Breast Checks: Breast Cancer Support and After Care

Welcome to the

Women’s Wellness Hub

Topics on this Page:

Why check my own breasts?

How often should I do a breast check myself?

Is it ok just to get Dr to do a breast check?

Where go to do them in Australia?

What if I am rural?

What to expect when go to get check?


This web page is designed to be informative and educational. It is not intended to provide specific medical advice or replace advice from your health practitioner.

All about Breast Checks

Why check my own breasts?

Early detection of breast cancer saves lives. Knowing the look and feel of your own

breasts through regular self-checks helps you to detect any changes. Not all

changes will be cancerous but be vigilant and see your GP for advice if you are

concerned.

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How often should I do a breast check myself?

Monthly is good but sometimes it can be as simple as seeing something on the tele

that reminds you or hearing a conversation and you realise you haven’t checked

your breasts for a while. Maybe a friend has just been diagnosed. Use reminders on

your phone if you would like.

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Is it ok just to get Dr to do a breast check?

The best way to early detection is really to know the look and feel of your own

breasts. Your Dr may never offer a breast check so really it is up to the individual to

know what is normal for them.

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Where go to do them in Australia?

You can ask a GP for a breast examination

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What if I am rural?

Your GP, the visiting women's health nurse.

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What to expect when go to get check?

You will be asked to remove your clothing from the waist up, including your bra. In a

sitting position you will raise your arms above your head and then possibly be asked

to place your hands on your hips. The GP will be looking for anything that looks

unusual in the shape, size, colour of the breast or nipple.

The GP may then ask you to place your hand on their shoulder and they might feel

under your arm on both sides. This is when they are feeling for your lymph nodes.

You may then be asked to lie down and they may place some gentle pressure on the

breast and feel the tissue.

Some clinicians will feel this in a clockwise pattern and others will sweep the breast.

This may also be done when you are sitting up. Each person that examines a breast

has their own way of examining but this should be done in a private area where the

patient feels comfortable.

You will be asked questions about your breasts at this time as the Drs or nurses are

not familiar with the look and feel of your breasts and may ask if certain features are

"normal" for you. For example, some women have nipple retraction and have had it

all their lives. If this is normal for them a clinician would not be concerned about this,

however if this is a change to one nipple over the past month this would warrant

further investigation.

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What if I find a lump?

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Should I keep notes or photos of changes?

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When Should I askfor a mammogram?

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When do I need to have a mammogram?

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Will is the procedure going into have a mammogram?

-appointment with nurse

- led into the room for check

- machine involved

- imagery

- how quickly get an answer

- what if asked back?

- what is a biopsy and why?

- what will happen after biopsy

- what happens if they detect cancer

-how do I get a gene checkto see if I have the breastcancer gene? etc

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Women's Wellness Hub Directory

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Telling your Partner you want a Separation or Divorce

Telling your Partner you want a Separation or Divorce

October 01, 20244 min read

Regardless of who has made the decision or how your relationship has been to date, telling your partner that you want a separation or divorce is likely to be one of the most difficult, painful and memorable conversations you are likely to ever have. It is often a conversation that both parties remember clearly for the rest of their lives, so take some small steps to get it right.

It is important to realise that the way in which you discuss this may set the tone for your future discussions and potentially increase OR decrease your chance of positively negotiating your future conversations regarding financials, family and the next phase of your lives.

TIPS

Planning the discussion

• Have you considered having counselling together or at least personally speaking with a counsellor, psychologist, separation coach to help you consider your emotions, options and plans. Family Counselling Support Network can assist. www.familycounsellingsupportnetwork.com. Speaking with your GP is often also highly recommended to ensure there are no medical reasons contributing to the way you are feeling.

• Make sure you are certain of your final decision before you break the news to your partner as it is very stressful and often emotionally difficult to come back from this type of disclosure if you change your mind.

• Consider what will be the best day, time and conditions to have this discussion so it is as amicable, respectful and calm as possible under the difficult circumstances. Ideally it should be done face to face (not via a text, a note, or via a third party) and when no one else is home, especially children. You may choose to go to a neutral place such as coffee in a park where you aren’t distracted or conscious of being the object of attention. Most importantly, make sure that your intention is not blurted out in the middle of heated discussions and avoid late at night or on a day which corresponds with important events such as celebrations or family holidays.

• Consider how will you remain safe throughout this discussion and afterwards? Do you need to consider having the discussion in conjunction with a counsellor? If you are leaving an abusive or violent partner, do you need a safe exit plan, a restraining order or emergency accommodation assistance? In an emergency call police 000.

• Have you considered your partner’s reaction, the likely questions that you will be asked and how you will respond to them? Are they likely to be surprised? Deeply emotional? Aggressive? Some people consider marriage a lifelong commitment and may be really surprised by your announcement. Often people are in denial and do not seem to absorb what is being said and perhaps the finality of your decision. Watch for the possible breadth of reactions, acknowledge their feelings and show empathy.

• Who is staying in the home and who is potentially leaving, and where the children and pets will immediately go, are likely to be the first issues raised. It is important to have thought through these issues so that solutions are more easily explored.

Planning the discussion

 • When delivering your decision to separate or divorce, the key is to be kind, direct and not highly emotional. Examples of how you might raise it include, “I am unhappy and would like to live apart for six months. During that time, I am open to having more counselling to see if we can make it work.” Or “We have tried counselling but unfortunately I am still not happy and I would like to move towards a more permanent step to separate” or “I have been unhappy in our relationship for a long time and I would like to see if being apart improves things for us all.”

• Then deliver the terms, for example, “I would like you to live at your parents for a few weeks and I can remain here with the children until we work out the next steps”, or “I am going to visit my parents for the week to give you time and space to move out,” or perhaps if you are amicable and it is safe, you could suggest, “You are welcome to stay in the other bedroom until we sort out what we are going to do next.”

• Regardless of how the other person reacts, try not to get highly defensive, blaming and remember to acknowledge their emotions. Try to remain calm and supportive and continue to state your position - “I am sorry, I know this isn’t what you want to hear but we have tried our best, and I can’t do this anymore and I want to separate." 

• Give your partner time and space to process what you have said. Don’t immediately proceed with details of what you are proposing in terms of parental and financial settlements, but it is a good time to suggest you want to work with them to ensure you sort things out as amicably as possible as you move forward. 

• Try to calmly agree together on how and when to tell the children and other family members and friends, allowing a respectful period of time to digest the details.

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