my mom, some with my sister and some without. It has been a fun outlet to connect with others who have experienced loss in a more light-hearted way while keeping my mom’s personality alive. I have also done a few small things to honor her on different dates, like unique nails with different designs of some of her favorite things (leopard print, mascara, her motorcycle club saying, boobs, etc. for her celebration of life and her birthday. It brought me joy to look down at my hands (which look just like hers did – strong genetics) during tough dates and seeing some of her favorite things. The nails were also useful as a talking point with people who were uncomfortable broaching the subject. I spent her birthday in Washington D.C., prior to a work trip. I decided to go shopping at T.J. Maxx in her honor because we loved shopping there together, and I miss those trips so much. I found a cute sundress in her favorite color I had to buy. After that, I spent some time walking by the waterfront and trying to be present and remember my mom on her birthday, even though it hurt a little bit. I sat and enjoyed the sunshine and breeze and sound of the water and let myself feel what came up. That evening I enjoyed a delicious dinner and glass of rosé with a colleague turned friend, and we cheered to my mom.  With Mother’s Day coming up, I haven’t been sure how I want to spend it. The emails start coming early with gift ideas for your mom. (Some of them will have an email beforehand offering an opt-out option for those who have a difficult time with the holiday. This is a newer option that seems to be becoming more prevalent for certain holidays, which I appreciate.) One email caught my eye from the spa where I get massages: a two-hour Mother’s Day massage special including extra treatments. I joked about getting it as a treat to myself for my first “I don’t have a Mom’s Day.” Then, I joked to my friends, asking if I should get it for said holiday. They all said different versions of YES, so I did it. I will be spending time near Mother’s Day relaxing and treating myself to a massage. We all deserve self-care, plus the body stores emotions such as grief that can cause physical pain, which a massage can alleviate. I think it will be a great way to pour back into myself while remembering my mom, and I know she would approve of it. For some of the bigger holidays like Thanksgiving and Christmas, I was able to prepare myself further in advance for what could come up, which I think helped me on the day of. I was prepared for the feelings that could come up so I wasn’t caught off guard. They were still difficult, but the mental preparation and grace I gave myself helped me get through it. The hardest day so far was such an unexpected one. It was about two and a half months after my mom passed, and I was a bridesmaid in my sister-in-law’s wedding party. I didn’t expect any emotions to come up, which I think contributed to how difficult it was for me. The day started out fine with typical wedding party things, getting ready with the bride and bridal party and helping ensure things were going smoothly. Weddings are such a beautiful time with so many special moments between the bride and others. The last wedding I attended prior to this one was my own, which of course, was tied to so many moments of my mom’s diagnosis and death, which likely increased my emotions.  Watching my sister-in-law and mother-in-law have so many special moments together on that day made me so happy. I wish I could go back to my wedding day and do things differently with my mom, and make more memories like they were making. I love seeing moms and daughters bonding and enjoying time together even more now that I’m unable to do so. However, witnessing all those beautiful moments between mother and daughter on such a special day reminded me that I would never have special moments like that with my mom anymore, and really amplified my loss and grief. I sat with my husband at the dinner table, unable to hold back my pain and tears of grief anymore, and against my will, tears came. I tried my best to stop it and put a smile on my face. It was such a beautiful day and wedding, and not about me, but I hadn’t prepared myself for the feelings that could come up at a time like this, so it took me by surprise. I am no expert in how to handle holidays without a mom after loss; I am still fairly new to this. I miss going to visit her on holidays or picking out just the right gift for her. I loved getting her sentimental gifts that I knew she would treasure, or getting her something she not-so-subtly told me she wished she could have. Gift-giving is my most prominent love language, so it’s something I have missed. However, I think sometimes it is all about mindset. Being sad, angry, and grief-filled is completely okay and expected. But just because you can’t still spend time with your loved one physically or send them gifts doesn’t mean you can’t accomplish that in other ways.  Here are a few ways to consider honoring your loved one after loss: Bring them flowers/gifts to a cemetery plot Pour out a drink for them (or enjoy their favorite – doesn’t have to be alcohol) Treat yourself to something that reminds you of them Visit a place you enjoyed together (or their favorite place) Cook a meal they liked (or one you have fond memories of making together) Create a funny video about how you wish you could spend the day with them Do their favorite activity Sit at home and think of them Create a craft that reminds you of them Talk about them with someone you love Go for a walk in nature and appreciate the sounds, sights, and scents Look at photos/videos of them Engage in a self-care activity Olivia and her mom, Michelle, in Michelle’s beloved convertible. All this to say, I don’t believe there is a right or wrong way to spend those difficult dates or holidays, but the most healing way is to remember them, think about them, and let yourself feel the emotions that come up. Many say that grief is all your love with nowhere to go. Give yourself some grace for how heavy this feeling may be, and be proud of yourself for getting through another hard day after loss. Different holidays or dates have hit me in different ways, and there are many more to come. If you are searching for someone who understands or have questions, feel free to reach out to me at @gingers_breasties  on Instagram or at gingers.breasties@gmail.com . Read More: Navigating Grief: Understanding the Stages of Loss and Healing Metastatic Breast Cancer: Understanding the Significance of Stage IV The Last Thing I Told My Mom Was a Lie Breaking the Silence on End-of-Life: What is a Death Doula? On the Podcast: Breast Cancer Conversations A 23-Year Look at Inflammatory Breast Cancer with Ginny Mason Share your story, poetry, or art: https://www.survivingbreastcancer.org/submit-breast-cancer-story SurvivingBreastCancer.org Resources & Support: Podcast Weekly Meetup s Free Events

By Briana Rickertsen Throughout my breast cancer treatment , I had a friend’s voice in my head encouraging me that said, “Control the controllables.” When you are diagnosed with cancer, it can feel not only overwhelming, but also like you have lost some control. Being able to take back a few bits to help control your day can be powerful.  Exercise and movement are one of these tools. There are hundreds of studies to support exercise  during treatment and beyond. New studies are being published monthly to support new findings on benefits. Exercise can improve quality of life, treatment outcomes, mental health, side effects (such as energy and nausea), recurrence risk, and mortality.  Training for my first 10k post cancer. While exercise may seem like another thing on your plate during a hectic and unpredictable time, there is no better time to start or keep active with movement and exercise than when you are diagnosed with cancer. Here are a few ideas to start and keep you moving. The Centers for Disease Control and Prevention (CDC) recommends  building up to 150 minutes of moderate cardio and strength each week. Moderate means you should be able to talk during exercise, but you would not be able to sing while moving. I find it helpful to start small and build on gradually. A little exercise is better than none! On days I’m having a hard time exercising, I find other ways to support my mind and body, including doing breathing exercises , stretching , restorative yoga , or meditation . Once I reach 150 minutes of exercise per week, I work to increase the intensity or the amount of time/number of workouts per week. Most of all, I keep it fun! I’m more likely to stick to something that I enjoy. In 2023, I started an Instagram account called The Nifty 150 . The goal of the account is to help provide support, education, and empowerment to cancer survivors and increase the number of survivors reaching exercise recommendations. When talking about survivors, I use the National Cancer Institute (NCI) definition  of cancer survivors, which begins at the time of diagnosis.  Exercise is a powerful tool, movement is an empowering action, and breathing is a gift. In the midst of everything we are experiencing as cancer survivors, I hope this provides encouragement for self-care. I’m here to move with you, support you, and be your number 1 fan. Hiking on Manitou Incline. Connect with Bri on Instagram Read More: Moving Through Treatment and Survivorship Exercise and Breast Cancer Check out SBC’s upcoming events  for free virtual movement programs! Breathwork SBC Meditation Library On the Podcast: Breast Cancer Conversations The Benefits of Pilates for Breast Cancer Recovery Share your story, poetry, or art: https://www.survivingbreastcancer.org/submit-breast-cancer-story SurvivingBreastCancer.org Resources & Support: Podcast Weekly Meetup s Free Events

Although they can be lifesaving, breast cancer treatments can lead to various gastrointestinal (GI) issues. These side effects can vary in intensity from mild to severe and can significantly affect a person’s quality of life. Understanding GI issues’ causes, symptoms, and management strategies can help individuals navigate their treatment experience more comfortably. While GI issues can be a challenging side effect of breast cancer treatment , various techniques can help you manage these symptoms and improve your quality of life. It’s essential to communicate with your healthcare team about any GI symptoms you’re experiencing so they can provide appropriate care and support. Continue reading for an in-depth look at the causes, symptoms, and management strategies of GI issues related to breast cancer treatments. Symptoms The GI issues experienced during cancer treatment can include a range of symptoms, including: Nausea and vomiting Diarrhea Constipation Abdominal pain or cramping Bloating Loss of appetite Changes in bowel habits What Causes GI Issues in Breast Cancer Patients? The primary treatments for breast cancer — chemotherapy, radiation therapy, hormone therapy, and targeted therapy — can all contribute to GI issues. Here’s a closer look at how each treatment can affect the digestive system: Chemotherapy Chemotherapy targets and kills rapidly dividing cancer cells. Unfortunately, it also targets healthy cells in the body, such as those in the digestive tract, potentially leading to a range of GI issues: Nausea and vomiting: Chemotherapy can trigger signals to the brain that activate the vomiting center, leading to these symptoms. Diarrhea: Damage to the cells lining the intestine can disrupt water absorption and nutrients, resulting in loose or watery stools. Mucositis: An inflammation and ulceration of the digestive tract lining can cause pain and increase the risk of infection. Radiation Therapy Radiation treatment uses high-energy rays to target and kill cancer cells. The radiation field, including the abdomen or pelvis, can affect the GI tract. Inflammation: Radiation can irritate and inflame the intestinal lining, known as radiation enteritis or colitis. Pain and cramping: The inflammation can cause abdominal pain and cramping. Altered bowel habits: Individuals may experience changes in bowel habits, including diarrhea or, less commonly, constipation. Hormone Therapy Hormone therapies are used to treat breast cancers that are sensitive to hormones. They can indirectly affect the digestive system by altering hormone levels: Bloating and gas: Changes in hormone levels can affect digestion and increase gas and bloating. Constipation: Hormone fluctuations can slow the digestive process , leading to constipation. Targeted Therapy These treatments focus on specific molecules and pathways more active in cancer cells. However, they can also affect similar pathways in normal cells: GI symptoms: Depending on the specific targeted therapy, patients might experience various GI symptoms, such as diarrhea, abdominal pain, or liver function changes. Surgical Treatments Surgical interventions for breast cancer may not directly target the digestive system, but when surgeries involve the abdominal area, they can impact GI function: Direct impact: Surgery can physically alter the structure and function of the GI tract, particularly if parts of the digestive system are removed or altered. Indirect impact: Surgery can affect surrounding tissues, nerves, and blood supply, indirectly influencing GI function and leading to issues like altered bowel habits or digestion. Understanding these potential side effects can help patients and healthcare providers anticipate and manage GI issues during and after breast cancer treatment, improving the quality of life for people undergoing these treatments. Managing GI Issues During Breast Cancer Treatment Dietary Changes Making specific changes to your diet  can significantly reduce GI discomfort: Eat small, frequent meals : This approach can lessen the burden on your digestive system, reducing symptoms like nausea and bloating. Stay hydrated : Dehydration can exacerbate symptoms like constipation and fatigue. Aim for clear fluids and consider oral rehydration solutions if you are dealing with diarrhea. Choose bland, easy-to-digest foods : Simple, non-spicy, and low-fat foods can prevent exacerbating GI symptoms. Avoid irritating foods : Foods that are overly spicy, greasy, or high in fiber can aggravate your symptoms. Identifying and avoiding your personal trigger foods can be beneficial. Medications Various medications can help manage specific GI symptoms: Anti-nausea medications : These can be crucial to prevent nausea and vomiting, especially during chemotherapy cycles. Anti-diarrheal medications : Essential for managing diarrhea, these medications can improve your quality of life during treatment. Laxatives and stool softeners : These can provide relief from constipation, a common side effect of specific breast cancer treatments and medications. Lifestyle Changes Lifestyle adjustments can also play a significant role in managing GI symptoms: Rest and relaxation : Stress can exacerbate GI symptoms, so incorporating relaxation techniques like deep breathing  or gentle yoga  can be beneficial. Gentle exercise : Physical activity  can stimulate digestion and alleviate symptoms like constipation and bloating. Professional Support Don’t hesitate to seek professional advice for managing GI issues: Consult a dietitian : A dietitian specializing in oncology can provide tailored dietary advice to manage your specific symptoms. Talk to your oncologist : Your oncologist can adjust your treatment plan or prescribe medications to alleviate severe or persistent GI symptoms. Count On Us for Information, Resources, and Support  Whether you’re newly diagnosed with breast cancer , are navigating survivorship, or are the loved one of someone experiencing breast cancer, you can count on SurvivingBreastCancer.org to keep you informed. We provide educational information to help you better understand symptoms , testing, treatment options , surgery, etc., and podcasts  that feature professionals, advocates, and caregivers who share valuable information. Your donations  enable SurvivingBreastCancer.org to offer resources and support every day, every month, and every year.  Note: This article is designed to provide general information and not replace professional medical advice. Always discuss your options with your healthcare provider. Learn More: Making Food Choices During Breast Cancer Treatment Metabolic Changes After A Breast Cancer Diagnosis Navigating Cancer Treatment: Top Tips from an Oncology Pharmacist On the Podcast: Breast Cancer Conversations Diet, Exercise, and a Breast Cancer Vaccine, Oh My! SurvivingBreastCancer.org Resources & Support: Podcast Weekly Meetup s Free Events

By Amanda Kuller BSN, RN Nurse navigation is a fast-growing area of practice, and clinics are scrambling to bring navigators into their practices. This is because nurse navigators are experts within their specialty and work to help patients through chronic illnesses and high-risk treatment regimens. Essentially, they navigate patients and their support team through the maze of health care. Typically, nurse navigators are used the most in the medical oncology setting, as that is the team you will be with the longest, versus surgery and radiation treatments which are short-term relationships. When interviewing oncology teams  for your treatment, it is important that you, the patient, ask about navigation services. Breast cancer treatment is complicated with many potential immediate and long-term risks, and the oncology nurse navigator is there to be your advocate. A nurse navigator’s responsibilities depend on the facility, but basic services should include education , side effect management, survivorship, and interdisciplinary support. Continue reading to learn more about how nurse navigators accomplish these responsibilities on your behalf. Education The internet is like the healthcare system: large, complex, and difficult to navigate. Your oncology nurse navigator is a reliable, evidence-based source of information on cancer processes and treatments. Many navigators will meet with you and your support team to have an in-depth conversation  before you start treatment. Sometimes called chemo counseling, this session should cover a range of topics like how chemotherapy and immunotherapy work, side effects, and the dos and don’ts of treatment . The more support team members that can be a part of this conversation, the better. This will help to unite the clinical (nurse navigator) and non-clinical (family, friends, etc.) in their common goal of supporting you . The material covered isn’t meant to scare, but rather to empower you. Side-Effect Management Often called “triage” by clinical staff, side effect management is one of the most important services nurse navigators perform. Most facilities will have a dedicated triage line for you to call to report symptoms and receive guidance. Keeping side effects minimal and manageable helps keep treatment on track. If side effects cannot be managed with at-home treatment tools, the nurse navigator will implement supportive measures as necessary. This could involve coming into the clinic for IV hydration, or simply sending in a new prescription to your pharmacy. The best-case scenario for you and the nurse is that you work together to prevent ER visits and hospital admissions. But this only works if you report symptoms. Remember, most side effects are possibilities, not certainties.  Pro Tip:  Make sure that a communication consent is signed that allows your support team members to speak with clinical staff about your care. Support team members should call in symptoms they are seeing if you are unable to, or if you are hesitant to self-report. Survivorship Navigation care does not end  when chemotherapy ends. Side effects might persist or initially occur during treatment recovery. Plus, many patients transition to oral medication treatment, like aromatase inhibitors, and the nurse navigator should be available to you during this time. They will, however, create a treatment summary of the infusion treatment regimen you received. This is because many chemotherapy agents have a lifetime dose limit. For example, cyclophosphamide (Cytoxan) is one of the most commonly used chemotherapies in breast cancer treatment, and it has a lifetime dose limit. The nurse navigator will create a care plan summary detailing which chemotherapy agents and amounts you received. You should receive a copy of this plan, and it will be kept on file with your oncology team. If you transfer care facilities, be sure to ask your care team for this information and keep it filed where you can access it easily.  Interdisciplinary Support Most oncology navigation programs have recognized that the nurse navigator needs to be supported by a larger treatment team. This allows them to treat you not just as a cancer patient, but rather as a whole individual, because you are more than just your diagnosis. You may have other needs, like finding support groups or assistance in finding wigs and other medical devices. Maybe you are facing financial hardship  because of your treatment, or you do not have reliable transportation. Perhaps you want to change your diet  to support your body through treatment, but don’t know what’s a fad versus evidence-based nutrition information. Many facilities hire social workers, patient navigators, and specially certified oncology dieticians to meet your unique needs.  Oncology programs that are part of a hospital system can usually easily meet your needs because they have all these services in-house. That’s not to say that unattached programs do not have a way to meet these needs. Knowing whether or not there is a team dedicated to helping you through treatment is an important first step in choosing an oncology program. When choosing your care team, be sure to ask the oncologist who is supporting them to support you. Because you shouldn’t just survive treatment – you deserve to thrive. Note: This article is designed to provide general information and not replace professional medical advice. Always discuss your options with your healthcare provider. Author bio: Amanda Kuller has been a nurse for nine years and currently works as an oncology nurse navigator in the Scottsdale, AZ area. When not working or doing homework for her Masters in Nursing Education, she can be found with her nose in a book and a cat in her lap. Learn More: Newly Diagnosed Treatment Tips & Questions to Ask Your Medical Oncology Team Navigating Cancer Treatment: Top Tips from an Oncology Pharmacist Why a Second Opinion Matters for Breast Cancer Supporting Loved Ones with Breast Cancer: How to Offer Meaningful Help On the Podcast: Breast Cancer Conversations Building a Strong Relationship Between Patients and Their Medical Team SurvivingBreastCancer.org Resources & Support: Podcast Weekly Meetup s Free Events

Contrast-enhanced mammography (CEM), also known as contrast-enhanced spectral mammography (CESM) or contrast-enhanced digital mammography (CEDM), is an advanced breast imaging technique that combines traditional mammography with intravenous contrast agents.  The innovative approach offers a more detailed view than traditional mammography to improve the detection and characterization of breast abnormalities, particularly in people with dense breast tissue. It’s also particularly beneficial in identifying and evaluating areas of increased blood supply often associated with tumors. The CEM procedure is similar to a standard mammogram but with the addition of a contrast agent. It is a non-invasive procedure and usually takes about 30 minutes to complete. Continue reading to learn how contrast-enhanced mammography works, who should consider CEM, the benefits of CEM, and its potential risks and considerations. How Does Contrast-Enhanced Mammography Work? CEM involves administering an iodine-based contrast agent during the mammogram. The contrast agent increases the visibility of blood vessels and enhances the contrast between normal and abnormal tissues. The procedure includes taking two sets of mammographic images—one before and one after the contrast injection—allowing radiologists to compare and detect changes more effectively. Who Should Consider Contrast-Enhanced Mammography? CEM is particularly useful for: People with dense breast tissue People with inconclusive results from conventional mammography or ultrasound Individuals at high risk  for breast cancer Benefits of Contrast-Enhanced Mammography Improved Cancer Detection One of CEM’s strengths is its enhanced diagnostic capability to detect cancers that may remain undetected in standard mammograms. With traditional mammography, tumors and dense tissue have a similar white appearance, leading to potential misinterpretations or overlooked cancerous lesions.  The contrast agent injected for CEM highlights the cancerous areas more, making it easier to differentiate between benign and malignant lesions. This reduces the need for unnecessary biopsies and provides a more accurate diagnosis and treatment planning. Accurate and Earlier Diagnosis CEM provides clearer images, allowing radiologists to detect abnormalities with greater accuracy. It’s particularly important in the early detection of breast cancer , where identifying small tumors can be challenging with standard imaging techniques. Early detection is crucial, as it significantly increases the chances of successful treatment and survival. CEM is also pivotal in staging breast cancer, which determines the extent of the disease. Detailed images help identify the size of the tumor, its location, and whether it has spread to adjacent tissues or organs. This information is vital for clinicians to develop an effective treatment plan, tailor therapies to the patient’s specific condition, and predict the likely course of the disease. Evaluation of Treatment Response CEM helps healthcare providers obtain a clearer picture of how the tumor is responding to chemotherapy — whether it’s shrinking, remaining stable, or growing. This information is vital for planning the next steps in the treatment process.  For example, if the tumor responds well and shrinks significantly, a patient might be eligible for less extensive surgery, potentially preserving more of the breast tissue. Conversely, if the tumor does not respond adequately, adjustments to the chemotherapy regimen or a reevaluation of treatment options might be necessary. Reduced Radiation Exposure CEM distinguishes itself from other advanced methods, such as breast X-rays, by employing lower doses of radiation. It’s particularly significant because it makes the technique a more viable option for routine breast screening. While advanced imaging methods like breast X-rays provide detailed insights, they often require higher levels of radiation or the use of other forms of energy, which can be a concern for patients undergoing regular screenings.  Reduced radiation exposure decreases the potential risk of radiation-induced complications, aligning with the principle of minimizing radiation dose as much as possible while still achieving high-quality imaging results.  Comparing CEM With Other Breast Imaging Techniques While traditional mammography remains a gold standard for breast cancer screening, CEM offers additional benefits, especially in complex cases. According to the National Institutes of Health, CEM is quicker and more cost-effective than MRI , though each modality has unique advantages depending on the clinical scenario. Risks and Considerations While CEM offers improved sensitivity and specificity in detecting breast lesions compared to conventional mammography, it also carries certain risks. Intravenous contrast agents introduce the possibility of allergic reactions, ranging from mild to severe, though such reactions are rare.  Additionally, there is a risk of nephrotoxicity , where the kidneys could be adversely affected by the contrast medium, especially in patients with pre-existing kidney conditions.  As with any form of mammography, there is also exposure to a low level of ionizing radiation , which carries a small risk of inducing cancer. It’s essential to balance these risks against the potential benefits of CEM, especially in complex diagnostic situations or for individuals at high risk for breast cancer. Patients should discuss their medical history and any allergies with their healthcare provider. Count On Us for Information, Resources, and Support  Contrast-enhanced mammography represents a significant advancement in breast imaging, offering enhanced detection and characterization of breast lesions. By providing more detailed information, CEM plays a crucial role in the early diagnosis and treatment planning for breast cancer. Whether you’re newly diagnosed with breast cancer , are navigating survivorship, or are the loved one of someone experiencing breast cancer, you can count on SurvivingBreastCancer.org to keep you informed. We provide educational information to help you better understand symptoms , testing, treatment options , surgery, etc., and podcasts that feature professionals, advocates, and caregivers who share valuable information. Your donations  enable SurvivingBreastCancer.org , a community dedicated to empowering those affected by breast cancer with knowledge, understanding, and a network of care, to offer resources and support every day, every month, and every year.  Note: This article is designed to provide general information and is not meant to replace professional medical advice. Always discuss your options with your healthcare provider. Learn More: Breast Cancer in Young Women: Common Questions Answered Understanding Your Pathology Report: A Comprehensive Step-By-Step Guide Racial Disparities in Screening Mammography On the Podcast: Breast Cancer Conversations Inflammatory and Lobular Breast Cancer: Patient Advocates Share SABCS Insights SurvivingBreastCancer.org Resources & Support: Podcast Weekly Meetup s Free Events

By Taylor McKnight Receiving a breast cancer diagnosis and undergoing treatment can be a very painful experience, both physically and emotionally. A good support system and help from loved ones  can address the emotional challenges, but not so much the physical ones. These may include: Nerve pain and damage (neuropathy) Lymphedema Infection risk Pain and sensitivity in the skin and nails Reduced mobility while recovering from surgeries For those experiencing pain during their breast cancer treatment, doctors may prescribe opiates like morphine or oxycodone. However, some people may prefer to avoid opiates or may be physically unable to take them. This could be because of pre-existing conditions, such as respiratory or kidney issues, or they may be in conflict with other prescription drugs being taken. Thankfully, there are a few alternatives that can help those with cancer alleviate the pain of chemotherapy, surgery, or other treatments. Continue reading to learn about a variety of pain management techniques and specific considerations for those with cancer. CBD Products Cannabidiol (CBD) is one of the key ingredients in cannabis sativa, more commonly known as marijuana. CBD products are not psychoactive, as they do not contain tetrahydrocannabinol (THC), which causes the feeling of being “high,” generally associated with marijuana. For individuals experiencing pain, CBD may provide benefits without mental fogginess or other psychoactive effects. According to a report published by the National Institutes for Health , studies have shown that creams, oils, edibles, and other products containing CBD  can help with pain management for cancer patients while also protecting against damage to the organs or nerves. Always discuss CBD with your cancer care team to ensure that it is safe for your specific situation and any current treatments. Nerve Block Procedures With a nerve block procedure, a numbing agent is injected either directly into or close to a nerve. This has the effect of temporarily blocking pain signals sent by the brain from being received by other parts of the body. The length of pain relief provided by the block will vary from person to person and depends on a variety of factors. There are many different types of blocks and injection sites used in these procedures. In severe cases, the attending physician may choose to permanently damage the nerve to make sure the pain doesn’t come back. Integrative Therapies “Integrative therapy” refers to a treatment plan that combines two or more therapy programs to more fully respond to a patient’s needs. In this case, it refers to combining therapy programs with the standard treatments and medicines provided by your oncologist or other doctors. Integrative therapies can include acupuncture, physical therapy , massages, meditation , relaxation exercises, or even hypnosis, among many others. These can target either the physical pain itself or the emotional pain  caused by cancer. Emotional stress can often manifest itself physically, and therapy aimed at reducing stress can often be very beneficial. Check out SurvivingBreastCancer.org ’s upcoming programs  for mindfulness and movement, including yoga, Pilates, meditation, qi gong, and more!  Medications For those who would rather avoid opiates , there are many other medications that can be used instead. Your doctor may prescribe muscle relaxants, anti-seizure medications, pills that treat anxiety, anti-inflammatories, or another targeted treatment designed to reduce pain. They can also be used when pre-existing pain becomes worse as a result of your cancer. Steroid injections may be useful in some cases, but because they suppress the immune system, they may do more harm overall than good in some patients, particularly those undergoing radiation treatment or chemotherapy. Check with your doctor and see if a pain-reducing steroid injection can reduce your pain without harmful side effects. Spinal Cord Stimulation If your pain hasn’t responded to other treatments, your doctor may choose spinal cord stimulation as an alternative. A battery-operated device, similar to a pacemaker, is implanted near the spine. The device is then used to prevent pain signals from the nervous system in the affected area from reaching the brain. Before the device is implanted, your doctor will likely want to run a trial version, where the device is placed on a belt and connected through a wire to the spine for a few days. If your pain levels are reduced by 50% or more through this temporary procedure, they will likely schedule the surgery to fully integrate the device into your system. Pain Management is Individual and Unique These are just a few of the many ways you might consider treating the pain associated with cancer. The best pain management plan for you will depend on your existing cancer treatment plan, your own wants and needs, and your physical condition. Remember to check with your cancer care team before beginning any new therapy or treatment.  Note: This article is designed to provide general information and not replace professional medical advice. Always discuss your options with your healthcare provider. Written by Taylor McKnight, Author for CBDistillery Learn More: The Link Between Breast Cancer and Back Pain The Importance of Physical Therapy During and After Cancer Treatment The Psychological Impact of Breast Cancer: Strategies for Coping Navigating Cancer Treatment: Top Tips from an Oncology Pharmacist SurvivingBreastCancer.org  Resources & Support: Join us for yoga, Pilates, and other mindfulness and movement programs! Weekly Support Groups On the Podcast: Breast Cancer Conversations What to Know About Medical Marijuana for Breast Cancer

Between Yom Kippur, Columbus Day, Diwali, and Halloween, October is filled with notable days (in addition to being Breast Cancer Awareness Month, of course). One date that probably isn’t marked on your calendar is DAF Day on October 9 — a day dedicated to promoting donor-advised funds  for charitable giving to important causes. For SurvivingBreastCancer.org , DAF Day provides invaluable support for our programs aimed at helping those diagnosed with breast cancer and their loved ones.  Once an obscure donation avenue for wealthy philanthropists, technological advances have made DAFs accessible to the charitable populace. This article will explain why DAFs have become so popular, how they differ from traditional donation methods, and how they can support the breast cancer community . What Are Donor-Advised Funds (DAFs)? A donor-advised fund is a giving account set up to be a vehicle for charitable funds through a sponsoring organization. These organizations are typically financial institutions like Fidelity or Schwab, but also include community foundations in some cases. The fund allows donors to contribute towards non-profit organizations through stocks and bonds rather than traditional cash donations .  A DAF acts as a savings account specifically for philanthropic giving. When someone moves money into their DAF, their tax deduction goes into effect immediately, and they recommend grants to IRS-approved nonprofits as they see fit. This allows your designated charitable contributions to grow over time and increase philanthropic impact.  Thanks to advances in the financial technology sector, donor-advised funds have shifted from a complicated charitable trek for the ultra-wealthy to a convenient, straightforward path for anyone giving to non-profits they believe in. How DAFs Differ from Traditional Donations Traditional giving often comes with a psychological hurdle: deciding how much to give in the moment and parting with money that feels tied to day-to-day budgets. Many non-profit organizations have come to understand a fundamental truth about traditional donations: in-the-moment giving through cash or credit cards is psychologically challenging for donors. The psychological impact of instantly parting with their hard-earned money causes many generous people to pause before their charitable contributions.  DAFs help reduce the feeling of loss associated with donations because money placed into the fund has already been committed to charitable giving ; it’s only a matter of where the donor chooses to send the designated funds. Because donors can budget their charitable funds ahead of time with DAFs, they gain many benefits over traditional giving, including: Reduced mental friction: Donors can decisively designate where to send any amount of their DAF’s assets. The psychological effect is more similar to using a gift card you already purchased compared to parting with cash. Funds are ready to send when you’re ready: When compelled by a worthy cause, you can donate without having to worry about financial implications like cash flow because you have already designated the funds for giving. More generous contributions:  Because charitable funds are allowed to grow while in a DAF, donors can give even more than they originally budgeted for. The psychological benefits DAFs offer donors over traditional giving significantly reduce mental obstacles for charitable giving, helping non-profits like SurvivingBreastCancer.org  help reach more people diagnosed with breast cancer while enabling generous people to reach their philanthropic goals. Why DAFs are Growing Among Donors Donor-advised funds have seen immense growth in recent years. According to the DAF payment tool Chariot*, the sector has seen extraordinary growth in the past decade , including: 5x total growth since 2013 Over $55 billion granted to non-profits through DAFs in 2023, representing a 6x increase in ten years 51% increase in average DAF gift size in 2025, reflecting both a strong overall market and interest in asset-based giving DAFs’ ability to deliver charitable funds to non-profits through fast, frictionless, and accessible means has allowed them to expand rapidly, including among employers offering DAF contributions as an employee benefit. Benefits for Donors DAF Day on October 9 is rapidly approaching, and if you are considering giving to SurvivingBreastCancer.org through a DAF, here are some of the benefits you can expect: Immediate tax deduction: DAF contributions are tax-deductible in the year they are committed, even when non-profit grants are distributed later on. Donation flexibility: Donors can designate grants at their own pace, be it immediately to a specific program or over several years at their discretion. Charitable security: Giving through DAF platforms reduces the risk of check fraud and other crimes associated with mailing paper checks and simplifies non-profits’ record-keeping processes. How Your DAF Supports SurvivingBreastCancer.org ’s Programs Tens of millions of dollars are expected to be committed to non-profits on DAF Day, October 9. With SurvivingBreastCancer.org , every donation allows our organization to offer vital resources for the breast cancer community, including free educational resources, support groups, wellness initiatives, webinars, a weekly newsletter, and a podcast.  If you are interested in supporting our mission, please, do consider supporting the breast cancer community through a donor-advised fund contribution . If you’d prefer to give through traditional means , we certainly appreciate that as well.  Visit https://www.survivingbreastcancer.org/waystogive to start your DAF contribution. Regardless of how you choose to give, every contribution makes a significant difference in the SurvivingBreastCancer.org  breast cancer community.  We would like to thank everyone for their charitable efforts, and Happy DAF Day! *Statistics reported by Chariot & Funraise through their webinar, " Demystifying DAFs ," 9/25/2025.

By Taylor McKnight Facing chemotherapy and other forms of cancer treatment  can be daunting, to say the least. Consider stocking up on a few helpful products before your first chemo session to make treatment feel a bit calmer and more comfortable. You can use a tote bag or backpack to bring these products to treatment with you. Ready to get started? Continue reading for some ideas on what to bring with you to cancer treatment. Items for Your Care Bag Calm Your Mind Pack a small notebook where you can make lists of activities you want or need to get done. There will be down days, but on the days you feel well, you’ll want to use your energy to the fullest. You can also use this notebook as a journal , which can help relieve stress and anxiety you may be feeling as you are in treatment. Soothe Your Skin Invest in quality lip balms and lotions , and consider unscented products to avoid irritation and unfamiliar fragrances. Your skin and lips will need extra moisture, and your sense of smell may be altered during your treatment. Engage Your Mind Load a great audiobook onto your phone or create a playlist of tunes that cheer you up . There may be a television playing in the room where you get chemo, but if TV isn’t your thing, you can ask for a chair that looks out a window for your treatment while you enjoy tunes and stories from your phone. Don’t forget headphones! You might also like a puzzle book and pens, and pencils. You may not have room to spread out a coloring book with pencils and pens, but a series of crossword puzzles or number puzzles will help you pass the time. Warm Your Body You might feel chilly during chemo, especially if you’re sitting in a chair for an extended period of time. Bring a wrap and a soft scarf so you can snuggle in while you wait for the end of your treatment. Carry a neck pillow so you can snooze if you need to. Food and Treats Consider peppermints and hard candies to freshen your mouth. Of course, you’ll want a water bottle, and you might also benefit from a thermos of warm tea. Ginger and peppermint can be good for your tummy if nausea strikes. Carry gentle carbs , such as saltines, to fill and soothe your stomach. Single servings of applesauce can also settle an upset stomach . Fizzy water or diluted juices can help elevate your sugar level and prevent any gastric distress. Packing It Up When creating your bag, you might also want to seek out recommended items from others who have been through cancer treatment. Treatment times can vary, and certain products can be helpful for longer versus shorter treatment days.  You could also use a computer to keep a “living” list of products you may need as your treatment continues. If loved ones ask how to help during your treatment, you could point them to this list for some help gathering supplies! Read More: Treatment Tips & Questions to Ask Your Medical Oncology Team Making Food Choices During Breast Cancer Treatment Understanding and Managing GI Issues Caused by Breast Cancer Treatment Nurse Navigators: Your Guide Through Treatment On the Podcast: Breast Cancer Conversations Jacquie Carter Angell: Balancing Business, Motherhood, and mTNBC Share your story, poetry, or art: https://www.survivingbreastcancer.org/submit-breast-cancer-story SurvivingBreastCancer.org Resources & Support: Podcast Weekly Meetup s Free Events

Artificial Intelligence (AI) is revolutionizing healthcare , bringing hope and precision to the fight against breast cancer. From breast cancer screening to diagnosis  and treatment planning, AI delivers a world where even the most minor anomalies the human eye might miss are detected. It’s a world where personalized treatment plans tailored to each individual’s unique genetic makeup are possible.  But it’s not just about technology. The true power lies in the synergy of AI and human compassion, a game-changer for breast cancer. This partnership underscores the significance of both in the fight against this disease. Continue reading to learn more about the transformative role of AI in breast cancer management, its benefits, challenges, and future potential. About AI AI in healthcare uses advanced algorithms and machine learning models to analyze complex medical data and improve patient outcomes. AI technologies can assist in diagnosing diseases, predicting patient risks , personalizing treatment plans, and managing administrative tasks.  AI processes vast amounts of data quickly and accurately, uncovering patterns and insights that human clinicians might miss. As a result, AI enhances decision-making, reduces errors, and increases efficiency in healthcare delivery. Examples of AI applications include image recognition in radiology, predictive analytics for patient monitoring, and natural language processing for electronic health records. The Role of AI in Breast Cancer Screening Enhancing Early Detection AI algorithms, particularly those utilizing deep learning, have shown remarkable accuracy in identifying breast cancer in mammograms. Studies have demonstrated that AI can detect cancerous lesions with a sensitivity comparable to or exceeding that of experienced radiologists . For instance, Google Health’s AI model has achieved impressive results, reducing false negatives by 9.4% and false positives by 5.7%. Improving Mammogram Interpretation AI assists radiologists by highlighting suspicious areas on mammograms , ensuring they do not overlook any potential abnormalities. This collaboration between human expertise and AI can lead to more accurate and timely diagnoses. Additionally, AI-driven tools can help standardize mammogram interpretation, reducing variability among radiologists. The Role of AI in Breast Cancer Diagnosis Precision in Diagnosis AI technologies also enhance the precision of breast cancer diagnosis. Machine learning models can analyze vast datasets, including medical histories, genetic information, and imaging results, to predict the likelihood of malignancy. This capability allows for more personalized and accurate diagnostic processes. Pathology and Histopathology Digital pathology   powered by AI is another promising area. AI algorithms can accurately analyze biopsy samples, identify cancerous cells, and grade tumors. This reduces pathologists’ workload and increases diagnostic accuracy, ensuring timely and appropriate treatment decisions. The Role of AI in Treatment Planning Personalized Treatment Plans AI is instrumental in developing personalized treatment plans for breast cancer patients. By analyzing data from similar cases, AI can suggest the most effective treatment options, considering factors such as tumor type , stage, genetic markers, and patient preferences. This tailored approach can lead to better outcomes and fewer side effects. Optimizing Radiotherapy In radiotherapy, AI algorithms can assist in delineating tumor boundaries and planning the optimal radiation dose distribution. It ensures maximum tumor destruction while sparing healthy tissues, reducing complications, and improving patient quality of life. The Role of AI in Breast Cancer Treatment Enhancing Surgical Precision AI-powered surgical systems like robotic-assisted surgery are becoming more prevalent in breast cancer treatment. These systems offer enhanced precision and control, allowing surgeons to perform minimally invasive procedures more accurately. This leads to shorter recovery times and improved cosmetic outcomes for patients. Monitoring and Adjusting Treatment AI can also monitor patient responses to treatment. AI can detect early signs of treatment resistance or adverse effects by analyzing data from various sources, including imaging and biomarkers. As a result, oncologists can adjust treatment plans promptly , ensuring that patients receive the most effective care throughout their treatment process. Challenges and Future Directions Addressing Data Privacy Concerns One of the main challenges in leveraging AI for breast cancer care is ensuring data privacy and security . Using sensitive patient information requires robust safeguards to protect against data breaches and unauthorized access. Overcoming Bias in AI Models AI models must be trained on diverse datasets to avoid bias and ensure applicability across different populations . Efforts are ongoing to create more inclusive datasets representing the full spectrum of patient demographics and tumor characteristics. Integrating AI Into Clinical Practice The successful integration of AI into clinical practice requires collaboration between technology developers, healthcare providers, and regulatory bodies. Clear guidelines and standardized protocols are essential to ensure AI’s safe and effective use in breast cancer care. Count On Us for Information, Resources, and Support   AI is poised to transform breast cancer screening, diagnosis, treatment planning, and therapy. It can significantly improve breast cancer patients’ lives by enhancing accuracy, personalizing care, and optimizing treatment outcomes. As technology continues to evolve, ongoing research and collaboration will be crucial in overcoming challenges and fully realizing the benefits of AI in breast cancer care. Whether you’re newly diagnosed with breast cancer , are navigating survivorship, or are the loved one of someone experiencing breast cancer, you can count on SurvivingBreastCancer.org to keep you informed. We provide educational information to help you better understand symptoms , testing, treatment options , surgery, etc., and podcasts that feature professionals, advocates, and caregivers who share valuable information. Your donations  enable SurvivingBreastCancer.org , a community dedicated to empowering those affected by breast cancer with knowledge, understanding, and a network of care, to offer resources and support every day, every month, and every year.  Note: This article is designed to provide general information and is not meant to replace professional medical advice. Always discuss your options with your healthcare provider. Read More: Treatment Tips & Questions to Ask Your Medical Oncology Team Nurse Navigators: Your Guide Through Treatment Understanding Contrast-Enhanced Mammography Understanding Your Pathology Report: A Comprehensive Step-By-Step Guide Why a Second Opinion Matters for Breast Cancer On the Podcast: Breast Cancer Conversations AI in Breast Cancer Care: The Impact of Breast Friend AI Share your story, poetry, or art: https://www.survivingbreastcancer.org/submit-breast-cancer-story SurvivingBreastCancer.org Resources & Support: Podcast Weekly Meetup s Free Events

Breast cancer recovery extends beyond physical healing. Emotional and psychological well-being are equally crucial in navigating this challenging path. Two complementary therapies gaining recognition for their potential benefits in this context are the emotional freedom technique (EFT) and brainspotting . As you continue reading, you’ll discover how these therapies can be powerful tools, supporting your breast cancer recovery and offering insights into their mechanisms and benefits. Understanding Emotional Freedom Technique Emotional freedom technique   (EFT), often called “tapping,” is a form of psychological acupressure. It involves tapping specific meridian points on the body while focusing on negative emotions or physical sensations. The technique balances the body’s energy system, alleviates psychological stress , and promotes physical and emotional healing. Benefits of EFT in Breast Cancer Recovery Stress Reduction : EFT significantly reduces anxiety and stress levels , which are common in individuals with breast cancer. Lowering stress can improve overall quality of life and enhance the body’s healing ability. Pain Management : EFT offers hope in managing chronic pain, including pain associated with cancer treatments. Some studies suggest   that EFT can significantly alleviate pain , provide relief, and improve an individual’s quality of life. Emotional Healing : Tapping can help release suppressed emotions, which is crucial for emotional healing and resilience during and after cancer treatment. Introduction to Brainspotting Brainspotting   is a relatively new therapeutic approach with great potential for unlocking emotional healing. It focuses on identifying and processing traumatic memories stored in the brain, using an individual’s visual field to locate “brain spots” — specific points in the brain that correspond to unprocessed trauma or emotional pain. This process can be a powerful tool for your resilience and emotional well-being . While research on brainspotting for breast cancer recovery is still in its early stages, preliminary findings and clinical observations suggest potential benefits. How Brainspotting Supports Breast Cancer Recovery Trauma Processing : Many individuals with breast cancer experience trauma, whether from the diagnosis  itself, invasive treatments, or the impact on their personal and professional lives. Brainspotting helps process these traumatic experiences, facilitating emotional release and recovery. Enhanced Emotional Regulation : By targeting the brain’s deeper structures involved in emotional regulation, brainspotting can help individuals manage overwhelming emotions and develop greater emotional stability. Improved Coping Mechanisms : This therapy can enhance a person’s coping mechanisms, providing tools to better handle stress and anxiety related to cancer and its treatment. Integrating EFT and Brainspotting in Breast Cancer Recovery Combining EFT and brainspotting can offer a holistic approach to recovery. While EFT provides a practical tool for immediate stress relief and emotional regulation, brainspotting allows for deeper trauma processing and long-term emotional healing . It’s important to note that both EFT and brainspotting are complementary therapies and should be used alongside, not as a replacement for, conventional medical treatments. Practical Steps to Integrate EFT and Brainspotting Consult a Licensed Therapist : Working with licensed practitioners experienced in EFT and brainspotting is essential to ensure safe and effective treatment. Incorporate Practices Into Daily Routine : Regular sessions and self-practice can help reinforce the benefits and provide ongoing support. Monitor Progress : Keeping a journal or working with a therapist to track emotional and psychological progress can be helpful. Finding Qualified Practitioners People interested in exploring these therapies should seek practitioners with specific training in working with people living with breast cancer. Many cancer centers now offer integrative medicine programs that include these modalities . Count On Us for Information, Resources, and Support   EFT and brainspotting offer promising avenues for supporting individuals with breast cancer in their recovery journey. By addressing both the emotional and physical aspects of healing, these complementary therapies can contribute to a more holistic approach to cancer care. As research in this field continues to evolve, integrating these techniques into comprehensive cancer treatment plans may become more common, potentially improving the quality of life and overall outcomes for individuals with breast cancer. Whether you’re newly diagnosed with breast cancer , are navigating survivorship, or are the loved one of someone experiencing breast cancer, you can count on SurvivingBreastCancer.org to keep you informed. We provide educational information to help you better understand symptoms , testing, treatment options , surgery, etc., and podcasts that feature professionals, advocates, and caregivers who share valuable information. Your donations  enable SurvivingBreastCancer.org , a community dedicated to empowering those affected by breast cancer with knowledge, understanding, and a network of care, to offer resources and support every day, every month, and every year.  Note: This article is designed to provide general information and is not meant to replace professional medical advice. Always discuss your options with your healthcare provider. Read More: Mindfulness Tapping / Emotional Freedom Technique The Psychological Impact of Breast Cancer: Strategies for Coping Tips for Pain Management with Cancer SBC On-Demand Meditation Library On the Podcast: Breast Cancer Conversations Integrating Naturopathic Medicine with Conventional Breast Cancer Care Share your story, poetry, or art: https://www.survivingbreastcancer.org/submit-breast-cancer-story SurvivingBreastCancer.org Resources & Support: Podcast Weekly Meetup s Free Events

Breast cancer touches millions of people around the globe, presenting physical and emotional hurdles and also raising concerns about fertility. According to the World Health Organization , breast cancer is the most common cancer among women globally, with approximately 2.3 million new cases diagnosed each year.  Although breast cancer is a challenging diagnosis for anyone, it can be particularly daunting for young women who would like biological children but haven’t yet started or completed their families. It’s essential to understand the impact of breast cancer on fertility and to explore preservation options, like egg or embryo freezing.  If you’ve been diagnosed with breast cancer, ask your oncology team  as soon as possible for information about your recommended treatment plan, how it can impact your fertility, and your available options. Read on to learn how breast cancer treatment intersects with fertility  and the options available for those hoping to have children. The Impact of Breast Cancer Treatment on Fertility Breast cancer treatments, including chemotherapy, radiation, and hormonal therapy, can significantly impact a woman’s ability to conceive. Some cancer treatments can lead to temporary or permanent infertility in premenopausal women. Chemotherapy Many chemotherapy drugs have the potential to harm the ovaries, which can significantly decrease the number of viable eggs essential for fertility. As a result, women undergoing chemotherapy may be less likely to conceive.  In some cases, this ovarian damage can be severe enough to lead to premature ovarian failure, a condition where the ovaries stop functioning correctly before the age of 40. This can lead to early menopause in some cases, with associated symptoms such as hot flashes, night sweats, and infertility. The impact of chemotherapy on ovarian health underscores the importance of discussing fertility preservation options with healthcare providers before starting treatment. Radiation Therapy For individuals whose breast cancer has metastasized to areas requiring radiation near the pelvic region, there are significant considerations regarding fertility.  Radiation therapy targeting the pelvic area can damage reproductive organs, which may adversely impact fertility. In females, exposure to radiation near the ovaries can reduce the number of viable eggs, cause hormonal imbalances, or even trigger premature menopause. In males, radiation near the testes can affect sperm production and quality, potentially leading to reduced fertility or infertility. The degree of reproductive damage depends on factors such as radiation dose, the specific areas treated, and the individual’s overall health and age. It is crucial for those undergoing radiation therapy to discuss potential reproductive risks with their healthcare providers beforehand. Options like egg or sperm banking may be available to help preserve fertility. BRCA Gene Mutations and Prophylactic Surgery People with a BRCA 1 or BRCA 2 gene mutation face a high risk of ovarian and breast cancer. Many opt for prophylactic surgery to remove the ovaries and fallopian tubes (salpingo-oophorectomy) to significantly reduce this risk. This preventive measure is crucial in lowering the chances of developing ovarian cancer, which is often hard to detect early. Hormonal Therapy Treatments like tamoxifen, which are used to block estrogen receptors, can have significant effects on a woman’s reproductive system. These medications can disrupt menstrual cycles, causing irregular periods or even complete cessation of menstruation. This disruption can impact fertility, making it more difficult for women to conceive while undergoing treatment.  Additionally, the effects on the menstrual cycle can vary from person to person , and some women may experience other related side effects, such as hot flashes or changes in mood. It is important for women who are considering or undergoing such treatments to discuss the potential impact on their fertility and menstrual health with their healthcare provider. Fertility Preservation Options For women diagnosed with breast cancer who wish to preserve their fertility , there are several options available. It is important to discuss all available options as soon as possible with your oncology team before starting active cancer treatment. Egg and Embryo Freezing The most established methods for preserving fertility are embryo and egg freezing , also known as oocyte cryopreservation. These procedures involve stimulating the ovaries to produce multiple eggs, which are harvested and frozen for future use. Ovarian Tissue Freezing For women who need to start cancer treatment urgently, ovarian tissue freezing  may be an option. The procedure involves surgically removing and freezing ovarian tissue, which can later be re-implanted. Ovarian Suppression Some doctors may recommend medications to suppress ovarian function during chemotherapy, potentially protecting the ovaries from damage. In Vitro Maturation (IVM) Another option, IVM, involves retrieving immature eggs and maturing them in a lab setting before freezing. Making Decisions About Fertility Preservation Deciding whether to pursue fertility preservation is a personal choice that depends on various factors: Your age and current fertility status The   type and stage of breast cancer Your treatment plan Your desire for future biological children Financial considerations , including potential insurance coverage Discussing these options with your oncologist and a fertility specialist as soon as possible after diagnosis is crucial. The Emotional and Psychological Impact A breast cancer diagnosis is overwhelming, and the added stress of potential infertility can exacerbate the emotional and psychological challenges . Women may experience: Anxiety and Depression : Concerns about fertility and the future can lead to significant mental health issues. Relationship Strain : Fertility concerns can place additional stress on relationships . Decision-Making Stress : Choosing a fertility preservation method can be daunting, especially when facing a cancer diagnosis and needing to make decisions quickly. Seeking Support Counseling : Professional counseling can help address the emotional and psychological impacts of breast cancer and fertility concerns. Support Groups : Joining support groups for people with breast cancer can provide a sense of community and shared experiences. Check out one of the many Surviving Breast Cancer support groups . More Options Through Surrogacy or Adoption When faced with fertility challenges, both surrogacy and adoption offer hopeful pathways to building or growing a family . Surrogacy allows prospective parents to have a child genetically related to them through the assistance of a surrogate who carries the pregnancy.  On the other hand, adoption provides the opportunity to welcome a child into a loving home, offering them a stable and supportive environment. Both options come with emotional, legal, and logistical considerations, but they provide fulfilling routes to parenthood for individuals and couples who are unable to become pregnant. Count On Us for Information, Resources, and Support   A breast cancer diagnosis doesn’t necessarily mean the end of your dreams for a family. With early discussions and proper planning, many women can preserve their fertility and have biological children after cancer treatment. Always consult your healthcare team to understand the best options for your situation. Whether you’re newly diagnosed with breast cancer , are navigating survivorship, or are the loved one of someone experiencing breast cancer, you can count on SurvivingBreastCancer.org to keep you informed. We provide educational information to help you better understand symptoms , testing, treatment options , surgery, etc., and podcasts  that feature professionals, advocates, and caregivers who share valuable information. Your donations  enable SurvivingBreastCancer.org , a community dedicated to empowering those affected by breast cancer with knowledge, understanding, and a network of care, to offer resources and support every day, every month, and every year.  Note: This article is designed to provide general information and is not meant to replace professional medical advice. Always discuss your options with your healthcare provider. Read More: Breast Cancer in Young Women: Common Questions Answered Nurse Navigators: Your Guide Through Treatment Breast Cancer at 33: A Young Mom’s Story of Self-Advocacy Breast Cancer and Pregnancy: Managing Health for Mother and Baby On the Podcast: Breast Cancer Conversations Young and Diagnosed: A Journey to Motherhood & Parenting with Triple Positive Breast Cancer Share your story, poetry, or art: https://www.survivingbreastcancer.org/submit-breast-cancer-story SurvivingBreastCancer.org Resources & Support: Podcast Weekly Meetup s Free Events

By Taylor McKnight Chemotherapy presents a variety of challenges for those going through cancer, including changes to diet and sleep. Some adjustments to your daily lifestyle during this time can help you get the nutrients and rest you need. Continue reading to learn some tips on lifestyle changes for better diet and sleep , and how medical cannabis and CBD may help with some specific challenges during cancer treatment. Food for Health Between chemotherapy infusions, aim to eat as well as you can . For many cancer patients, nausea caused by chemotherapy makes taking in healthy food quite difficult. You may consider medical cannabis  to both quell nausea and increase your hunger. For some, a single CBD gel capsule can make the difference between being nauseous and craving food . Chemotherapy-induced changes to your sense of smell or taste may impact your ability to eat . Foods that you once loved may smell horrible; foods that really didn’t appeal may now be the ones that you crave. There’s nothing wrong with enjoying sweet or salty treats because you need calories. However, if you can keep lean proteins and whole grain products on hand, it can help you eat a bit healthier. Some people receiving chemotherapy treatment develop mouth sores. Keep a bottle of plain water around so you can rinse and avoid inflammation. Try to avoid crunchy and spicy foods; cooked veggies may be better than fresh ones when mouth sores are at their worst. While you may be accustomed to a certain level of independence you had before starting cancer treatment, you will likely need some amount of help with groceries and meals. Asking for and/or accepting help is hard, but remember that it’s okay to accept support from others when offered .  This is especially true in the case of food, as you may not have energy to cook or grocery shop after long days at the cancer treatment center. Nausea and taste changes may impact your usual dietary preferences . Let your loved ones know what you are craving and what you would rather avoid.  Improving Sleep Habits Before you start your chemotherapy treatment, consider your current sleeping habits and environment and how they might be improved. You may want to buy blackout drapes (or request them from a friend offering help), and add a window air conditioner to your sleeping space if needed. Your core body temperature needs to drop for you to fall into the most healing stage of deep sleep. Do your best to sleep in a cool, dark, and quiet room. Many people undergoing chemotherapy also take steroids to help reduce inflammation, but these may come along with additional side effects that impact your sleep. Medical cannabis or CBD products before bed may be helpful in allowing you to drift off to sleep. Chemotherapy is a powerful tool to treat your cancer, but it’s anything but easy to go through. Take care to protect your body and spirit  during this challenging time. Note: Speak to your medical team before starting any new supplements or medications. This article is designed to provide general information and is not meant to replace professional medical advice. Always discuss your options with your healthcare provider. Read More: Packing a Care Bag for Cancer Treatment Tips for Pain Management with Cancer Understanding and Managing GI Issues Caused by Breast Cancer Treatment Making Food Choices During Breast Cancer Treatment Navigating Cancer Treatment: Top Tips from an Oncology Pharmacist On the Podcast: Breast Cancer Conversations Integrating Naturopathic Medicine with Conventional Breast Cancer Care Share your story, poetry, or art: https://www.survivingbreastcancer.org/submit-breast-cancer-story SurvivingBreastCancer.org Resources & Support: Podcast Weekly Meetup s Free Events

Breast cancer touches the lives of countless individuals, bringing with it fear, uncertainty, and an overwhelming emotional toll. Fortunately, there’s new hope on the horizon thanks to advances in immunotherapy. These developments offer a fresh and deeply personal approach to treatment, transforming how we confront this devastating disease.  Immunotherapy is more than just a medical breakthrough — it’s a chance for people living with breast cancer to regain strength, hope, and a future. Read on to discover how immunotherapy is rewriting the story for those facing breast cancer. What Is Immunotherapy? Immunotherapy  is a cancer treatment that activates the body’s immune system to target and destroy cancer cells. While traditional treatments like chemotherapy and radiation attack cancer directly, immunotherapy helps the immune system recognize and eliminate malignant cells. It offers a more personalized approach and can often be less harsh on the body than conventional therapies. Types of Immunotherapies Used in Breast Cancer Researchers are currently studying and using several types of immunotherapies  to treat breast cancer, including: Checkpoint Inhibitors : These drugs block proteins that stop the immune system from attacking cancer cells. Checkpoint inhibitors, like pembrolizumab and atezolizumab, are showing promising results in certain types of breast cancer, particularly triple-negative breast cancer  (TNBC). Cancer Vaccines : Researchers are developing vaccines that train the immune system to attack specific breast cancer cells . While still in the early stages, these vaccines may help prevent recurrence in patients who have already undergone treatment. Adoptive Cell Therapy (ACT) : This approach involves removing immune cells from the patient, enhancing them in a lab, and reintroducing them to target cancer more effectively. ACT is beneficial for patients with advanced breast cancer. Cytokine Therapy :   This therapy harnesses the power of cytokines, natural substances the body produces. When injected, these cytokines can boost the immune system’s response to breast cancer cells, helping to shrink tumors. Why Is Immunotherapy a Game Changer? Traditional breast cancer treatments such as surgery, chemotherapy, and radiation often come with severe side effects, such as nausea, fatigue, hair loss, and a weakened immune system. Immunotherapy offers a more targeted approach, usually sparing patients from the debilitating side effects of conventional treatments. Immunotherapy is also highly adaptable. Doctors can often tailor treatments to a patient’s cancer profile because it works with the immune system. In addition, immunotherapy may offer more durable responses, as it trains the immune system to remember cancer cells, which could reduce the risk of recurrence. Benefits of Immunotherapy in Breast Cancer Precision Targeting : Immunotherapy targets cancer cells precisely without damaging surrounding healthy cells, minimizing side effects. Long-term Protection : The immune system can learn to recognize and attack cancer cells if they return, potentially offering long-term protection. Treatment for Aggressive Cancers : Immunotherapy has shown potential for treating aggressive forms of breast cancer, like TNBC, which may not respond to traditional therapies. How to Access Immunotherapy for Breast Cancer If you or a loved one is interested in immunotherapy, it’s essential to consult with an oncologist. They can help determine if you’re a good candidate based on the specific characteristics of your breast cancer and available treatments. Clinical trials  are another avenue to explore if you’re looking for cutting-edge options. Count On Us for Information, Resources, and Support   Immunotherapy represents a groundbreaking approach to treating breast cancer, offering new hope for patients with aggressive and resistant forms of the disease. As research progresses, more people diagnosed with breast cancer could benefit from this personalized, less invasive treatment. While challenges remain, the future of breast cancer treatment looks brighter than ever. Whether you’re newly diagnosed with breast cancer , are navigating survivorship, or are the loved one of someone experiencing breast cancer, you can count on SurvivingBreastCancer.org to keep you informed. We provide educational information to help you better understand symptoms , testing, treatment options , surgery, and more. We also offer podcasts  that feature professionals, advocates, and caregivers who share valuable information. Your donations  enable SurvivingBreastCancer.org , a community dedicated to empowering those affected by breast cancer with knowledge, understanding, and a network of care, to offer resources and support every day, every month, and every year.  Note: This article is designed to provide general information and is not meant to replace professional medical advice. Always discuss your options with your healthcare provider. Read More: Immunotherapy Response Monitoring in Patients with Breast Cancer Passing Through The Promise of the Triple Negative Breast Cancer Vaccine Clinical Trials On the Podcast: Breast Cancer Conversations Antibody Drug Conjugates (ADCs) Dato Potato Share your story, poetry, or art: https://www.survivingbreastcancer.org/submit-breast-cancer-story SurvivingBreastCancer.org Resources & Support: Podcast Weekly Meetup s Free Events

Understanding how deeply a breast cancer diagnosis can affect both your body and spirit is key to helping you on your path to healing. Dr. Heather Richardson , a dedicated breast cancer surgeon, has spent her career supporting women through this challenging experience. Here, she offers insights to help you confidently navigate your treatment options and the reassurance that you’re not alone on this journey. Receiving a Breast Cancer Diagnosis: Understanding Your Emotions The moment you hear the words “breast cancer,” your world may feel as though it’s been turned upside down. It’s natural to experience a whirlwind of emotions—shock, fear, anger, confusion. These feelings are entirely normal, and giving yourself the space and time to process them is important. During this initial stage ,  leaning on your support system  can be helpful. Whether it’s a close friend, family member, or therapist, talking about your emotions can provide some relief. It’s okay not to have all the answers right away. Educating Yourself: Understanding Your Diagnosis Knowledge is power. Understanding your specific diagnosis can help you feel more in control and better prepared to make informed decisions about your treatment. Your healthcare team will provide you with information about your type of breast cancer , including its stage, grade, hormone receptor status, and HER2 status. These terms can be confusing at first, but they are crucial for determining the most effective treatment plan. Don’t hesitate to ask your doctors to explain anything you don’t understand. It’s essential to get the clarity you need to make informed decisions.  Preparing for Your Oncology Appointment: Questions to Ask Your first oncology appointment is an important step in your treatment journey. Being prepared with questions  can help you make the most of this time with your doctor. Here are some questions to consider: What type and stage of breast cancer do I have?  Understanding your specific diagnosis is the foundation of your treatment plan. What are my treatment options?  Each case is unique, and your doctor will outline the best treatment paths available to you. What are the potential side effects of each treatment?  Being aware of side effects can help you prepare for and manage them effectively. Are there any clinical trials available to me?   Clinical trials  can provide access to cutting-edge treatments that might not be widely available. Taking notes during your appointment or bringing someone with you to help absorb the information can be very helpful. This way, you can review everything discussed later when you’re in a calmer state of mind. Taking the Next Steps: Developing a Treatment Plan Once you understand your diagnosis, the next step is developing a treatment plan in consultation with your healthcare team. This plan will be personalized to your specific type of cancer and your overall health. Treatment options may include surgery, chemotherapy, radiation therapy, hormone therapy, or a combination of these. It’s perfectly okay to seek a second opinion . Sometimes, hearing another perspective can give you the confidence to move forward. It’s also important to consider how treatment will fit into your life—balancing your care with your personal responsibilities is an important part of the decision-making process. Understanding Surgical and Reconstruction Options Surgery is typically part of breast cancer treatment, with the approach tailored to your specific needs and preferences. The main surgical options include: Lumpectomy:  This breast-conserving surgery removes the tumor and a small margin of surrounding tissue, typically followed by radiation therapy . Mastectomy:  Involves removing one or both breasts, with variations such as total, skin-sparing, or nipple-sparing mastectomies aimed at preserving the breast’s appearance. In the past, breast reconstruction  was often a multi-stage process performed after mastectomy. However, advanced techniques make immediate reconstruction  viable for many patients, offering significant physical and emotional benefits. Options include implant-based reconstruction and autologous reconstruction, which uses the body’s own tissues. Work with your healthcare team to make decisions about surgery and reconstruction based on what best suits your recovery and lifestyle. Managing Your Emotions Throughout the Journey Treatment isn’t just about addressing the physical aspects of the disease—your emotional well-being   is also a crucial part of the process. It’s normal to experience a range of emotions, and there are effective ways to manage the stress and anxiety that can arise. Talk openly with your healthcare team about how you feel emotionally. They can connect you with resources and support to help you navigate the emotional ups and downs of your diagnosis and treatment.   Activities such as meditation , gentle movement , and spending time outdoors can help you manage anxiety and stress. You might also enjoy connecting with others in a peer-to-peer support group, such as SurvivingBreastCancer.org ’s Thursday Night Thrivers  meetups. Looking Forward: Life After Breast Cancer While the focus is naturally on treatment and recovery, remember to also look toward the future. Your journey doesn’t end when treatment does, and focusing on your overall well-being and ongoing monitoring will continue to be necessary. Many patients find that life after breast cancer brings new opportunities for growth, self-discovery, and a renewed appreciation for the simple joys of life. Focusing on recovery and embracing what comes next can help you find strength and hope. Embracing Life While Living With Metastatic Breast Cancer For individuals with metastatic breast cancer  (MBC), the path forward looks different. Unlike early-stage breast cancer, MBC requires ongoing treatment and management, as it is not considered curable. This reality means there isn’t a definitive “after cancer” chapter. Living with MBC can bring unique emotional, physical, and practical challenges. Many patients with MBC find strength in connecting with others facing similar circumstances and working closely with their healthcare teams to tailor treatment to their needs and goals. Be sure to check out SurvivingBreastCancer.org ’s Thursday Night Thrivers   meetups, which include a specific group for those with MBC. Focusing on quality of life, maintaining hope, and finding moments of joy amid the challenges can help create meaning for those living with MBC. Note: This article is designed to provide general information and is not meant to replace professional medical advice. Always discuss your options with your healthcare provider. Read More: SurvivingBreastCancer.org free programs and events Newly Diagnosed. Now What? Why a Second Opinion Matters for Breast Cancer Nurse Navigators: Your Guide Through Treatment Treatment Tips & Questions to Ask Your Medical Oncology Team Packing a Care Bag for Cancer Treatment Exploring Breast Reconstruction Surgery: Pros and Cons On the Podcast: Breast Cancer Conversations Enhancing Patient-Provider Communication in Breast Cancer Care Share your story, poetry, or art: https://www.survivingbreastcancer.org/submit-breast-cancer-story SurvivingBreastCancer.org Resources & Support: Podcast Weekly Meetup s Free Events

By Cindy Fortuna, Registered Holistic Nutritionist If you’re reading this, you recognize the importance of diet and nutrition after a cancer diagnosis .  As a Registered Holistic Nutritionist and someone who was treated for primary central nervous system lymphoma (PCNSL), an uncommon, aggressive and deadly type of non-Hodgkin lymphoma, I understand the critical role nutrition plays  in managing health during and after cancer treatments. My cancer treatment involved five rounds of chemotherapy, another high-dose chemotherapy protocol prior to a full stem cell transplant, and radiation to my eyes five times per week for four weeks.  I lived for a period of time believing that I had no control over my illness. Now I know that I can have a positive impact through nutrition and lifestyle choices, as well as mindset.  My suggestions below aim to improve gut health, the immune system, energy levels, and rate of recovery. Nutrition can play a role in helping you recover from treatments, continue to thrive, and ultimately take control of your health. Managing symptoms during treatment   is a challenge. Here are some suggestions to help you get through this: For nausea, opt for bland, easy-to-digest foods such as bananas, apple sauce, crackers, and rice. For loss of appetite, focus on small, frequent meals that are nutrient dense such as smoothies, nut butters, and protein shakes. For mouth sores, choose soft, cool foods such as yogurt, smoothies, and mashed potatoes. Prioritize nutrient-dense foods. Choose whole grains for sustained energy and fiber. Lean proteins can support muscle and tissue repair. Healthy fats provide anti-inflammatory benefits. Drink plenty of water, herbal teas, and clear broths to avoid dehydration, which can worsen fatigue and other symptoms. Limit processed foods, refined carbohydrates, sugar, and alcohol. While it’s best to get nutrients from whole foods, some may benefit from supplements due to dietary restrictions or increased nutritional needs. Always consult with a healthcare provider before starting any supplements to avoid interactions with treatments and medications. In addition to these suggestions, a chart is included below to summarize the nutritional categories of food that are the most beneficial during and particularly ongoing after treatments. I encourage you to use this to implement impactful changes in what you put into your body. Nutritional Categories and Their Benefits Cruciferous Vegetables contain indoles, which increase production of antioxidant enzymes increase liver’s ability to produce enzymes that neutralize toxins support liver’s detoxification processes Antioxidants support and rebalance the immune system counteract free radicals, stress, and inflammation Essential Fatty Acids ensure normal biochemical functioning of cells increase the removal of toxins diminish inflammation Probiotics restore balance of intestinal flora, and maintain integrity of intestinal lining reduce harmful bacteria and pathogens in the GI tract stimulate the immune system, reducing infection, allergies, and inflammation enhance mineral absorption reduce anxiety and stress response and improve mood Lentils & Legumes contain protease inhibitors, which inhibit enzymes that promote cancer growth contain saponins, which prevent cancer cells from multiplying Raw Foods include whole foods that are high in nutrients rich sources of digestive enzymes High Fiber Foods support immune system help maintain healthy weight, which is vital to reducing cancer risk protect intestinal lining and make bowel movements more frequent Alkalized Foods if body fluids become acidic due to mineral deficiencies, this may lead to disease a healthy alkaline level is pH 7.35-7.45 Note: This article offers general information and does not replace professional medical advice. Make sure to discuss your options with your healthcare provider. Cindy Fortuna Registered Holistic Nutritionist CFor Wellness Read More: Treatment Tips & Questions to Ask Your Medical Oncology Team Understanding and Managing GI Issues Caused by Breast Cancer Treatment The Impact of Diet and Nutrition on Breast Cancer Prevention and Recovery Packing a Care Bag for Cancer Treatment After Your Breast Cancer Diagnosis: Planning Your Next Steps On the Podcast: Breast Cancer Conversations Understanding Nurse Navigation: Support and Resources for Cancer Patients Share your story, poetry, or art: https://www.survivingbreastcancer.org/submit-breast-cancer-story SurvivingBreastCancer.org Resources & Support: Podcast Weekly Meetup s Free Events

Statistics show that breast cancer is most common in women over 50, but that doesn’t mean it can’t affect individuals outside that age range. Individuals under 40 can also receive this life-changing diagnosis. According to the Centers for Disease Control and Prevention (CDC), approximately 10% of new breast cancer cases in the US occur in women under 45 . Read on to learn about the specific hurdles younger women face and how to navigate these obstacles with confidence and support. The Unique Challenges Breast Cancer Patients Under 40 Face While breast cancer in younger people is less common, it is not rare. Breast cancer in individuals under 40 presents unique challenges  due to the distinct biological, social, and psychological factors involved. Some of the key challenges include: Delayed Diagnosis : Younger women tend to undergo regular mammograms less frequently, which often results in breast cancer being diagnosed at a later stage. Dense breast tissue also makes detection more complicated with standard imaging techniques. Aggressive Tumor Types : Breast cancers in younger individuals tend to be more aggressive, like triple-negative or HER2-positive types , which are more challenging to treat and more likely to recur. Fertility Concerns : Treatment for breast cancer, especially chemotherapy, can affect fertility.  Many young women face the emotional and practical challenges of fertility preservation options like egg freezing before treatment. Pregnancy-Associated Breast Cancer : For some women, breast cancer is diagnosed during pregnancy   or shortly after. A breast cancer diagnosis creates complex treatment decisions to balance the health of both mother and baby. Genetic Risk Factors : Younger people diagnosed with breast cancer are more likely to have inherited genetic mutations, such as BRCA1 and BRCA2 , which can increase the likelihood of other cancers and require preventive measures for their families. Impact on Career and Finances : Younger people are often in the early stages of their careers and may face financial stress from medical bills , loss of income, and long-term treatment needs, including reconstruction or follow-up care. Psychosocial Stress : The emotional and psychological impact of breast cancer  is profound for younger individuals who may be raising children, managing long-term relationships , and/or building their future. Concerns about body image, dating, and family planning can add to the stress. Survivorship and Long-Term Health Issues : Long-term survivors of breast cancer face unique health challenges, such as the risk of premature menopause, heart problems from treatment, and secondary cancers, which can impact quality of life for decades. These challenges make early detection, specialized support, and individualized treatment critical for younger people diagnosed with breast cancer. Symptoms to Watch For Younger individuals should be vigilant about breast self-exams and aware of the potential symptoms of breast cancer, such as: A lump in the breast or chest area Changes in breast shape or size Unexplained pain in the breast or armpit Nipple discharge or changes in the skin texture Treatment Options for Younger Individuals Breast cancer treatments for people diagnosed under 40 are essentially the same as for older patients. Still, younger individuals are more likely to be diagnosed with aggressive forms of the disease, such as triple-negative breast cancer . Treatment plans often include a combination of: Mastectomy or lumpectomy : Surgical options depend on the type and stage of the cancer. Chemotherapy : Used to target and destroy cancer cells throughout the body. Radiation therapy : Used after surgery to target any remaining cancer cells. Hormonal therapy : For cancers that are hormone receptor-positive, this treatment helps prevent recurrence. The Importance of Support Systems Facing breast cancer at a young age can feel isolating, but building a robust support network, including friends, family, and support groups, can provide a buffer against social isolation. Support groups offer a safe space to share your experiences and gain insights from others who have faced similar challenges. SurvivingBreastCancer.org has online support groups   to ensure you’re never alone. Instead, you find yourself surrounded by others who share similar experiences with all stages and types of breast cancer, including metastatic breast cancer (MBC), inflammatory breast cancer (IBC), and a Spanish-language meetup. Count On Us for Information, Resources, and Support   Breast cancer under 40 presents unique challenges, from diagnosis to emotional well-being and fertility concerns. Early detection, specialized treatment, and strong support networks are vital to improving outcomes for younger women facing this diagnosis. By staying informed and seeking out appropriate resources, individuals under 40 can better navigate the complexities of breast cancer and focus on their health and future. Whether you’re newly diagnosed with breast cancer , are navigating survivorship, or are the loved one of someone experiencing breast cancer, you can count on SurvivingBreastCancer.org to keep you informed. We provide educational information to help you better understand symptoms , testing, treatment options , surgery, etc., and podcasts that feature professionals, advocates, and caregivers who share valuable information. Your donations  enable SurvivingBreastCancer.org , a community dedicated to empowering those affected by breast cancer with knowledge, understanding, and a network of care, to offer resources and support every day, every month, and every year.  Note: This article offers general information and does not replace professional medical advice. Make sure to discuss your options with your healthcare provider. Read More: SurvivingBreastCancer.org Support Groups Breast Cancer in Young Women: Common Questions Answered Understanding Genetic Testing for BRCA1 and BRCA2 Mutations Newly Diagnosed Breast Cancer and Fertility The Psychological Impact of Breast Cancer The Cost of Breast Cancer Navigating Relationships After a Breast Cancer Diagnosis Breast Cancer and Pregnancy: Managing Health for Mother and Baby From Diagnosis to Determination: My Triple-Negative Breast Cancer Journey On the Podcast: Breast Cancer Conversations Young and Diagnosed: Motherhood & Parenting with Triple Positive Breast Cancer Share your story, poetry, or art: https://www.survivingbreastcancer.org/submit-breast-cancer-story SurvivingBreastCancer.org Resources & Support: Podcast Weekly Meetup s Free Events

By Laura Carfang Breast cancer surgery is a deeply personal and often challenging experience for many women. As people navigate the complexities of a breast cancer diagnosis, a patient-centered approach to reconstruction and plastic surgery becomes critical. This approach prioritizes the individual needs, preferences, and values of the person, ensuring that they are active participants in the decision-making process. Dr. Thomas Francel In a recent podcast that we recorded at SurvivingBreastCancer.org , Dr. Thomas Francel, a seasoned plastic surgeon, shared insights into his patient-centered philosophy regarding breast reconstruction . His commitment to seeing patients within 24 hours of diagnosis exemplifies the importance of timely communication in healthcare. By providing patients with immediate access to information and support, Dr. Francel alleviates some of the anxiety and uncertainty that often accompany a cancer diagnosis. He emphasizes the significance of being well-informed, stating, “I give them a lot of information... we have the diagnosis, we have the cell type, we have a lot of the stuff that I can sit and talk to them about.” This proactive approach allows patients to better understand their options and make informed decisions regarding their plastic surgery reconstruction. Dr. Francel’s dedication to personalized care extends beyond these initial consultations. He recognizes that each patient’s journey is unique and that reconstruction should be tailored to individual circumstances. He notes the evolution of reconstruction techniques, explaining how he has settled on a method that he believes is best for the patient, considering both oncological and recovery aspects. This adaptability is crucial in a field where advancements in surgical techniques continuously reshape best practices. A key component of Dr. Francel’s approach is his acknowledgment of the emotional and psychological impact of breast cancer. Many women face the difficult decision of whether to undergo a unilateral or bilateral mastectomy. Dr. Francel highlights that some patients opt for bilateral mastectomies as a way to alleviate the mental burden of regular mammograms and the anxiety associated with potential recurrence. His understanding of the mental health aspects of treatment underscores the importance of addressing not only patients’ physical needs, but also their emotional needs. Discussing the aesthetic outcomes of plastic surgery reconstruction, Dr. Francel emphasizes the importance of symmetry and natural appearance. He acknowledges the inherent asymmetry in women’s bodies and strives to achieve the best possible results, often requiring additional procedures on the opposite breast to ensure balance. This attention to detail reflects his commitment to enhancing the quality of life for his patients, as aesthetic outcomes can significantly influence self-esteem and body image post-treatment. By prioritizing personalized care, timely communication, and a multidisciplinary approach, healthcare teams can ensure that patients feel supported, informed, and empowered throughout their surgery. Listen Now:   Breast Reconstruction and Plastic Surgery Explained: Expert Insights from Dr. Thomas Francel Because this podcast episode focuses specifically on plastic surgery options, we do not talk about aesthetic flat closure , which is an option for those who do not want or who are not candidates for reconstruction. More information on aesthetic flat closure can be found on our blog   and in our podcast episode #48: Radical Mastectomy & Going Flat | Interview with Alicia Duncan (Part II)   Note: This article offers general information and does not replace professional medical advice. Make sure to discuss your options with your healthcare provider. SurvivingBreastCancer.org Resources & Support: Podcast Weekly Meetup s Free Events

By Dr. Courtney Sproat, PT, DPT, CLT Physical therapist Dr. Courtney Sproat shares information on cancer rehab and how it can help you before, during, and after your breast cancer treatment. Cancer rehab is a fairly new and growing specialty in the therapy world. It is not widely known about, nor is it utilized enough. One of the first statements I often receive from patients on their first visit is, “I’m not sure why I am here, but my surgeon recommended it so I came.” A popular question from other healthcare providers is, “This may seem like a silly question, but what exactly do you do?” Even during my two years of working in a well-known healthcare system in a big city, coworkers within our own building did not know about cancer rehab or where we were located. It was quite frustrating, especially when it is a much-needed service . Individuals recently diagnosed with cancer, going through cancer treatment, or navigating survivorship can all benefit from cancer rehabilitation . Studies have shown that rehabilitation has a positive impact on these patients and it should be implemented from the point of diagnosis . Even if your physician or oncologist does not recommend physical therapy, do yourself a favor and ask for it! Be an advocate for yourself. Being educated from the beginning of treatment can improve the effectiveness of your treatment, make you feel better during and after your treatment, and decrease your chance of recurrence. Cancer treatment takes a major toll on your body—physically, mentally, and emotionally. Some potential physical side effects from cancer treatment may include: decreased movement decreased strength pain chemotherapy-induced peripheral neuropathy fatigue decreased balance scar tissue axillary web syndrome muscle tightness  lymphedema A physical therapist specialized in cancer rehabilitation can help guide you in safe exercises throughout your entire cancer experience and can provide hands-on techniques to reduce or treat these potential symptoms and side effects.  Physical therapy is not just about exercise , but research has shown that exercise has many positive impacts for those diagnosed with cancer, including: improving your physical function improving your quality of life providing you with a sense of control decreasing anxiety decreasing depression reducing cancer-related fatigue reducing your risk of developing lymphedema These benefits are great, but some patients feel lost on where to begin or what is considered safe. A specialized cancer rehab therapist—whether it be a physical therapist , occupational therapist, speech therapist, or massage therapist—can help educate and empower you. A therapist can help prevent or lessen some side effects and maintain your strength and motion for work or everyday tasks. For those in survivorship, working with a therapist can help you regain strength and mobility after completing treatment. I could go on about cancer rehab and its benefits, but simply put, this therapy can be used before, during, and after cancer treatment . Physical therapy looks different for every individual, but having someone specialized in your cancer on your team is a big benefit to you. If you have been diagnosed with cancer, ask about physical or occupational therapy. If you know someone recently diagnosed with cancer, share this blog with them and encourage them to reach out to a physical therapist or occupational therapist, even if they just have questions. I recommend seeking help from a therapist who has experience working with the cancer population or one who has received additional education in cancer rehab. You never know how your treatment may affect you or when it will have an impact on your life. I encourage taking action before treatment and learning as much as you can. Having a specialized physical therapist on your cancer team can make a world of a difference. Note: This article offers general information and does not replace professional medical advice. Make sure to discuss your options with your healthcare provider. Join us for yoga, Pilates, and other mindfulness and movement programs! Watch on-demand movement classes About the Author: Dr. Courtney Sproat I am a physical therapist in cancer rehabilitation currently specializing in breast cancer rehab. I jumped into this specialty right after graduation and have been working in cancer rehab for over 2 years now. After one day of shadowing during my clinical rotation, I realized my passion and calling was in cancer rehab. After starting my career, I received additional education to become a certified lymphedema therapist and a certified breast cancer rehabilitation therapist. I recently joined Auburn Massage & Wellness Centre in Auburn, Indiana, to offer my services as an out-of-network provider. Read More: The Importance of Physical Therapy During and After Cancer Treatment Lymphedema is a Chronic Condition & Why I Love Swimming The Link Between Breast Cancer and Back Pain Exercise and Breast Cancer The Healing Power of Pilates: Benefits for Breast Cancer Patients On the Podcast: Breast Cancer Conversations The Importance of Physical Therapy in Breast Cancer Recovery Share your story, poetry, or art: https://www.survivingbreastcancer.org/submit-breast-cancer-story SurvivingBreastCancer.org Resources & Support: Podcast Weekly Meetup s Free Events

By Holly My breast cancer journey started long before my diagnosis at age 45. During my thirties, my friend Amy was diagnosed with breast cancer in her left breast. Amy and I became friends through our kids when they were in preschool. She was a kickass woman from Texas who ferociously loved her boys, family and friends. She was never afraid to speak her mind and was always helping other people. When she was diagnosed, she insisted I feel her tumor, so I’d know what it felt like. She endured a lot during her journey, but I remember her distinctly telling me she should have had a double mastectomy instead of a single one because her cancer showed up in the remaining “good” breast forcing her to have another major surgery. Sadly, Amy passed away in October of 2005, but little did she know that her words and actions would later save my life . In September of 2015 while on a trip to Vegas to the “Life is Beautiful” music festival, I decided to do a self-exam. You know the kind where you’re lying in bed and you think “Oh, I’ll just do a quick boobie check.” I’d been doing self-exams for years but this time I felt something, and I froze in fear. I kept touching and feeling the spot while my husband, Scott, looked on with concern. I told him immediately that something wasn’t right and made him feel the spot. We both knew that in that instant our lives were changing. Knowing how your breasts feel is so important. Mine were always dense and lumpy. What I felt didn’t feel like a tumor. It was a hardness with no defined outer edges. I knew it was off because I had never felt that before. And, I knew it was something wrong because I had felt Amy’s. Amy’s tumor was in the 12 o’clock position in her left breast….and so was mine. Getting my diagnosis confirmed was incredibly stressful because I had to strongly advocate for myself and ask for second opinions. The first radiologist and my gynecologist’s PA both told me it was a fibroid cyst. Had I listened to them the cancer would have gone unchecked. Thankfully, I insisted on an appointment with my gynecologist who ordered further scans. I went to the same center and had an on-call radiologist who didn’t dismiss me. He confirmed what I felt with an ultrasound said I needed a biopsy. I told him I wanted him to do it, not the other guy. He made room for me in his schedule for an ultrasound guided biopsy. Sure enough, it was breast cancer. By now, it was almost ten years to the date of Amy’s death. I could hear her voice telling me to fight and keep advocating for myself. One of the best things I can recommend is building a group of people to help you through this. These people be it friends, family, and medical professionals help ease the burden on your main caregivers, mine being my husband followed by my daughter, Mackenzie. My friend, Sharon, was the first medical person to join my team. As the search for doctors started, she called me and said “You need to see Dr. Blumencranz. He’s the best.” She would know as she had been his nurse anesthetist for years. When I heard his name was Peter William (my dad’s name) and met him, I was sold. Sharon helped me navigate the surgeries and was always on hand with good drugs to put me out! She brought a sense of humor and lightness to each surgery, and I couldn’t have done this without her. Throughout all of this, I continued to teach middle school and only my principal knew what was happening. One day my fellow homeroom teacher, Liz, asked me if I was ok and wondered what was going on. She was new to the school, and I was hesitant to share my diagnosis with an acquaintance. I got over myself and told her my story. Thank goodness I did because she had just finished treatment 6 months before using the same surgeon and oncologist that I had been sent to! She became a vital part of my team as my medical journey ramped up. The week of Thanksgiving, I had a lumpectomy and 3 sentinel nodes removed. My doctor ordered a Mammaprint test on the tumor to see what the rate of recurrence would be. I was told I was Stage IIA, Hormone Positive with IDC and DCIS . All nodes and margins were clear, but the Mammaprint came back with a high chance of recurrence. My oncologist said I would need four rounds of T/C (Taxotere/Cytoxan) and then radiation. Liz told me that she saved her hair during chemo by cold capping. So, Scott ordered the cold caps and took charge of managing them because my chemo center did not have the Dignicap system. It was quite an ordeal to cold cap on my own. Scott was in charge of putting caps in a cooler of dry ice the morning of chemo. We had to arrive at the center at least 2 hours before my infusion to set up. The caps had to be kept at -32 degrees. I had to start wearing the cap 1 hour before the infusion started and at least 2 hours afterwards. He had to put a new cap on me every 30 minutes. By the end of the day, I was exhausted, frozen, nauseated and had ice in my hair. I did, in fact, save my hair which really helped me emotionally to see “me” in the mirror. To be able to navigate treatments while working, I started chemo on December 31st. This way I wouldn’t have to take much time off due to the holiday break. The cold capping combined with the timing of chemo on a holiday meant we had to leave the cancer center when it closed at noon instead of staying there until the end of cold capping. I was just plain miserable from it all. Mackenzie and Scott had to support me through intense nausea and a breakdown upon my return from the cancer center. I also thought I could do chemo in my veins and not get a port, which was a poor decision on my part. My arm bruised and my good vein blew out. I did ok with the Neulasta on-body injector, but I did have bone pain afterwards. Claritin helped with this. As for neuropathy, my onco told me to take Alpha Lipoic Acid and ice my fingers. It worked and any mild neuropathy that I did have went away. I had a port inserted before my second chemo session and came armed with a heating blanket and peppermint oil. It all went ok, but I was still ready to quit. I went to my oncologist for my check up to tell him I was out. I’m done. Not doing this anymore. He calmly redirected me and said that everything would look better a year from now and then made the appointment for the third session (jerk :). At the third session, he gave me an infusion of iron to boost my red blood cell count. This went well because of the steroids given with chemo, but I needed a second infusion a week later. This resulted in an allergic reaction with hives and my throat swelling. I had to go back for another infusion of different meds to settle things down. At the end, I was still having some symptoms and my onco sent me for a CT scan to make sure I didn’t have a pulmonary embolism. It was a long two days and my tummy was a wreck from then on. After the fourth and final chemo session , I could barely keep anything down. I vacillated between constipation and diarrhea. After a few weeks of this, my onco had me get a colonoscopy and endoscopy. Mainly because my dad had just passed away of colon cancer, and he wanted to make sure that nothing else was going on. Thankfully everything was fine. Throughout all of these treatments, I continued to teach. My school was incredibly supportive. I would take the week of chemo off and return to work for the two weeks before the next infusion. The students, teachers, and parents all rallied behind me. I’m not sure they learned much world history, but they did learn from me how to be resilient when facing a difficult time. My chemo symptoms finally started to abate by the beginning of April and now it was time to start radiation. I qualified for a shortened but more intense round of radiation. 4 ½ weeks versus 6 weeks. Radiation for me was a breeze compared to chemo. I did get a bad burn on my left breast and had some fatigue, but nothing that kept me from working. The next step was to determine which long-term cancer medication I should take. My onco initially put me on Arimidex with a monthly shot of Zoladex to suppress my ovaries. Chemo had put me into menopause, but in order to be on Arimidex I had to be kept in a menopausal state. I was not told that the monthly Zoladex shot was to go in my belly. Imagine my surprise when the nurse led me into a room and told me to lie down and pull up my shirt. This was not something I wanted to do on a monthly basis! I was now on summer break and had some time to catch my breath and think about all of this long term. I realized that going to the cancer center every month was stressful for me, and I didn’t want to be beholden to getting medication every month. I had had issues with my periods prior to chemo, so I met with a new gynecologist to discuss having a full hysterectomy. There’s a lot of cancer in my family, and I knew there was a connection between breast, colon and ovarian cancers. I opted for a hysterectomy in July of 2016. As I was in preop waiting for surgery with no hearing aids or glasses, I was surprised by a voice I knew. It was the father of 2 active kids that I had taught and also the head of anesthesiology! He offered to recuse himself, to which I replied “No way! You owe me.” He took such good care of me, made sure to check on me in recovery, and gave me his cell number in case I had questions once I went home. I was so happy when I was finally healed from this because it meant my journey was done!! Woo Hoo! But my body had other plans for me. I was due for my 6 month, post chemo mammogram in September. So, like a good girl I did my self-exam prior to my mammogram appointment. Wouldn’t you know it, I felt the same damn hardness but now it was in the right breast. I said a lot of expletives after that and then I heard Amy’s voice, “I wish I had done a double mastectomy.” I had a surgical biopsy and thankfully it was “only” LCIS. It was removed and my surgeon said I was fine. He and my onco would follow me closely from here on out which means more scans, more doctor visits, more biopsies and on and on and on. I told Scott that I felt like my breasts were ticking time bombs. (He didn’t really care for the visual of boobies blowing up.) My oncologist switched me from Arimidex to Aromasin and increased it from 5 years to 10. He also advocated the watch and wait approach. I took the time to get second opinions from MD Anderson and plastic surgeons. Most plastic surgeons were not too keen on doing recon because I had had radiation. All conferred that I most definitely needed at least a year between my last radiation and any surgery. Radiation affects all of the tissues in the breast and can inhibit healing and cause capsular contracture with implants. Another complicating factor was a genetic blood clotting disorder that I have which kept me from going on Tamoxifen. The doctors didn’t care to embark on a surgery with that hanging over their heads. None of the doctors would recommend a double mastectomy. They all said I could “watch and wait.” Still Amy kept whispering, “I wish I had gotten a double mastectomy.” I continued to research using breastcancer.org for much of my information. It was there I learned about the Center for Restorative Breast Surgery in New Orleans. I initiated a conversation with them, joined a private Facebook group, and continued to research their approaches. If you had told me a year prior that I would be considering an 8 hour surgery, out of state, and with a surgeon I had only talked to on the phone, I would have said you were crazy, but here I was going down that road. And boy was it a fantastic road to travel. This group of doctors are specialists in micro-surgeries using flaps for recon. They only work with breast cancer patients and their hospital is attached to their offices. I scheduled my surgery for June of 2017. I was to have a bilateral mastectomy with SGAP reconstruction. SGAP uses the fat flaps from the top of the buttocks/hip region. Many people think reconstruction is like getting a boob job, but it is far from it. They don’t realize that a vital part of your body is in effect, being amputated. Each woman goes through a wide range of emotional processing to make the decision to have recon or remain flat. My surgery was 8-9 hours long. I had four drains, compression garments, leg pumping thingies to ward off blood clots, and who knows what else coming out of me. It was insane. The hospital nurses, Stacey and Brittany, became my go to women. I cannot say enough about this hospital. I felt like I was loved and taken care of like my mom would do it. They even had a chef on staff who would make me something that wasn’t on the menu! The recovery time was long and arduous, and still Mackenzie, Scott, and my friends and family remained by my side. My insurance covered a lot of the surgery and the Center worked with me every step of the way so I understood what my financial output would be. It also helped that I had bought a cancer policy with AFLAC when I was 28. This turned out to be a Godsend during the entire process. I knew a second revision surgery was in my future, but the end was finally near. Not a year later like my onco had said, but still. There was a light at the end of the tunnel. During this entire time, my mom was slowly deteriorating from her own lung cancer diagnosis. We bonded and took care of each other as best as we could as cancer patients do. I’d take time off work to fly to Minnesota to see her, and would talk with her daily about her needs and desires for her funeral. She passed away in October of 2017 with me by her side. I now had to continue on alone to my last surgery after having lost my parents, my A team, both to cancer in 2 years. My final revision surgery took place just before Christmas in 2017. This entailed a butt lift to correct the indents from the flap removal, a boob lift, port/hysterectomy scar revisions, and lipo to smooth everything out. It was “only” four hours long, and I still had four drains and compression garments afterwards. I now had a fabulous perky butt and “butt boobs.” New Year, New Me! Amy would be proud! One thing no one tells you about chemo is the effect it has on your vagina. Dries it right up like an old lady. “Sorry folks! Park’s closed!” It was very uncomfortable. I jokingly told my gynecologist (my third in 3 years) that I now had 20 year old boobs and a 70 year old’s vagina. She recommended laser treatment called Mona Lisa Touch since I couldn’t use any hormones. I did four sessions of this over the course of 6 months, and I was returned to almost normal. I was now tasked with closing out my mom’s estate while nearing the end of the school year, I realized that I was physically and mentally done. I had nothing left to give and needed to recover and breathe. I quit my job, began physical therapy, grief counseling, and brain training for chemo brain. I started to work on putting Humpty Dumpty back together again. I am still doing this as we speak since there is no time limit for “getting over” any of this. The post cancer phase has been harder because I look “fine.” I am in remission, so I should be “fine.” I am told I am strong and brave, but no one sees the fatigue and emotional PTSD that trails along with me like a child’s droopy blankie. I hold back with my story because it is “too much” for many. Mortality is a scary thing, and once you’ve been through personal hell of cancer and sat with someone as they take their last breath, you realize that you’ve now moved into a new stage in life. People will either move forward with you or they won’t...and that’s ok. After all my treatments, I made sure to contact Amy’s sons to share my story and remind them of how she is living on in all of us. Cancer forces you to reevaluate everything. My husband and I sold most of our belongings a year ago to live as nomads. I’ve met other breast cancer warriors who travel as a way of life. We’ve shared stories and tips for navigating living abroad. Joining expat groups to get medical facility recommendations. I’ve learned is that medical care is usually just as good outside of the States, and it’s often cheaper with faster results. Surviving is hard and takes a lot of time and patience. It can be exhausting and exhilarating at the same time because you can push forward into a new way of living. It can be a challenge so go easy on yourself when you think you should be doing something different be it a different way of eating, exercising, looking or feeling. It can feel defeating when we see others pass away from cancer. We often wonder, “Why them and not me?” Know that your journey is unique, and your way is ok. You are not alone. And just like Amy, I made sure all of my friends felt my tumor before it was removed. It is in reaching out that we save each other Recommendations for navigating the minefield of cancer: 1. Second opinion and third opinions. You are hiring your doctors. 2. Research... Knowledge really is power 3. Grieve 4. Find your tribe and forgive those who fall away 5. Get someone to fight for you when you can’t 6. Take someone to all appointments for another set of ears. Info is overwhelming. 7. Write down your questions and concerns. There are no stupid questions. 8. Schedule surgeries and treatments in the same calendar year to max out your deductible 9. Watch out for your bone, dental, vaginal, and thyroid health. Chemo and meds take a toll on these areas. 10. AFLAC was a Godsend for me financially. 11. Breastcancer.org and their discussion groups were helpful to me. 12. Dr. Google and communities on Instagram and Facebook can be both helpful and cause anxiety. Tread carefully. 13. Drink LOTS of water before and after chemo. Ask if you can get an IV infusion of fluids a few days after chemo. It helps tremendously. One of my nurses recommended this. 14. Find other women in treatment to talk to. 15. You can save your hair if you want to with cold capping. 16. Watch out for shaming. Be aware of this as it’s insidious. “If I’d only eaten better.” “My stress caused my cancer.” “I didn’t work out enough.” YOU did not cause your cancer. It just is. Take on one small thing at a time. You do not have to change your lifestyle all at once or at all. 17. Do what you need to do to heal and process. 18. It’s ok to say NO. (I found meal delivery to be stressful, so I asked for gift cards.) 19. Breathe 20. Look for the magic be it in a cup of coffee, getting out of bed, a smile, or a chance to share your story to help another. Share your story and be the inspiration and light in someone else's journey.

Hearing the words “breast cancer” can instantly turn your world upside down. With so many types of breast cancer ,  knowing what lies ahead can feel overwhelming. However, understanding the difference between invasive and non-invasive breast cancer can offer some clarity and perhaps some light on the path forward. Each type has unique signs and symptoms, shapes treatment decisions, and influences the road to recovery.  Continue reading to learn about the distinctions, what they mean for you or your loved one, and how they might impact your treatment plan. What is Non-Invasive Breast Cancer? Non-invasive breast cancer, or in situ  breast cancer, refers to cancer cells that have not spread beyond their site of origin within the breast. Cancer cells remain confined to the ducts or lobules at this stage, and have not invaded surrounding breast tissue. The most common type of non-invasive breast cancer is ductal carcinoma in situ  (DCIS). Main Characteristics of Non-Invasive Breast Cancer: Containment : Cancer cells are confined to the breast ducts or lobules. Minimal Risk of Metastasis : Non-invasive cancers do not spread to other body parts. High Cure Rate : With early detection, treatments for non-invasive cancers—such as surgery or radiation—often result in successful outcomes. What is Invasive Breast Cancer? Invasive breast cancer is a more advanced type of cancer where cells have broken free from their initial location in the ducts or lobules and begun to invade surrounding breast tissue. This type of cancer has the potential to spread to nearby lymph nodes and other parts of the body, which can complicate treatment. Types of Invasive Breast Cancer: Invasive Ductal Carcinoma  (IDC) : This is the most common type of invasive breast cancer, accounting for about 80% of all cases. It begins in the milk ducts but invades surrounding tissue. Invasive Lobular Carcinoma  (ILC) : A type of invasive breast cancer that originates in the lobules, or milk-producing glands, and can spread to surrounding tissues. Diagnosing Invasive vs. Non-Invasive Breast Cancer Breast cancer diagnosis involves a combination of imaging tests, such as mammograms, MRI scans, and biopsy procedures. A biopsy is essential for determining whether the cancer is invasive or non-invasive and often informs the stage of the tumor. Non-Invasive Cancer : Typically appears as clusters of abnormal cells in the ducts or lobules. Invasive Cancer : Shows evidence of cell spread beyond the ducts or lobules. Treatment Options: How Invasiveness Influences Approach The invasiveness of breast cancer significantly impacts treatment recommendations. Here’s a general look at how treatment options vary: Non-Invasive Breast Cancer Treatment Treatment for non-invasive breast cancer typically involves local therapies, such as: Surgery : Options include lumpectomy (removing only the tumor) or mastectomy (removing the breast). Radiation Therapy : Often used after surgery to reduce recurrence risk. Because non-invasive cancers are less likely to spread, systemic therapies like chemotherapy are rarely necessary. Invasive Breast Cancer Treatment Invasive breast cancer often requires a multi-modal approach : Surgery : Typically, lumpectomy or mastectomy. Radiation : To reduce the risk of recurrence in the treated area. Chemotherapy : Used in cases where cancer has spread or is likely to. Hormone Therapy : For hormone receptor-positive cancers, this can slow or stop the growth of cancer cells. Immunotherapy : This involves activating and “training” the immune system in specific ways to target and destroy cancer cells. In many cases, it offers a tailored treatment option with fewer side effects than traditional therapies. Prognosis: What Patients Should Know The prognosis for both non-invasive and invasive breast cancer can be favorable with early detection. Non-invasive breast cancers generally have an excellent prognosis. In contrast, the outlook for invasive breast cancers depends on factors such as cancer stage, size, and whether it has spread to lymph nodes or other parts of the body. Count On Us for Information, Resources, and Support  If you or a loved one is dealing with non-invasive or invasive breast cancer, understanding the nature of the diagnosis is crucial for navigating treatment options and establishing a support plan. Speaking with healthcare professionals , connecting with cancer support groups , and educating yourself can provide comfort and empowerment. Whether you’re newly diagnosed with breast cancer , are navigating survivorship, or are the loved one of someone experiencing breast cancer, you can count on SurvivingBreastCancer.org to keep you informed. We provide educational information to help you better understand symptoms , testing, treatment options , surgery, etc., and podcasts that feature professionals, advocates, and caregivers who share valuable information. Your donations  enable SurvivingBreastCancer.org , a community dedicated to empowering those affected by breast cancer with knowledge, understanding, and a network of care, to offer resources and support every day, every month, and every year.  Note: This article offers general information and does not replace professional medical advice. Make sure to discuss your options with your healthcare provider. Read More: Ductal Carcinoma in Situ (“Stage Zero” Breast Cancer): What You Need To Know Is Invasive Ductal Carcinoma (IDC) Curable? Understanding Lobular Breast Cancer: Insights, Diagnosis, and Treatment Understanding Your Pathology Report: A Comprehensive Step-By-Step Guide Questions to Ask Your Medical Oncology Team My Lobular Breast Cancer Story: Not a “Journey” On the Podcast: Breast Cancer Conversations My Black Experience with Stage II A Lobular Breast Cancer Share your story, poetry, or art: https://www.survivingbreastcancer.org/submit-breast-cancer-story SurvivingBreastCancer.org Resources & Support: Podcast Weekly Meetup s Free Events

By Susan Marshall 1. You are allowed to feel and act whiny, tired and pathetic (unless you want to be heroic and stoic, which is fine too). In fact, you are allowed to act and feel however you want . If ever there was a time for not editing your feelings, that time is now. Make the most of it! 2. If people offer to help , gracefully accept if you think it will actually help, otherwise suggest they do something else. “Come round and vacuum my home, anyone?” (Nope – no one ever offers that.) Then thank everyone for everything profusely. Unless you don’t feel like it (see above). Don’t expect them to keep doing it. Once may be all you get. Be grateful. 3. If no one’s offering help, then ask. The worst they can do is say no and then you never have to speak to them again. 4. Yes, your hair will grow back – but boy does it still suck. And new boobs – well, that’s a whole post on its own. 5. The medical definition of “urgent” (e.g. appointments, test scheduling, results) may well be different from yours. No, really! Scanxiety is a thing. Forget about being patient – go straight to distractions; rubbish TV, trashy novels, carbs (plenty of those – it’s only temporary). Wine (but not too  much – you don’t want a scanxiety hangover as well).  6. Or – other options – super healthy foods , yoga, breathing. Anything that works for you . Swing wildly between the two extremes if you like. This will confuse your brain and endocrine system and make it harder to sit and panic. 7. On receiving “helpful” advice from people who’ve never been where you are – smile and wave.  8. As much as possible, rest. And more rest. Did I mention resting?   9. Some of your very bestest, bestest friends and family members  will be terrified out of their wits and ghost you as they run for the hills. Try to forgive them – but if you can’t, then you’re allowed to feel as hurt and angry as you like (see 1. above). Just try not to put it in writing to them. They may come back at some point. It’s up to you if you want to accept that. 10. When you feel totally furious about the whole thing and need to express it – go for it. Pillows are useful – you can cry or scream into them or thump them. Stomp around. Throw rolled-up socks at a wall. Find a rage room where you can pay to go and break stuff. Make yourself a playlist of rage music. Write furious letters to cancer, any medical staff you don’t like, the aforementioned best friends and family, etc. (but DON’T SEND THEM). And don’t kick the cat. Or your partner if you have one – (don’t take down your team). Otherwise whatever works.  11. Ok – well, this is a bonus 11th top tip – and possibly the most important – if anyone ever, under any circumstances, offers you a warm blanket – just say yes! More Stories from Our Breast Cancer Community: Cancer Sucks, and That’s Okay Remember You Are Not Alone No Scars to Your Beautiful Thoughts on October: Breast Cancer “All Too Aware” Month Learn More: Unlocking the Power of Emotional Intelligence: Taking Control of Your Cancer Experience Supporting Loved Ones with Breast Cancer: How to Offer Meaningful Help Making Food Choices During Breast Cancer Treatment Navigating Relationships After a Breast Cancer Diagnosis On the Podcast: Breast Cancer Conversations The Power of Storytelling in Breast Cancer Share your story, poetry, or art: https://www.survivingbreastcancer.org/submit-breast-cancer-story SurvivingBreastCancer.org Resources & Support: Podcast Weekly Meetup s Free Events

By Casey Kang Cancer changes more than just your body. It shakes up how you see yourself and leaves behind challenges that go way beyond the physical . Whether your treatment ends or is ongoing, people around you might expect life to “go back to normal” at some point, but for many of us, that’s far from reality.  This is especially true for those living with metastatic cancer . On the outside, everything may look fine, but inside, you’re still trying to figure out what normal even means now and move forward. Many people living with metastatic disease may look “healthy,” despite being in cancer treatment. It can be hard to continue to move forward when there is no treatment “finish line,” so to speak.   I understand the challenges of cancer treatment and beyond because I’ve been there myself. My name is Casey Kang, and I’ve faced cancer three times. The first time I was diagnosed, I was just 31. Cancer didn’t just challenge my body — it shook my confidence, my sense of self, and my ability to trust my own instincts. Through that journey, I learned something important: real healing takes more than time; it takes care, compassion, and courage to face what’s beneath the surface.   Here are three common ways trauma might be affecting your life, even if it’s been years since your treatment ended, and how you can start feeling more like yourself again.   You’re Keeping Busy to Avoid What’s Really Going On Staying busy can feel like a coping strategy, right? It’s easier to fill your time with work, errands, and taking care of everyone else than to sit still and face what’s really going on inside. But that constant busyness? It’s a form of avoidance, and while it might help in the short term, it doesn’t get rid of the underlying stress.   How it might look: You tell yourself, “I’m too busy,” and fill your schedule with tasks. You’re always on the go, focused on everyone else’s needs while ignoring your own. On the surface, it seems like you’ve got everything under control. But inside, there’s a growing sense of exhaustion and unease.   Avoiding your emotions might make you feel safe in the moment, but it only postpones the healing process. You don’t have to carry everything alone — it’s okay to slow down and make space for what you’re feeling . Slowing down doesn’t mean you’re weak; it means you’re giving yourself what you need to truly heal.   You Want to Make Changes, But You Feel Stuck You’ve probably told yourself, “I need to take better care of myself and get healthy ,” more times than you can count. You genuinely want to feel better — maybe that means exercising more , eating healthier, or finding time to rest. But every time you try to start, something seems to hold you back.   How it might look: You’ve got good intentions, but when it comes time to take action, things don’t go as planned. Maybe you start a new routine but can’t stick with it or keep telling yourself, “I’ll start tomorrow.” After a while, it’s easy to feel stuck and wonder if you’ll ever find the motivation again.   This isn’t about willpower, it’s about trauma. Trauma keeps your body stuck in survival mode, making it hard to find the energy to do what you know will help. The key isn’t forcing yourself to push harder; it’s about taking small, manageable steps and learning how to support yourself along the way.   You’re Waiting for Things to Get Better With Time How many times have you heard someone say, “Just give it time, and you’ll feel better”? Time alone doesn’t heal trauma. Without the right kind of care, those feelings of overwhelm, frustration, and exhaustion don’t fade; they build.   How it might look: You might think, “Maybe I just need more time,” or hear loved ones say, “It’ll be okay eventually.” But as the months or even years go by, you still feel stuck in the same place. I’ve worked with women who are 5, 10, and even 15 years post-treatment, and the feelings they’re struggling with haven’t gone away on their own. They just continue to magnify.   Trauma needs more than time; it needs compassion, patience, and the right tools to help your body release what it’s holding onto.   Trauma isn’t just something you think about something your body holds onto. You might be able to talk about what happened, but until your body feels safe again, those old patterns of stress and fear can stick around. That’s why you might feel fine one minute, and then something small — like a smell, a sound, or even a thought — can send you spiraling the next.   This is where somatic (body-based) healing comes in. Somatic healing focuses on gently tuning into your body, noticing what’s happening without judgment, and creating space for those sensations to shift. For example, a simple somatic practice might be taking a few minutes  to notice your breath or scanning your body for areas of tension. These exercises can help signal to your brain that you’re safe, reducing stress and promoting calm.   Unlike traditional talk therapy, which starts with your thoughts and works from the top down, somatic work takes a bottom-up approach by focusing on calming the body first so the mind can follow, making it easier to process emotions and regain a sense of control.   If any of this feels familiar, know this: you’re not broken, and you’re not alone. What you’re feeling is a normal response to an extraordinary experience. Healing isn’t about “fixing” yourself — it’s about offering yourself the same care and compassion you give to others.   You are surviving after a cancer diagnosis, and that’s no small thing. It takes strength, courage, and resilience every single day, whether you’re currently in treatment, finished with treatment, or living with metastatic disease. Now, it’s time to turn some of that strength inward – to care for yourself as deeply as you care for the people around you.  It’s now your full-time job to take care of yourself first. Maybe for the first time, ever.    Because you’re worth it. Every bit of it.   Casey Trauma-Informed Cancer Coach & 3x Survivor Together we are Stronger!     About the Author Casey Kang is a three-time cancer survivor and a trauma-informed cancer coach. Drawing from her personal experience and professional training, she is passionate about helping female cancer survivors move beyond survival mode and thrive in their “new normal” by addressing the emotional and physical impact of cancer trauma. Learn more about her 13-week program, A Happier Healthier You , here . SBC Meditations on Demand Read More: Permission to Feel Navigating Cancer Treatment With the Help of Energy Medicine The Psychological Impact of Breast Cancer: Strategies for Coping Exercise and Breast Cancer Metabolic Changes After A Breast Cancer Diagnosis Metastatic Breast Cancer: Understanding the Significance of Stage IV On the Podcast: Breast Cancer Conversations Somatic Experience, Applied Neurology & Inner Healing With Jennifer Wallace Share your story, poetry, or art: https://www.survivingbreastcancer.org/submit-breast-cancer-story SurvivingBreastCancer.org Resources & Support: Podcast Weekly Meetup s Free Events

By William Laferriere We often hear about the dangers of too much sun exposure, but did you know that moderate sunlight can actually be a powerful ally for your health ? Let’s explore the numerous benefits that sunshine can bring to our physical and mental well-being. Vitamin D: The Sunshine Vitamin One of the most crucial benefits of sunlight is its role in vitamin D production . When our skin is exposed to UVB radiation from the sun, it triggers a process that converts 7-dehydrocholesterol into vitamin D3. This essential vitamin  plays a vital role in: Maintaining strong bones and teeth Supporting immune function Regulating blood pressure  and blood sugar Reducing inflammation Interestingly, it only takes about 10-15 minutes of daily sun exposure on your arms, hands, and face to produce adequate vitamin D levels. For those with darker skin tones, slightly longer exposure may be necessary. Mood and Mental Health Booster Have you ever noticed how a sunny day can instantly lift your spirits? There’s a scientific reason behind this phenomenon. Sunlight stimulates the production of serotonin , often referred to as the “happy hormone.” This increase in serotonin can: Elevate mood Reduce symptoms of depression and anxiety Promote an overall sense of well-being In fact, sunlight exposure is so effective at improving mood that light therapy is often recommended for treating various forms of depression, including seasonal affective disorder  (SAD). Sleep Quality and Circadian Rhythm Exposure to natural sunlight, especially in the morning, can help regulate your body’s internal clock, known as the circadian rhythm .  This regulation can lead to: Improved sleep quality Easier time falling asleep at night More energy during the day Other Health Benefits Beyond vitamin D production and mood enhancement, sunlight offers several other health benefits: Immune system support : Consistent sun exposure can help strengthen your immune system, potentially reducing the risk of illnesses and infections. Weight management : Some studies suggest that morning sunlight exposure may help with weight management by influencing metabolism. Skin conditions : Controlled UV exposure has been recommended by health organizations to treat certain skin conditions like psoriasis, acne, and eczema. Enjoying Sunlight Safely While the benefits of sunlight are numerous, it’s essential to practice sun safety: Limit exposure during peak hours (usually 10 a.m. to 4 p.m.) Apply sunscreen with at least SPF 30 for extended outdoor activities Wear protective clothing and sunglasses Seek shade periodically Remember, you don’t need excessive sun exposure to reap the benefits. Even short periods of sunlight can significantly impact your health and well-being. Note: This article offers general information and does not replace professional medical advice. Make sure to discuss your options with your healthcare provider. Read More: Nutrition After a Cancer Diagnosis EFT and Brainspotting: Complementary Therapies for Breast Cancer Recovery Packing a Care Bag for Cancer Treatment Controlling a Controllable: Thriving Through Exercise & Movement On the Podcast: Breast Cancer Conversations What is Energy Medicine with Inflammatory Breast Cancer Survivor Dianne Faure Share your story, poetry, or art: https://www.survivingbreastcancer.org/submit-breast-cancer-story SurvivingBreastCancer.org Resources & Support: Podcast Weekly Meetup s Free Events

After receiving a breast cancer diagnosis , it’s natural to feel uncertain, scared, and inundated with complex medical information. However, asking the right questions can help you gain clarity and confidence as you navigate the road ahead. By advocating for yourself and learning from medical professionals, you can make informed decisions about your treatment and care. Below are some essential questions to ask your doctor  to better understand your individual situation and make the right decisions for you. Understanding Your Diagnosis What Type of Breast Cancer Do I Have? Not all breast cancers  are the same. Ask for specific details about the characteristics of your tumor, such as hormone receptor status (estrogen receptor-positive or progesterone receptor-positive) and HER2 status. These factors significantly affect treatment options. What Stage is My Cancer, and What Does That Mean for My Treatment and Prognosis? Breast cancer is typically staged from 0 to 4 . Understanding your cancer stage helps clarify how far it has spread and will guide treatment recommendations. It’s important to understand whether the cancer has spread to lymph nodes or other organs. Your doctor can explain the staging criteria and their implications for your prognosis. Are There Any Additional Tests or Scans I Need Before Treatment? Additional diagnostics — like an MRI, CT scan, or PET scan — may be necessary to confirm the extent of your breast cancer. Ask if these tests are right for you and how they might influence your treatment plan. Should I Undergo Genetic Testing? Certain breast cancers are linked to genetic mutations like BRCA1 and BRCA2. Genetic testing can inform treatment strategies and help family members understand their own risks. Ask your doctor about genetic testing, especially if you have a family history of breast or ovarian cancer. Exploring Treatment Options What are My Treatment Options, and Which Do You Recommend? Common treatments for breast cancer include surgery, chemotherapy, radiation therapy, and immunotherapy. Hormone therapy may be recommended for people with hormone-positive breast cancer. Each has benefits, risks, and side effects. Work with your doctor to tailor a plan based on your specific cancer type and overall health. What is My Overall Prognosis? While no doctor can predict the future with certainty, understanding your prognosis can inform your mental and emotional preparations. Ask about factors that influence survival rates, such as the cancer’s stage, grade, and your individual health profile. How Long Will My Treatment Last, and What is the Follow- up Schedule? From surgery to radiation and beyond, each phase of treatment can vary in duration. Clarifying your timeline helps you plan for work, family obligations, and personal goals. Also, find out how often you’ll need check-ups or imaging post-treatment. What About Clinical Trials? Clinical trials  can offer cutting-edge treatments that might not be widely available. If standard treatments don’t seem optimal or if you want to explore innovative options, ask whether there’s a trial that might be a good fit for you. Is a Second Opinion Necessary? Seeking a second opinion  from another oncologist or a cancer center of excellence can provide extra reassurance or reveal alternative approaches. Most doctors understand and encourage this step. Assessing Possible Side Effects What are the Short-Term and Long-Term Side Effects of Each Treatment Option? Side effects vary widely. Chemotherapy can lead to hair loss, fatigue, and nausea, while radiation might cause skin changes and fatigue. Ask about potential long-term effects on the heart, bones, or other organs, so you can prepare for and minimize risks. Also, ask your doctor about the possibility of cognitive changes, such as chemo brain . Will Treatment Affect My Fertility? Some treatments can impact fertility . If you’re of childbearing age or considering future pregnancy, discuss fertility-preservation options — like egg or embryo freezing — before starting treatment. How Can I Manage Treatment-Related Side Effects? Medications, dietary changes, and supportive care options are available to help you cope. Ask for referrals to nutritionists, physical therapists, or mental health professionals who specialize in oncology support. Planning for Recovery and Support What Lifestyle Changes Should I Consider? A balanced diet, regular exercise, and stress management can support your recovery and improve your overall health. Ask for tailored recommendations on nutrition , fitness, and emotional well-being. How Will This Diagnosis Affect My Mental Health, and What Resources are Available? Depression, anxiety, and stress are common for anyone impacted by breast cancer. Ask your doctor about counseling, support groups , or mental health professionals who specialize in cancer care. Can I Work During Treatment, and What are My Rights? Many people continue working through treatment, but you may need workplace accommodations. Discuss your options and ask for help understanding disability rights  or Family and Medical Leave Act (FMLA) provisions. What Financial Resources or Assistance Programs Can Help Manage Treatment Costs? Cancer treatment can be expensive . Ask for information about financial counselors, nonprofit organizations, or other resources that can help cover medical bills, transportation, or lodging during extended treatments. Count On Us for Information, Resources, and Support Navigating breast cancer does not have to be a solitary journey. Your family, friends, and health care team can offer invaluable support, and a larger community of survivors and advocates is waiting to connect. Surrounding yourself with people who share your experience can provide emotional encouragement and practical insights. Whether you’re newly diagnosed with breast cancer , are navigating survivorship, or are the loved one of someone experiencing breast cancer, you can count on SurvivingBreastCancer.org to keep you informed. We provide educational information to help you better understand symptoms , testing, treatment options , surgery, etc., and podcasts  that feature professionals, advocates, and caregivers who share valuable information. Your donations  enable SurvivingBreastCancer.org , a community dedicated to empowering those affected by breast cancer with knowledge, understanding, and a network of care, to offer resources and support every day, every month, and every year.  Note: This article offers general information and does not replace professional medical advice. Make sure to discuss your options with your healthcare provider. Read More: Newly Diagnosed. Now What? Questions to Ask Your Oncologist Different Types of Breast Cancer Understanding the Different Stages of Breast Cancer: What You Need to Know Understanding Genetic Testing for BRCA1 and BRCA2 Mutations Clinical Trials Why a Second Opinion Matters for Breast Cancer The Psychological Impact of Breast Cancer: Strategies for Coping Coping With Expectations After a Breast Cancer Diagnosis: The Realities and Challenges Managing the Emotional Stages of a Breast Cancer Diagnosis How to Tell Your Friends and Coworkers You Have Breast Cancer On the Podcast: Breast Cancer Conversations Enhancing Patient-Provider Communication in Breast Cancer Care Share your story, poetry, or art: https://www.survivingbreastcancer.org/submit-breast-cancer-story SurvivingBreastCancer.org Resources & Support: Podcast Weekly Meetup s Free Events