1. The relationship of symptoms to the menstrual cycles, the timing of onset of breast lumps and their subsequent course, the color and location of nipple discharge, and hormone use should be assessed.

2. Risk factors for breast cancer should be determined, including menarche before age 12 years, first live birth at age >30 years, and menopause at age >55 years; the number of previous breast biopsies, the presence of atypical ductal hyperplasia on biopsy, obesity, nulliparity, increased age, the amount of alcohol consumed, and the number and ages of first-degree family members with breast cancer with two such relatives with breast cancer at any early age should be determined.

B. Physical examination. The examination is performed when the breasts are least stimulated, seven to nine days after the onset of menses. The four breast quadrants, subareolar areas, and the axillae should be systematically examined with the woman both lying and sitting with her hands on her hips.

5 Ways To Get Rid Of The Baby Fat

5 Ways To Get Rid Of The Baby Fat

Many women who have recently given birth are always interested in attempting to lose some of that extra weight that traditionally accompanies having a baby. What many of these women do not entirely realize is the fact that breast-feeding can not only help provide the baby with essential vitamins and nutrients, but can also help in the weight-loss process.

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