Hi Sandeep,

This is very important topic. I really appriciate your efforts to focus on this 
type of important thinks. 

I want to know have you any idea for natural care to remove dark circule under 
eyes. I will wait for your reply.


Regards,
Anil Sharma




________________________________
From: Sandeep Srivatsava <[email protected]>
To: better personality <[email protected]>
Sent: Tue, 10 November, 2009 2:11:44 PM
Subject: Breast examination : Very important




Courtesy : NDTV.com    
Why should one do BSE?

There is a 1 in 10 chance that a woman will have breast cancer during her 
lifetime. Over 1,000,000 women find lumps in their breasts every year some of 
which are cancerous but most are benign. A simple Breast Self-Examination (BSE) 
can be the key to finding any abnormality early.

Statistics about breast cancer 
        * Approximately 25% of breast cancers will result in death.

        * Breast cancer is the second most common cancer found in women 
(following uterus cancer).

        * If diagnosed and treated early, almost 95% of all breast cancers can 
be cured. That's why the BSE is so important. Risk factors

There are several risk factors that will determine how likely you are to have 
breast cancer:

Age: It is rare for women younger than 35 to have breast cancer. The risk 
increases with age. Most breast cancers occur in women older than 50 years.

Family history: If your mother, sister, or daughter has developed breast cancer 
before menopause, you are three times more likely to develop the disease.

Personal history: If you've had breast cancer, you have an increased risk of 
getting it again. Also, if you've had benign breast disease (e.g., fibrocystic 
breast disease), you are at an increased risk. 

The following also put you at greater risk: 


        * If you began menstruating early (before age 12) 

        * If you take birth control pills (though evidence is not conclusive) 

        * If you never have children If you have not breast-fed your children

        * If you have children when you are 30 or older 

        * If you have menopause at 55 or later 

        * If you take Hormone Replacement Therapy (HRT).
Most of these risk factors involve your level of oestrogen. Higher oestrogen 
levels are strongly linked with susceptibility to breast cancer. 

Lifestyle: There is a lower incidence of breast cancer among women who exercise 
regularly and a higher proportion of breast cancer among obese women. There is 
also evidence that there is increased risk of breast cancer with increased 
alcohol use (i.e., 3 or more drinks per week). 

Who should do BSE?

It is good to be in the habit of breast self-examination (BSE) on a regular 
basis since early detection leads to early investigation and treatment. Women 
of all ages should perform self-examination since breast problems can occur at 
any age. The best time of the month to perform self-examination is after 
menstruation, when the breast tissue is softer and lumps are more likely to be 
felt. Immediately prior to menstruation the breast becomes naturally lumpy and 
often tender - features that can mask a problem. For women who are 
post-menstrual, with irregular periods or who have had hysterectomy, a suitable 
time should be chosen - for example the 1st day of the month. Examination more 
frequently than this, is probably not necessary and may lead to increased 
anxiety. A woman who regularly examines her breasts will get a very clear idea 
of her normal breast texture and consistency, and will help her to notice if 
something is different. Individual hospitals and
 specialists may advise slightly different methods, but the principles of BSE 
are the same. 

How to do BSE?

There are two basic steps to conducting a BSE: 
        1. Visual Examination

        2. Tactile Examination
Visual Examination

During the first part of the BSE, the visual examination, you look for changes 
in each breast. What is important in visual BSE is not the normal difference 
between your two breasts, but any change in one breast without a similar change 
in the other. The changes you have to look for include: 
        * Shape 

        * Size 

        * Contour or symmetry (is there a difference in the level between your 
nipples? Do both breasts look symmetrical?) 

        * Skin discoloration or dimpling 

        * Bumps/lumps – NOTE: normal lumpiness, like in the week before and of 
your menstrual cycle, will appear as very small and separate lumps like the 
texture of an orange. 

        * Sores or scaly skin 

        * Discharge or puckering of the nipple 

        * Dimple

        * UlcerationStand in front of a mirror and look for the above changes 
in your breasts (from both a frontal and profile view) in 3 different 
positions: 
        1. With your arms raised 


        2. With your arms down at your sides 


        3. Bending forward 


        * with your hands on your hips and shoulders turned in 

        * with your arms relaxed hanging in front of you 
Tactile Examination

This is the part of the examination when you need to feel your breasts for any 
changes. It is important to check the surrounding areas because breast cancer 
may be found in the lymph node tissue around the breast and underarm. Begin by 
lying in bed. Place a small pillow or folded towel under your left shoulder and 
your left hand behind your head. Your shoulder should be raised high enough for 
your left breast to be center on top of your chest, falling neither to the 
center nor toward the armpit; this arrangement distributes the breast tissue as 
evenly as possible across the chest wall. If a breast is not properly flattened 
against the chest, it is difficult to feel a lump – particularly in the outer 
upper quadrant, where tissue is thickest (and where most cancers occur).Feel 
your breasts and surrounding areas, which include: 
        * the breast 

        * between the breast and underarm 

        * the underarm 

        * the area above the breast up to the collarbone and across to your 
shoulderUse the pads (where your fingerprints are) of your three middle fingers 
on your right hand pressed together flat to check your left breast, and do the 
opposite for the right breast. You should press on your breast with varying 
degrees of pressure: 
light (move the skin without moving the tissue underneath) medium (midway into 
the tissue) 
hard (down to the ribs "on the verge of pain") 
When using any of the 3 patterns, you should always be using a circular rubbing 
motion without lifting your fingers. 


Patterns of breast examination

Spiral: Begin with a large circle around the perimeter of your breast and make 
smaller and smaller circles as you work your way toward the nipple. 
  

Wedges: Pretend your breast is divided into sections like triangular pieces of 
a cake, begin in the nipple area and feel your breast in a small circular 
motion within one section, then move on to the next wedge starting in the 
nipple area again. 
  

Vertical or linear: Pretend your breast is divided into vertical stripes. Begin 
on the underarm area on one side and feel your breast in a small circular 
motion up and down in a zig zag pattern till the whole breast is covered. Then 
repeat the process for the right breast with your left hand. 


What to feel for?

Carefully notice the "feel" of your normal breast structure, so that you can 
note at once any changes from what is usual for you. Many women have a normal 
thickening or ridge of firm tissue under the lower curve of the breast, at its 
attachment to the chest wall; also the large milk ducts can be felt as a ring 
of bumps at the outer edge of the areola. In very slender women, the bony 
prominences of the chest wall may be mistaken for chest tumours, as may 
enlarged milk glands, fat tumours, lymph nodes, or benign cysts. All such 
thickenings should be felt carefully during each monthly BSE, in order to 
distinguish normal conditions from potentially dangerous changes. Any lump or 
other change found in one breast only (especially in the upper outer quadrant) 
is more likely to be serious. If in doubt about ANY development, consult your 
doctor.

In the shower

Many lumps are more easily felt when the breast and fingers are wet and 
slippery with soap lather, which reduces the friction. If your breasts are 
small, place one hand on your head and examine the breast on the side with your 
opposite had in an up-and-down pattern, as you do lying in bed. If your breasts 
are large or pendulous, you will be better able to feel them if you immobilize 
a breast with one hand (first supporting from below, then pressing down from 
above) and examine it with the other hand (first from above, and then from 
below). 

If you find that you exhibit any of the characteristics as described above, do 
not delay. Go see your physician immediately for a clinical breast examination 
and other tests for a definite diagnosis.  
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