Breast Health: A Holistic Approach to Prevention and Early Detection
At The Teggatz Clinic for Functional Menopause Medicine, we believe in empowering women with the knowledge and tools to take charge of their breast health. While conventional mammograms are commonly used for breast cancer screening, we understand that many women are concerned about the potential risks associated with mammography, such as radiation exposure and the physical harm and discomfort caused by compression. That's why we focus on holistic and functional medicine approaches to breast health, educating on alternative and complementary screening options, lifestyle recommendations, and nutritional support to promote overall well-being.
Traditional Breast Health Screenings: Risks and Concerns
Mammograms: Radiation and Compression
Mammograms are the standard screening tool for breast cancer in many places, and while they have been effective at detecting breast cancer in some cases, they also have limitations and potential risks:
- Radiation Exposure: Mammograms use low-dose X-rays to capture images of the breast tissue. While the radiation dose is relatively low, repeated exposure over time can increase the risk of cell damage and cancer, especially for women with dense breast tissue.
- Compression and Injury: The process of compressing the breast tissue during a mammogram can cause discomfort or even injury to sensitive areas of the breast. For some women, this pain can be unbearable, especially during menstruation or hormonal fluctuations.
While mammograms are the standard of care for screening for breast cancer currently, the drawbacks and risks have led many women to explore alternative, non-invasive options for screening.
Alternative Breast Health Screening Tools
At The Teggatz Clinic, we focus on educating for non-invasive, radiation-free methods for breast health screening and prevention so you can make your best decision for your health. Below are some of the most effective and safer alternative screening tools:
1. QT Scanning (Quantitative Ultrasound)
QT Scanning is a non-invasive diagnostic tool that uses ultrasound technology to measure the density and structure of breast tissue. Unlike mammograms, it does not expose women to radiation. QT scanning can identify areas of concern in the breast, such as cysts or potential tumors, without the discomfort of compression. This screening tool is highly beneficial for women with dense breast tissue, where mammograms may miss early signs of cancer.
Benefits of QT Scanning:
- No radiation exposure
- Painless and comfortable
- Ideal for women with dense breasts
- Can detect structural changes and abnormalities with higher resolution than mammography or traditional ultrasound
- Can count number of cells and monitor doubling time which can reduce unnecessary follow-up testing
2. Thermography: Heat Mapping
Thermography alone is not an adequate screening test for breast cancer. It can, however, be used as an adjunct to create an overall picture of breast health. It is a painless, radiation-free test that uses infrared technology to detect heat patterns in the breast tissue. Cancerous cells often have a higher metabolic rate and increased blood flow, which generates heat. By detecting these heat patterns, thermography can reveal early signs of potential breast abnormalities, even before a lump is detectable through touch or imaging. However, it is not sensitive enough to be used alone as a screening test for breast cancer.
Benefits of Thermography:
- Non-invasive and no radiation exposure
- Can sometimes detect early signs of abnormal cell activity
- Provides a "baseline" to track changes in breast tissue over time
- Ideal for women seeking a preventative approach to breast health
3. Ultrasound: Sound Waves for Deeper Insights
Ultrasound uses sound waves to produce images of the inside of the body, offering a non-invasive way to detect and assess breast tissue. Unlike mammograms, ultrasounds do not require radiation or compression. Ultrasound is especially useful for examining dense breast tissue, providing clear images that can help differentiate between solid masses and fluid-filled cysts. It is commonly used as a complementary tool to mammograms for a more thorough assessment.
Benefits of Ultrasound:
- No radiation exposure
- Ideal for dense breast tissue or follow-up after mammography
- Helps differentiate between benign and malignant lesions
- Comfortable and painless
4. Breast MRI (Magnetic Resonance Imaging)
For women at high risk of breast cancer, MRI can be a more sensitive screening tool than mammograms. It uses magnets and radio waves to create detailed images of the breast tissue without the use of radiation. An MRI is highly effective at detecting tumors, especially in women with dense breast tissue or those with a family history of breast cancer. The downsides of using MRI include use of gadolinium, a rare-earth metal that enhances the quality of MRI images by acting as a contrast agent. Serious but rare side effects such as gadolinium toxicity and nephrogenic systemic fibrosis, or NSF, are most often seen in patients with severe kidney disease. Gadolinium ions in certain forms are toxic to mammals and can cause inflammation, neurologic damage, oxidative stress and can be damaging to DNA.
Benefits of MRI:
- No radiation exposure
- Provides highly detailed images
- Sensitive in detecting early-stage breast cancer
- Often used for women with a high risk of breast cancer
Self-Breast Exams
Performing a self-breast exam (SBE) at home is a powerful tool you can use anytime anywhere to take your health into your own hands. It is best to perform an SBE every month to become familiar with your breast tissue and be able to identify any changes over time.
- How Often: Perform your SBE monthly on day 7 of your cycle – OR for postmenopausal women, the first of every month. Receive a clinical based exam from your provider once per year.
- Lying: Put a pillow under your head/shoulder and place one arm above your head. Use the fingertips of your opposite hand to gently but firmly press down on your breast, starting at the outer edge and work your way in toward the nipple. Do this in a radial/circular pattern until you have traveled all the way around your breast. Check your nipple for discharge by gently squeezing. Repeat on the other breast.
- Watch for: Feel and observe lumps, thick spots, puckering, dimpling, or changes in size, shape, or symmetry. Also watch for any nipple discharge.
- Tips:
- Use lubricants (hand lotion, body oil, body powder) to decrease any friction skin to skin.
- Wear comfortable, well-fitting clothes and bras. Too much compression around the breast can impede lymphatic flow.
Here is a quick video that goes over these points and shows proper form for the best possible SBE.
Link to Dr. Jenn Simmons podcast episode “Why Some Women Say No to Mammograms”.
The Role of Functional Medicine in Breast Health
In addition to alternative screening methods, a holistic approach to breast health includes lifestyle modifications, nutrition, and stress management strategies aimed at reducing the risk of breast cancer and promoting overall well-being:
- Diet and Nutrition: Eating a nutrient-dense, anti-inflammatory diet rich in antioxidants, vitamins, and minerals can help protect breast tissue. Cruciferous vegetables (like broccoli and kale), healthy fats (such as omega-3s), and organic fruits and vegetables can support cellular health and detoxification processes. Nutrients like vitamin D and iodine in adequate amounts are vital for good breast health. The best source of vitamin D is the sun but foods such as mushrooms and potato skins are good sources of vitamin D. Sea vegetables and iodized table salt are good sources of iodine. Having vitamin D and iodine levels checked ensures adequate amounts.
- Hormone Balance: Hormonal imbalances can contribute to breast cancer risk. Our clinic offers hormone testing and individualized treatment plans, including compounded bioidentical hormone replacement therapy (cBHRT), to ensure your hormones are in balance.
- Stress Reduction: Chronic stress can negatively impact hormonal balance and immune function. Practices such as yoga, meditation, and mindfulness can help reduce stress, lower inflammation, and support your body’s natural ability to fight disease.
- Regular Exercise: Physical activity supports healthy weight, hormone balance, and detoxification. A combination of strength training and cardiovascular exercises is recommended to promote overall health and reduce cancer risk.
Frequently Asked Questions (FAQ)
1. Is thermography a replacement for mammograms?
No, thermography is not a replacement for mammograms but rather an additional tool for early detection. It can detect signs of inflammation and abnormal activity that might indicate cancer before a tumor is detectable through a mammogram or ultrasound.
2. Are there any risks associated with QT scanning, thermography, or ultrasound?
No, all of these screening methods are non-invasive, radiation-free, and safe. They do not carry the same risks as mammograms, which involve radiation and compression.
3. How often should I have a breast health screening?
The frequency of screenings depends on your age, family history, and risk factors. We recommend discussing your personal screening schedule with your healthcare provider. Generally, women with average risk may start screening at age 40, and those with a family history of breast cancer may start earlier.
4. Can I combine thermography with mammograms or other screenings?
Yes, combining multiple screenings can provide a more comprehensive view of your breast health. Thermography is often used in conjunction with mammograms or ultrasounds to detect early signs of disease.
5. Do I need a referral for alternative screenings like thermography or ultrasound?
No referral is usually required for thermography. Currently, an order by a medical professional is required for ultrasound and most centers that perform ultrasounds will not offer screening ultrasounds but only in conjunction with a mammogram, such as for dense breast or a detected abnormality.
6. How does functional medicine support breast health?
Functional medicine takes a whole-body approach to health. By focusing on diet, exercise, stress management, and hormonal balance, we help reduce the risk factors associated with breast cancer and promote overall well-being.
7. Are alternative screening methods covered by insurance?
Insurance coverage can vary. We recommend contacting your insurance provider to inquire about coverage for alternative screenings like thermography or ultrasound. Many women choose to self-pay for these services for added peace of mind and prevention.
Take Charge of Your Breast Health Today
At The Teggatz Clinic for Functional Menopause Medicine, we are committed to supporting your breast health journey through safe, effective, and holistic approaches to early detection and prevention. Whether you are looking for alternative screening methods, lifestyle guidance, or hormone balance support, we are here to guide you.
Contact Us
Call us at 319-393-4307 or fill out the contact form below to begin your journey with us.
