Aprendendo sobre o câncer de mama
I am always concerned when a question is asked about pain levels associated with ANY procedure related to breast cancer and the responses are uniformally rosy or at least, minimal when it comes to reporting pain.
The real answer is - the pain levels depend on a host of factors and it can vary enormously from one women to another. For example, if you have dense breasts and a history of breast pain and sensitivity to having your breasts touched heavily or manipulated, as well as strong hormone related breast pain, then it is feasible that you will find mammograms painful. Further, scientists have recently found that sensitivity to pain is genetically based, so if you are part of the population who have the pain sensitivity genetic make up [you will know who you are as you will have a history of people assuring you X or Y does not hurt much but when you have it, the roof of yor head blasts off with pain - thats when they start calling you a wimp or pathetic or whatever] then your experience more pain than those without the gene.
I am so sick of the ability to withstand pain being portrayed as a moral virtue when in fact a lot of it is the luck of the draw with genetics.
I also regularly run into women who actively avoid much needed mammograms because of the pain. I then see scientific studies where resources are poured into answering the question "wh do women avoid having mammograms even when they are free?" One reason they regulary fail to cite is the pain. Yes, pain NOT discomfort.
I am writing this because I am a breast cancer survivor who not only finds mammograms very painful, I am also one of the 40% of women who developed breast seroma following surgery. A seroma is a fluid filled sac in the breast which in my case although smallish, is also very painful. I have to hold what remains of my right breast if the car goes over a speed hump as breast jiggling is painful.
I am supposed to have my first post surgery annual mammogram in about 8 weeks.The idea of my scarred breast with a seroma, which already experienced bad pain on mammograms without these features scares the dickens out of me. I had an MRI [which I paid for myself] late last year - zero radiation, zero pain and a far more sensitive test for invasive ie., the most dangerous kind of breast cancer. In my case, due to dense breasts, mammograms are also only around 60% accurate albeit better at detecting non-invasive forms of breast cancer.
I have now decided I am not going to put up with the pain from mammograms any more. I have therefore written to the centre that will be conducting my annual mammograms for the rest of my life and said I do not consent to having any mammograms done in future without adequate pain relief. I know from experience a local anesthetic injection - which I tolerate well - completely ends all pain. I am also willing to consider trialling a numbing agent like EMLA cream applied an ahour or two before the mammogram and wrapped in saran and/or breathing through one of those pain relief tubes ambulances and paramedics carry with them.
If anyone reading this has any concerns about the pain involved in having your breasts - with or without surgeyr scars and seromas - squeeed and flattened to one inch thick - then I urge you to contact the mammogaphic service ahead of your appiontment and put it in writing that your consent to the procedure in contingent on being provided with a decent choice of pain relief.
Do not be held to the standard of the most stoic or tough patient and refuse to be emotionally blackmailed into shutting up and suffering needlessly. The pain relief options I have llisted are cheap, simple and used every minute of every day in all sorts of medical settings, so the side effects are minimal.
Don't let them get away with hurting you if avoiding being subject to pain is a priority to you. By all means if avoiding or embracing physical pain is acceptable to you - then go ahead without pain relief.