Do you care about menstruation? Watch out for breast cancer before menopause.

Menstruation runs through women’s adolescence, reproductive life, menopausal life and until the menstruation ceases permanently. It accounts for almost half of women’s lives and is a loving and hateful “old friend” and an important role in the life course.In addition to the menstruation, which takes place every month, there is another, albeit always “silent,” concern in recent years — breast cancer.Doctors have suggested that the menstruation may have given a “insinuation” in advance if there was a cancer, but they didn’t find it. Is that true? So what is the link between menstruation and breast cancer? What difference does it make between pre-menopausal and post-menopause breast cancer? Let’s go into today’s article and find out.Menstruation – a “barometer” of female healthThere’s a lot of humor among female friends: “When menstruals come, they get bored, but when they don’t come, they get bored!”Menstruation not only represents a change in the female reproductive cycle, but is also important for women ‘ s health. It comes or does not come, and the length of the cycle, the sexual nature and the associated symptoms may indicate that the body is changing.Menstruation generally has the following roles:1. Menstruation is one of the natural defence functions of female reproduction.Menstruation allows for “morbidation” of the female blood function.3. Menstruation is a sign of change from a girl to a mother.Menstruation is a sign of diseases such as gynaecology.The menstruation was said to have the same behind-the-scenes as breast cancer. Is that scientific?The most recent data show that breast cancer is among the highest in the world and constitutes a serious threat to the lives and health of women. Breast cancer is hormonal-dependent tumours, and its development and prepregnosis are closely related to the sex hormones in women, which are more closely related to the female pregnancy hormones. Menstruation occurs as a result of cyclical changes in estrogen levels in women, leading to cyclical growth, stripping, haemorrhaging, repair and repetition of uterine membrane. As a result, the development of breast cancer occurs with menstruation, with the same driving force – estrogen – behind both.The early onset, irregular menstruation and late menopausal age of women can be factors in the incidence of breast cancer. The high levels of estrogens in women of late menopausal age are also expected to be higher, while the high levels of estrogens in women of late menopause increase the risk of breast cancer.So, what does menopause mean for women?As the age of women increases, the organs of the body begin to decline slowly, and ovaries are no exception.The ovaries function is inextricably linked to regular menstruation. However, ovarian functions do not allow women to remain with them for life, when the ovarian ovaries run out, or when the remaining ovaries are no longer able to react to hormones, no more ovulations and endocrine hormones, and uterine membranes are no longer metabolisms and menopause occurs. Generally speaking, our menopause age is between 45 and 55 years, with an average of around 49 years. Menopause means the loss of women ‘ s reproductive function, but it does not change women ‘ s physiological structure. After the menopause, there was a decrease in estrogen within the body, with a corresponding decrease in the probability of uterine absema and ovarian disease. Menopause is a natural manifestation of a change in body function and there is no need to deliberately delay menopause. The post-menopausal women are still women, but with more years of age, they say good-bye to “old friends” and then enter the next stage of their lives.What is the difference between pre-menopausal and post-menopausal breast cancer?The median age for breast cancer in our country and in East Asia is between 45 and 50 years, more than a decade ahead of that of Western countries.The rate of pre-menopausal cancer in our country is around 60 per cent, yet it is not receiving enough attention at present. Although both are breast cancer, there is still a difference between pre-menopausal and post-menopausal breast cancer.1. Premenopausal breast cancer patients have higher levels of tumours and higher tumours.Most of the pre-menopausal breast cancers in clinical settings are estrogen-positive. Pre-menopausal patients have better ovarian functions than post-menopausal breast cancer, and high levels of estrogens in the body make estrogen-positive breast cancer cells more likely to grow and the tumor is greater. As a result, young women tend to progress faster and more viciously after cancer of their breast. At the same time, young women are less aware of breast self-inspection and are relatively more condensed with breasts, are indensified, are less likely to be tested for early detection of pathologies, and are prone to tumours being masked and delayed. Once diagnosed, most are patients with relatively late clinical phases II, III and above.The pre-menopausal breast cancer pre-menopausal cancer is less than 4 and has a more early onset.Re-emergence of breast cancer is also closely related to estrogen levels in patients, and the higher the estrogen levels, the greater the risk of recurrence. In addition, young people are much more immune than older people, but the fact that tumours of pre-menopausal breast cancer break the immune line within a short period of time indicates that pre-menopausal breast cancer is also highly immune and treatment is more difficult.Taken together, the risk of relapse and death is higher for patients with pre-menopausal breast cancer, with a lower life expectancy.3. There is a greater willingness to treat breast cancer before menopause.Most pre-menopausal breast cancer patients are at an old and small stage, shouldering the burden of family life and enjoying the well-being of their parents and children around their knees as an integral part of the family. As a result, pre-menopausal patients also have a strong desire for healing, as well as a higher demand for improved quality of life during illness and for family and society after treatment.It is worth noting that some young patients also have the desire to retain their reproductive needs, and that such special treatment needs are relatively insignificant in post-menopausal or elderly patients. In comparison with post-menopausal breast cancer, pre-menopausal patients tend to struggle more viciously and under greater physical and psychological stress. Given the differences between menopause and premenopausal diseases, premenopausal patients need more effective treatment. Although there is no strategy for pre-menopausal breast cancer treatment, new drugs are being actively developed in the clinical field and there are sufficient data to show that new drugs have a significant effect on pre-menopausal breast cancer treatment.A day-to-day tip.1. Healthy living is the best way to stay away from disease, and in daily life care should be taken for healthy diets, sports, especially for women in menopause, and more so for regular living and good emotional conditions.2. More attention should be paid to menstruation, such as the colour, amount and regularity of menstruation.Learning about breast self-examination and regular breast cancer screening are key steps in the early detection of breast disease.Screening can be done by B before age 40;After the age of 40, screening can be conducted through regular mammograms and B super-screening, if necessary in conjunction with MRI. In general, if mammograms are found at the time of the medical examination, a BI-RADS rating will appear on the breast ultra-report, the lower the level, the more secure: regular review of the grade at level 3 and below is sufficient; when the grade is at level 4 or above, there is a higher probability of malformation and immediate consultation is required. So when the medical examination shows the presence of mammograms, please pay attention to it.4. If breast cancer is diagnosed before the menopause, it must first be treated at the earliest possible stage and subject to active medical treatment. In the fight against cancer, remember to take care of yourself, be optimistic and face life with courage. References: 1. Andrebin, Editor-in-Chief, Rainbow. Obstetrics and Gynaecology [M]. People ‘ s Health Publishing House, 2017.2. Wu Yongjun, Zhang Weisen, Zhou Baixing, etc…. Nature ‘ s Insurgence Age Relates to Post-menopausal Obesity […] J]. Public health in China, 2022, 38(12): 1544-1548.3. Liu, Yong Weng, Liu Yang, et al…. Meta Analysis of Menstrual Conditions Relating to Breast Cancer [J]. China Journal of Evidence Medicine, 2017, 17(04): 418-428.4. Paluch-Shimon S, Cardoso F, Partridge AH, et al. ESO-ESMO fifth international relations guidelines for Breast cancer in young women (BCY5). Ann Oncol. 2022 Nov; 33 (11): 1097-1118.