COMPLETE WOMAN MIDWIFERY • LINDA PERRY, CPM, CM 2 LINCOLN TERRACE • CALDWELL, NJ 07006 PHONE: NJ 973-226-2563 • NY 646-536-3726 E-MAIL: BREASTTHERMOGRAPHY@COMCAST.NET Protocols for Breast Health Be Proactive: PRACTICE SELF-BREAST EXAM EVERY MONTH. If you are a menstruating woman, do your self-breast exam on the last day of your period. If you are no longer menstruating, then simply pick one day a month, the same day, and do your breast exam. Make this a pleasurable experience. Use some nice massage oil, and take your time. You may not know what you are feeling in the beginning, but soon you will become familiar with your breasts, and will notice if there is a change from the previous month. Put your hands on your hips and look in the mirror. You are looking for changes in your skin. If you notice a dry, scaly patch of skin that never seems to go away, please check it out. It could be Paget Disease, which is a form of breast cancer. You are also looking for dimpling, puckering, orange-peel type looking changes. Also, lean forward, and look for changes in shape in the contour of your breasts when they hang. You should then check your breasts both in the shower, and also lying down. For both, put one hand behind your head, and use your free hand to feel the opposite breasts. You can go in circles that get larger, or smaller, or go in and out like the spokes on a wheel. It doesn’t matter, just take your time and enjoy your breast massage. You are the person who knows your body and your breasts most intimately, much more so than a midwife or doctor. You will be more finely attuned to your breasts and any changes if you practice your monthly breast exam. If you ever feel in your gut that there is a problem, even if your mammogram and/or ultrasound is “normal,” please listen to your instincts, and check it out with a different practitioner. You are your own best health advocate. These protocols are based on work from Dr. John Lee, as well as other doctors in the field of women’s health. They are guidelines only, and each person should make their own decisions about which items should be incorporated into their personal healthcare routines. These guidelines in no way are represented to cure or prevent breast disease. However, research has shown these guidelines to be helpful. Please consult your primary healthcare provider, to make sure that nothing here will interfere with any other medications or health conditions that you may have. Exercise: Minimum 3 hours per week (1 hour, 3x per week). Diet: 1. Eat organically when ever possible. 2. Eat a high fiber diet. There is a 54% decrease in breast cancer risk for those who take a fiber supplement. 3. Add lots of cruciferous veggies like cauliflower and broccoli. This can also be taken in supplement form, called DIM. 4. Add flaxseed to your meals. It lengthens the menstrual cycle, therefore lowering estradiol levels. 5. Make fat no more than 20% of your diet. 6. Decrease or eliminate red meat. 7. Eliminate white foods like: white sugar, white flour, simple carbohydrates. 8. Eliminate diet products containing Aspartame or saccharin (NutraSweet, Equal, Sweet and Low, and the many products that contain them). Use Stevia instead. 9. Eliminate partially hydrogenated fats and oils and products containing them. 10. Eliminate alcohol. Detoxification: 1. Energize your body, mind and soul. Nurture yourself . 2. Challenge test for heavy metals like Mercury and Lead. 3. Far Infrared sauna is an excellent way to detoxify your body. Use under guidance from your health caregiver. (30 minutes 3x/week). Natural Hormone Support: 1. Use Organic Natural Progesterone oil on your breasts, 20 mg per day divided into two doses, for menstrual cycle days 14-28 in pre-menopausal women. Days 1-26 of each calendar month for post-menopausal women. Higher doses may be used for the initial therapy, with consultation from your midwife or physician. Use only natural, bioidentical progesterone hormone. IF you have a history of progesterone sensitive breast cancer, or a negative reaction to the oil or cream, DO NOT use this therapy. Please consult your health care provider. 2. Brevail is a natural supplement, a standardized extract of lignans (the most commonly known is flax seed). Brevail competes with estrogen for binding receptor sites, thereby helping to reduce unopposed estrogen. 1 tablet per day. 3. Melatonin blocks estrogen receptors somewhat similarly to the drug tamoxifen without the long-term side effect of tamoxifen. It also directly inhibits breast cancer cell proliferation and boosts the production of the immune components that attacks metastasize cancer cells. Melatonin is not recommended for people with auto-immune disorders. Vitamins and Supplements 1. Take Probiotics to help aid digestion. Aim for at least one bowel movement per day. 2. Vitamin C: 1,000 to 2,000 mg per day (as Calcium Ascorbate (ester C)). 3. Vitamin E: 200 to 400 IU (Gamma Tocopherol). 4. Beta-Carotene: 25,000 units. 5. Selenium: 250 to 300 mcg daily. 6. Coenzyme Q10 (CO-Q 10) 30 to 60 mg daily. 7. Maitake Mushrooms, in a tincture form, or food form, will help improve your immune system. 8. Essential Oils: Frankincense, Sandalwood, Lavender. Use with guidance. Reading List: 1. Breast Cancer? Breast Health! The Wise Woman Way. Susun Weed. Ash Tree Publishing, 1996. 2. What Your Doctor Doesn’t Tell You About Breast Cancer: How Hormone Balance Can Save Your Life. John R. Lee MD. Warner Books, 2003. 3. Women’s Bodies, Women’s Wisdom. Christiane Northrup, MD. Bantam, 2002. 4. The Wisdom of Menopause. Christiane Northrup, MD. Bantam, 2003.