In 2017, the writer was diagnosed with the BRCA1 genetic mutation, which significantly increased their risk of developing breast and ovarian cancer. Given the high stakes and numbers associated with the diagnosis, they were advised to undergo regular mammograms, MRIs, and whole-breast ultrasounds starting at age 30. Additionally, they were encouraged to have children soon and breastfeed them as long as possible. Research has shown that breastfeeding for at least one year can reduce the risk of breast cancer in BRCA1-positive individuals by 32%, with potentially greater benefits with more years of breastfeeding. Despite the daunting statistics, the writer saw breastfeeding as a more manageable recommendation on a lengthy medical to-do list and planned to have children to help lower their cancer risk.
At the time of their diagnosis, the writer had been married for seven months and children were not yet part of their immediate plans. However, they viewed breastfeeding as a natural and straightforward way to address their heightened cancer risk. By focusing on having children and breastfeeding them, they hoped to postpone more invasive preventive measures like prophylactic mastectomy and removal of their ovaries and possibly uterus for at least a decade. The writer believed that by then, they would be better prepared to make informed decisions about their health and hoped that medical advancements might offer alternative or more precise solutions to managing their risk of developing cancer.
The writer’s early experiences with breastfeeding their first daughter included challenges such as cracked nipples and difficulties with positioning. Despite the initial struggles, they persevered with the support of lactation consultants, family members, and their own determination to provide their child with the benefits of breastfeeding. These experiences highlighted the personal and sometimes painful aspects of breastfeeding, as well as the importance of support and guidance from healthcare professionals and loved ones. The writer’s commitment to breastfeeding as a proactive step towards reducing their cancer risk reflected their resilience and willingness to prioritize their health and well-being.
As the writer navigated the complexities of managing their BRCA1 mutation and its implications for their health, they grappled with the uncertainties and fears that accompanied the diagnosis. Their determination to pursue strategies like breastfeeding as a means of lowering their cancer risk demonstrated their proactive approach to a challenging situation. Through their experiences with breastfeeding and the support of their loved ones, the writer sought to empower themselves with knowledge and practical steps to safeguard their health. Despite the emotional and physical challenges they encountered, the writer remained focused on the long-term goal of mitigating their risk of developing cancer and making informed decisions about their future.
With each breastfeeding session, the writer confronted their vulnerability and fears while also embracing the strength and resilience needed to navigate their unique medical circumstances. The act of breastfeeding became a symbol of their commitment to prioritize their health and well-being in the face of uncertainty and adversity. As they reflected on their journey with breastfeeding and the broader context of managing their BRCA1 mutation, the writer found solace in the support of their family, the guidance of healthcare professionals, and their own determination to take control of their health. Through these experiences, the writer discovered a sense of empowerment and agency in confronting their genetic predisposition to cancer and charting a path forward that aligned with their values and goals.
