Huberman Lab
Female Hormone Health, PCOS, Endometriosis, Fertility & Breast Cancer | Dr. Thaïs Aliabadi
The higher the density, the higher your lifetime risk of breast cancer.
Huberman Lab
Female Hormone Health, PCOS, Endometriosis, Fertility & Breast Cancer | Dr. Thaïs Aliabadi
Patients who have children after age 30 are at a higher risk, women who haven't had children, women with family history, women with genetic mutations.
Huberman Lab
Female Hormone Health, PCOS, Endometriosis, Fertility & Breast Cancer | Dr. Thaïs Aliabadi
So you answer these questions and at the end of it, it will calculate
Huberman Lab
Female Hormone Health, PCOS, Endometriosis, Fertility & Breast Cancer | Dr. Thaïs Aliabadi
your risk of breast cancer over the next 10 years or over your lifetime.
Huberman Lab
Female Hormone Health, PCOS, Endometriosis, Fertility & Breast Cancer | Dr. Thaïs Aliabadi
If that number is 20% or more, you can go to your doctor's office for your well-woman exam after you ask for your egg count and your pelvic ultrasound.
Huberman Lab
Female Hormone Health, PCOS, Endometriosis, Fertility & Breast Cancer | Dr. Thaïs Aliabadi
You ask them for breast imaging, especially if you have a first degree relative, mom,
Huberman Lab
Female Hormone Health, PCOS, Endometriosis, Fertility & Breast Cancer | Dr. Thaïs Aliabadi
sister, daughter with breast cancer, that significantly increases your risk.
Huberman Lab
Female Hormone Health, PCOS, Endometriosis, Fertility & Breast Cancer | Dr. Thaïs Aliabadi
If that risk is north of 20%, you need to ask your doctor for breast imaging as early as 30.
Huberman Lab
Female Hormone Health, PCOS, Endometriosis, Fertility & Breast Cancer | Dr. Thaïs Aliabadi
That's why I had a girl on my podcast at 34, she has stage four breast cancer.
Huberman Lab
Female Hormone Health, PCOS, Endometriosis, Fertility & Breast Cancer | Dr. Thaïs Aliabadi
Had she been treated and diagnosed, and I'll tell you her story, it's really devastating.
Huberman Lab
Female Hormone Health, PCOS, Endometriosis, Fertility & Breast Cancer | Dr. Thaïs Aliabadi
So it's important to know your lifetime risk of breast cancer.
Huberman Lab
Female Hormone Health, PCOS, Endometriosis, Fertility & Breast Cancer | Dr. Thaïs Aliabadi
Patients who fall into the high-risk category, 20% or more, in addition to mammogram, if they have dense breast tissue, they need to ask for ultrasound of the breast.
Huberman Lab
Female Hormone Health, PCOS, Endometriosis, Fertility & Breast Cancer | Dr. Thaïs Aliabadi
And for high-risk patients, 20% or more, in addition to mammogram and ultrasound, they need to ask for a breast MRI.
Huberman Lab
Female Hormone Health, PCOS, Endometriosis, Fertility & Breast Cancer | Dr. Thaïs Aliabadi
Now, if your doctor writes for a breast MRI, it's probably not going to get covered by insurance.
Huberman Lab
Female Hormone Health, PCOS, Endometriosis, Fertility & Breast Cancer | Dr. Thaïs Aliabadi
But if your doctor writes patient is high-risk, lifetime risk is 28%,
Huberman Lab
Female Hormone Health, PCOS, Endometriosis, Fertility & Breast Cancer | Dr. Thaïs Aliabadi
then your insurance company has to cover, right?
Huberman Lab
Female Hormone Health, PCOS, Endometriosis, Fertility & Breast Cancer | Dr. Thaïs Aliabadi
So that's how they test doctors.
Huberman Lab
Female Hormone Health, PCOS, Endometriosis, Fertility & Breast Cancer | Dr. Thaïs Aliabadi
They want to see that lifetime risk on the prescription order in order to approve it.
Huberman Lab
Female Hormone Health, PCOS, Endometriosis, Fertility & Breast Cancer | Dr. Thaïs Aliabadi
But they can still not approve it, but that's another discussion.
Huberman Lab
Female Hormone Health, PCOS, Endometriosis, Fertility & Breast Cancer | Dr. Thaïs Aliabadi
So it's important to know your lifetime risk of breast cancer.