Breast feeding helps…but you have to have breasts!

August 13, 2009

The results of a large study recently published in The Archives of Internal Medicine were released this week, creating a substantial buzz within research and breast cancer communities.  Although there is still extensive follow-up research that needs to be done to ensure that other behaviors and factors are not causing this correlation, the study appears to show that among premenopausal women who are at higher risk for breast cancer because of a family history of the disease, breast-feeding has an incredibly protective effect.  The author of the study, Dr. Stuebe, even reported that the effect of breast-feeding could be as strong as that of Tamoxifen, the “chemoprevention” drug that is often given to high-risk women to lower their risk for breast cancer.  Breast-feeding was ONLY protective among women who are premenopausal and had a family history of breast cancer. So if you’re old and/or have good genes, feel free to break out the formula (although I can’t promise that your kid will be better off…).

Read more details here:

http://www.nytimes.com/2009/08/11/health/research/11cancer.html?_r=1&ref=health

http://news.yahoo.com/s/hsn/20090811/hl_hsn/breastfeedingmaylowerbreastcancerrisk

This is a really interesting and significant finding and if further research verifies it, it could benefit a lot of women.  I can’t help thinking, however, of all of the mutants like me.  Our thought process tends to differ from that of normal women and even other high-risk groups.  As soon as I read these articles, I started to wonder if  other BRCA women were sitting at their computers running over some of the same questions in their head.

First of all, what about all of the young women who have already HAD prophylactic mastectomies??  What does it mean for them?  In an ideal world, they would have had this little token of info as one thought to consider when they were deciding whether or not to have the surgery, but now it’s too late for that.  What kind of effect will not physically being able to breast-feed have on us?

Then, I of course come back to my personal journey towards ditching my boobs.  When I decided I was definitely going to have the surgery, but just hadn’t decided when, I had a long, emotional conversation with my boyfriend.  As I bared my soul to him, I solidified my own confidence in my decision.  I heard myself saying things and as I said them, I realized they were, in fact, true.  I can live with out breasts, but I’m not sure I can live with breast cancer. No one in my family has managed it yet.  I never even liked my breasts that much anyway.   I know I can learn to love my body in whatever new state it encompasses. But…but…but… the ONE thing I kept coming back to was “I have a hard time with the fact that I won’t be able to breast-feed my kids.”  Breast-feeding, to me, has always been the most beautiful, organic connection between mother and child- her body literally sustaining her tiny being a while longer before they have to become entirely physically seperate for good.  I wasn’t sure I could deal with feeding my baby formula.  It upset me.

And now, now this.  Now I’m second guessing my decision to have the surgery first and then kids.  Because, after all, maybe I can have it all.  Maybe I can breast-feed my kids, lower my risk for breast cancer at the same time, and THEN trade them in for prettier (slightly bigger) ones.  But it frustrates me that one research finding can make me question something I’ve spent years deliberating.

I think, in reality, the “buzz” that breaking news like this creates sucks people, including me, in.  I think, in reality, that this changes little to nothing about my current circumstances.

But I can’t help wondering…will my baby know I’m jipping him/her?

I’ll never know.


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9 Comments Add your own

  • 1. Steph H  |  August 13, 2009 at 3:11 pm

    This is what I struggle with most, too. I don’t need my breasts, but does my baby? I know breastfeeding goes in and out of vogue, and depending on what socioeconomic group you belong to, your peers are either more or less likely to breast feed. But whenever I get tripped up on that–that I’m going to be, to use your word, somehow “jipping” my child out of a healthy start–I think, what is more important: having a breast-fed baby or a healthy mom to take care of it? I always vote in favor of the latter. I’m so sad that I won’t have the experience of breast feeding, but I’m not sad I won’t have the experience of going through breast cancer. To me, it’s a fair trade-off.

    Reply
  • 2. caraelyse  |  August 17, 2009 at 9:09 pm

    I agree with Steph. I don’t think you need to feel like you’re “jipping” your baby if you don’t breastfeed. Your baby wouldn’t have been born in the first place if you were to succumb to breast cancer! I think all the decisions we BRCAers need to make should be made solely for ourselves, and not for anyone else, including our future children.

    It would suck not to be able to breastfeed, as it seems like something you really wanted to do, but I think your life is more important :)

    Reply
  • 3. Christine  |  August 20, 2009 at 4:36 pm

    I agree with the posters above! There are a few things I wanted to add though…

    Did you read the paper? Were all of these women tested for the BRCA mutation? Although I did not read the article, I do not think that this was done, and I think that it could be a very strong confounder. I also spoke about this with one of Massachusetts’ leaders in breastfeeding promotion, Bobbi Philipp (bobbi.philipp@bmc.org), and she said that (before this study was published) scientists had only observed this protective effect, and not in relation to a gene mutation.

    Also, you should think about the fact that a very small percentage of women cannot physically breastfeed, and many more choose not to for other various reasons. I think that possible cancer is a very good reason not to breast feed. And while I’m not a huge fan of the formula corporations, they do exist for a reason.

    Reply
    • 4. lisaelaineh  |  August 20, 2009 at 5:01 pm

      No I hadn’t looked at the actual paper yet- I definitely will. It seemed like, from the article, that it was a group of high-risk women, not necessarily women with mutations. There are many other reasons women may be at high risk for BC and there isn’t even one standard definition of what it means to be “high-risk.”

      I definitely wouldn’t make any decisions based on this without first reading the actual research.

      Also, I don’t think breastfeeding is a MUST, I think it’s a personal decision. For me, personally, it is something that matters to me..for other women it may be unimportant, inconvenient, or impossible…

      Thanks for the comments! :)

      Reply
  • 5. Teri Smieja  |  September 5, 2009 at 1:51 am

    Hi there – I happened across your blog. I have the BRCA1 mutation (and a blog about it too!) too. I have a baby that just turned 1 on August 29th, my goal had been to breastfeed him for a year, and then go ahead and schedule my surgeries. I’m happy to say that I made my goal, and am now weaning him. Anyway, I have an older son, he’s 17 now, and I only breastfed him for a few months and he was on formula the rest of the time…and you know what? He’s perfeclty healthy, rarely gets sick, and he and I have a wonderful relationship and a great bond. He’s a senior in H.S. with a 4.0. While I believe greatly in the benefits of breastfeeding, I also know from experience that it is NOT the ONLY way. As for the study you mention, it doesn’t reassure me enough to cancel my scheduled surgeries.. enjoyed your post though. :)
    Teri S.

    Reply
  • 6. FEAR « Teri’s Blip in the Universe  |  September 10, 2009 at 1:38 am

    [...] away from being cured. I couldn’t hide my cynicism. The next thing that sticks in my mind is a blog entry (I went back and found the link in my history and inserted it here) that I read about breastfeeding [...]

    Reply
  • 7. anynomous  |  September 16, 2009 at 8:49 pm

    Hi-
    My girlfriend recently told me of her BRCA. It was a very emotional moment for her to tell me and she has kept it a secret from a lot of her friends.
    Could you maybe make a post talking more about the significant other in your life and that whole aspect of your life? How has he handled it?….In what ways has he been supportive?…Im just trying to reach out to someone in my shoes that has been there and here some of the thoughts that have gone through their heads. If things progress more seriously towards marriage, what does this mean for our lives?
    I want to reiterate…I want to be there every step of the way for her. Would love to hear your thoughts..

    Thanks!

    Reply
  • 8. Janine  |  November 5, 2009 at 4:11 pm

    Both my aunts breastfed, 4 and 5 kids. Both had breast cancer (brca2) and one had it in both boobs so I wouldn’t place too much faith in that study.

    I enjoy your blog. Can I add it to my blog roll? http://cutthebtchesoff.blogspot.com/

    Reply
  • 9. Erika Carlson  |  December 15, 2009 at 9:39 pm

    I breast fed for 4 years straight (2 kids) and was diagnosed when my youngest was 14 months old and still nursing. So much for that theory! Although nursing is great, being cancer free is even greater. I can’t say that I would change anything in my life, I can see how you’d want to just do the surgery and bottle-feed, knowing you wouldn’t have to have a mastectomy and chemo, making you unable to care for your children for months, as I did!

    Reply

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