S1 Ep28: The BEST approach for BREAST Cancer Screening and Risk Reduction with Dr. Lisa Larkin

It used to be so simple. Women were just advised to get a mammogram every year. But now we have not just x-rays, but ultrasound, MRI, digital breast tomosynthesis, screening mammograms, and diagnostic mammograms. Women are confused, and frankly, a lot of doctors are also confused. I am joined by Dr. Lisa Larkin, a board-certified internist, a certified menopause practitioner of the North American Menopause Society, and a nationally recognized expert in breast cancer risk assessment and prevention. 

In this episode, Dr. Streicher and Dr. Larkin discuss: 

• The LIKLIEHOOD of developing breast cancer in different populations
• WHO is getting MISSED when it comes to early detection 
• Who should have genetic screening
• The problem with using over-the-counter testing such as 23 and Me
• When should someone start -and stop- breast cancer screening
• What is TOMOSYNTHESIS
• Who should have an MRI
• Who should have an ULTRASOUND
• Need to know info on DENSE BREASTS and why you should look at your report
• If it matters WHERE someone goes to get their mammogram
• RISK FACTORS for breast cancer that you can’t change
• Risk Assessment models to PREDICT your lifetime risk of breast cancer
• What it means when you are called back for ANOTHER VIEW
• RISK REDUCING drugs many women do not know about
• MODIFIABLE risk factors for breast cancer
• Why ESTROGEN is not a risk factor for breast cancer
• Why a PLANT-BASED DIET is beneficial
• Dr. Larkin’s new model for patient care, MS. Medicine

Breast Cancer Risk Assessment Models

• Gale Model: https://www.mdcalc.com/gail-model-breast-cancer-risk
• Tyrer-Cusick Model: https://ibis-risk-calculator.magview.com/

Twitter: @LisaLarkinMD

Facebook: @MsMedicine

Instagram: @DrLarkin

Website: MsMedicine.com

Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine and the medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society. 

Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGNMorningNews, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr.Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS ThisMorning, ABCNewsNow, NBCNightlyNews,20/20, and WorldNewsTonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine. 

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Books by Lauren Streicher, MD

 Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain

Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat

Sex Rx- Hormones, Health, and Your Best Sex Ever

The Essential Guide to Hysterectomy