Nobody wants to deal with breast cancer, but detecting it early can make a big difference. Regular mammograms can help spot potential problems before they become serious. Yet, many women skip this very important screening. Why?
1) Overwhelming Fear and Stigma
It is common to think a cancer diagnosis means a death sentence. Fears surrounding a diagnosis or treatment, combined with the stigma attached to cancer, often overshadow the importance of regular mammograms[1][2] .
Many also worry about potential treatment costs, social exclusion and the internalised shame associated with having breast cancer[1][3].There is also the misconception that recovery is impossible[3].
It is important to remember that these feelings and fears are natural, and that everyone’s experience with cancer is different.
2) Perceived Health and Breast Cancer Misconceptions
In the 2022 National Population Health Survey, the leading reason women in Singapore aged 50 to 69 delayed getting mammograms was their belief that being healthy meant there was no need for screening[4]. The challenge however, is that some women diagnosed with breast cancer may not have any symptoms[5].
The misconception that breast cancer only affects older women can cause younger women to neglect their breast health[6].While breast cancer risk does increase with age, it can still occur in younger women. It’s important for women of all ages to be aware of what’s normal for their breasts and to monitor for any changes. 27-year-old Tay Lautner, wife of actor Taylor Lautner, discovered a hard breast lump while showering[7].She took action by seeing a doctor and getting screened for cancer. No matter your age, keeping up with breast health is essential, as breast cancer can affect anyone.
3) Balancing Health and Daily Demands
Another common reason women skip screenings is because they are too busy[1].With work, family and everyday responsibilities, it can be tough to find the time. Even caring for children takes priority over scheduling mammograms.
With these many reasons, some women delay getting their breast lumps checked even after feeling them in their breast. While some breast lumps are not cancerous and may even go away on their own, others worsen over time[8].You never know for sure until you see a doctor.
Benefits of Being Breast Aware
Breast cancer is the most common cancer among Singaporean women, with cases rising more than threefold to 74 cases per 100,000 population[9].Understanding what is normal for your breasts can help you notice changes earlier, allowing you to address issues before they get worse.
Scheduling screenings such as mammograms is key because catching the cancer early—when it is still small and has not spread—can improve treatment outcomes[5].
Early screenings can also improve your chances of survival. Studies show that annual mammogram screenings can reduce breast cancer mortality by approximately 41%[10].
While self-examinations can help you spot changes in your breast or nipples, mammograms should not be overlooked. Mammography can help detect cancer before any symptoms show up, when the cancer is too small to even see or feel[5][11].
How to Make the Most of Your Appointment
Naturally, going to the doctor can be overwhelming and anxiety-inducing, especially if you are there for cancer screening.
Here are some simple steps to help make the experience less daunting and ensure you get the support you need[12].
- If you have symptoms, jot them down before your appointment. Note when they started, when they happen and how often they occur.
- Let your doctor know if you are worried about cancer or if you have a family history of it.
- Do not hesitate to ask your doctor for clarification on anything you find confusing.
- Having a friend or family member with you can provide much-needed comfort. They can help you take notes or ask questions too.
Empower Yourself and Embrace Breast Health
Breaking down breast cancer myths and encouraging open conversations can help women feel less hesitant about getting a mammogram. Highlighting the potential for better outcomes with early treatment can shift perceptions and boost breast health awareness.
The Ministry of Health Singapore reports that breast screening rates are around 50% for women with higher education and 28% for women with primary education[13].
Regular breast self-examinations and screenings are crucial for staying on top of breast cancer. It is not just about being aware—it is about taking proactive steps to monitor your breast health effectively.
Show your breast friends you care—book a mammogram appointment and encourage others to do the same. Remember, early detection saves lives.
References
[1] A review of barriers and facilitators to mammography in Asian women
[4] Ministry of Health Singapore, National Population Health Survey 2022
[5] Cancer Research UK, Symptoms of Breast Cancer
[6] National Breast Cancer Foundation Inc., Myth: Breast cancer only affects middle-aged or older women
[7] E News, Taylor Lautner’s Wife Tay Lautner Shares Breast Cancer Scare
[9] Health Promotion Board, Singapore Cancer Registry Annual Report 2021
[11] American Cancer Society, Breast Cancer Signs and Symptoms
[12] Cancer Research UK, Seeing your GP when you have symptoms of breast cancer
[13] Ministry of Health Singapore, Screening Rate for Breast Cancer
