Levlen (Levonorgestrel Ethinyl Estradiol)

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Other names: Norplant, Plan B, Levora, Alesse
BREAST AT MENOPAUSE: BENEFITS AND RISKS OF MAMMOGRAPHY
A mammogram is a breast X-ray and although it is commonly recommended to detect breast cancer it has its negative side. First, X-rays can cause breast cancer, so ironically you could be exposing yourself to a test that can trigger the disease it is supposed to be detecting. Second, mammography can result in false readings. These false-positives mean women may be recalled to have another mammogram and another dose of X-rays, not to mention the emotional stress and anxiety the diagnosis causes.
There have been warnings about mammograms since the early 1980s when the late Dr Robert Mendelsohn published a book, Male Practice, How Doctors Manipulate Women. He warned that annual screening of women who had no symptoms might well produce more cancer than it detects. This unfortunately was borne out quite dramatically in a Canadian study in 1989 where the National Breast Screening Trial examined more than 89,000 women between the ages of forty and forty-nine over an eight-year period. Half the women in the group received mammograms every year. The researchers found that these women had a significantly higher death rate than those in the other half of the group, who had not been given a mammogram. The women who had the mammograms had a 52 per cent increase in deaths from breast cancer.
The excellent regular publication What Doctors Don’t Tell You (WDDTY) has published a guide to women’s screening tests which has a very informative section on mammograms. It suggests that if you decide to have a mammogram you should do some homework. It gives a four-point check list:
1. Is the equipment used specifically designed for mammograms? This is important because it means the equipment can give the best image with the least radiation.
2. How many mammograms are done at this facility? WDDTY quotes the American College of Radiology which recommends going to a lab or hospital where each radiologist reads at least ten mammograms a week. Obviously this will reduce the number of false readings.
3. When was the machine last inspected and calibrated to check it is giving out the intended dose of radiation? It should be checked once a year.
4. How old is the equipment?
Other safer tests in the pipeline are the transillumination test with infrared light scanning where a light is shone on the breast and lumps show up by blocking the light. The antimalignane antibody serum (AMAS) test measures serum levels of AMA, an antibody found in higher amounts in most patients in the early stages of active non-terminal malignancies.
*71/101/5*

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