While menstruation is part of life for many women, challenges can arise when deployed into a field or operational environment. Periods may be different to what you are used to and may become irregular and/or the flow may be heavier, working environments may not be hygienic, and period supplies may be limited. The below sections discuss some options available to you to make you more comfortable when you have your period in a challenging environment, or where your access to your normal amenities might be limited.
Considerations for field and operational deployments
Tampons and pads are a convenient and familiar method for most women, but consider if they are practical if you frequently experience heavier flow. Reusable pads are not considered practical on most field and operational deployments due to unreliable access to laundry facilities.
Menstrual cups are soft rubber cups that are put into your vagina to catch the blood flow. You empty the cup every 8–12 hours, rinse it under water, and re-insert it. This method is only practical in an environment with reliable access to clean ablutions.
Period underwear looks and feels like your regular underwear, but are very absorbent. They can be used instead of pads or tampons when you have a light flow, or as a back-up when you have a heavy flow.
Period tracking apps can allow for accurate tracking of your period, but remember your cycle potentially may not remain regular when exposed to ongoing stress in an operational environment. For a list of appropriate apps click here.
Increasingly more military women are opting for contraceptive support to control or cease menstruation for prolonged periods. Education on how to manage your period is crucial, and your local Defence Health Centre (DHC) can provide you with further support. Reach out to your local nurse or doctor at a DHC near you.
Military women and UTIs
Urinary Tract Infections (UTI) are very common; one in two women will likely experience an infection in their lifetime. Women on active duty are often exposed to conditions that may increase their risk of a UTI, such as decreased access to bathrooms, postponed urination, and fluid restriction. Pregnant women are especially susceptible to UTIs because the weight of the growing foetus in the uterus can prevent the complete emptying of the bladder.
What are the symptoms of a UTI?
pain or burning during, or immediately after peeing
fever, tiredness or shakiness
an urge to pee more often
passing small amounts of pee more frequently
pressure in your lower belly
urine that smells bad or looks cloudy or reddish
getting out of bed often to pee at night.
Treatment
Speak with a medic or doctor about your symptoms. They will likely prescribe pain relief and potentially a course of antibiotics.
Treating and Preventing Urinary Tract Infections
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urinary tract infections or UTIs are
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fairly common especially in women in
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fact half of all women will get a UTI at
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some point UTIs occur when bacteria such
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as ecoli which are usually found in your
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gastrointestinal tract and pelvic region
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enter into your urinary system a woman
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short urethra means that bacterias don't
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have far to travel to infect her bladder
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typically UTI symptoms include a burning
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sensation upon urination and the need to
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urinate frequently and urgently
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sometimes the urine can be bloody or
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cloudy symptomatic UTI usually needs a
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prescription antibiotic the good news is
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that your doctor may be able to
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prescribe it over the phone if your
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symptoms sound like a routine UTI but if
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you are experiencing fever abdominal
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pain back pain nausea or vomiting or if
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the UTI is a possible relapse of a
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recently treated UTI you will need to
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see your doctor you might need to have a
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urine culture taken or be evaluated for
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a possible infection of your kidneys to
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prevent UTIs drink several glasses of
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fluid each day staying well hydrated may
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flush out the bacteria before they can
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cause an infection it also helps if you
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would urinate shortly after intercourse
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finally take frequent bathroom breaks
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even when you're busy holding in your
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urine may give bacteria chance to make
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themselves at home in your body
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I'm dr. Natasha livewell for thousands
01:41
of how-to and advice videos on any topic
01:43
visit monkey-see calm
What can I do to prevent UTIs?
Do
Don’t
Do wipe from front to back when you go to the toilet.
Don't use perfumed bubble bath, soap or talcum powder.
Do try to fully empty your bladder when you pee.
Don't hold your pee in if you feel the urge to go.
Do drink plenty of fluids.
Don't wear tight, synthetic underwear, such as nylon.
Do take showers instead of baths.
Don't wear tight jeans or trousers.
Do wear loose cotton underwear.
Don't use condoms or diaphragms with spermicidal lube on them – try non-spermicidal lube or a different type of contraception.
Be familiar with the usual look and feel of your breasts and know what is normal for you. See your doctor if you notice any changes.
Know what breast changes to look and feel for.
Have a mammogram every 2 years if you are aged 45 to 69 years (see breast screening.
Know your family history of cancer.
It's important to know what your breasts and nipples look like, and how they feel before and after your period, so that you can easily identify any changes. This can be done while dressing or showering. Women of all ages should be familiar with their breasts, but it becomes more important as you get older because the risk of breast cancer increases with age. Read more about breast lumps and changes.
How do I check my breasts?
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hi I'm Jackie breast cancer is the most
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common cancer for women I encourage you
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to check your breasts regularly and
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we're going to show you how most of us
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are busy working looking after our
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families just living life and too often
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we put ourselves at the bottom of the
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priority list but it's important for
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every woman to give themselves and their
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breasts a little TLC because around half
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of all breast cancers are found by women
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who felt or saw a change in their
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breasts and showed their doctor that's
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why the New Zealand Breast Cancer
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Foundation wants you to get to know your
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normal by checking your breasts and it's
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so easy you don't have to be an expert
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I'm not and all women will do it
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differently which is totally fine in
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fact it's as easy as TLC the T stands
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for touch start by getting to know how
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your breasts feel by touching them so
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that the next time you check you're more
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likely to notice any changes you can do
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this in the shower line down on your
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beard or while getting dressed whatever
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works for you feel for any lumps or
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thickening of the breast tissue check
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your upper chest and open to your
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armpits as well it's important to cover
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your whole chest area press quite firmly
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but just do what feels comfortable the L
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stands for look stand in front of a
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mirror and look to see if there is
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anything different about the size and
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shape has the outline of your breasts
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changed
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are there any dimples dense or puckering
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is there any redness or swelling or does
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the skin look a bit like orange peel
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don't forget to look at your nipples are
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they newly inverted have you noticed any
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unusual discharge or skin change and
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what if you do notice anything unusual
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or different about your breasts then C
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is for check most breast changes aren't
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cancerous but for your own peace of mind
01:56
get checked out by your doctor pronto
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they'll examine your breasts and sort
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out some tests if you need them for many
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of us those monthly hormonal changes can
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make things a little bit tender and
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that's normal as well but if breast pain
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persists again check with your doctor
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no one knows your breasts better than
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you
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so get into the habit of checking for
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changes every month whatever your age
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start now and when you reach your 40s
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consider having regular mammograms they
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can find tiny changes well before a lump
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can be felt once you turn 45 you can
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enroll in the national screening program
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and have free mammograms every two years
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until you're 69 knowing your breasts is
02:39
as easy as touch look check so start
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checking because no one deserves more
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TLC than you
Screening
Breast cancer is the most common cancer affecting Kiwi women. Regular mammograms can save lives by finding breast cancer early, before it spreads. To register with BreastScreen Aotearoa, you can phone 0800 270 200, enrol online or talk to your doctor.
Once enrolled, you will be sent a reminder of your free mammogram every 2 years - don't forget to provide updates of your postal address if you relocate between screens. Screening centres are located throughout New Zealand and all have wheelchair access. Mobile screening units also travel around the country.
The Breast Cancer Foundation recommend that women between the ages of 40 and 50 have yearly screens, meaning they can opt to self-fund a mammogram at a private radiology or breast clinic on alternate years.
Reduce your risk of developing breast cancer
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every woman is at risk of developing
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breast cancer and this risk increases as
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we get older especially over 50 109 of
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us will develop breast cancer in our
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lifetime
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and while uncommon men can get breast
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cancer too when I was 27 I found what I
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thought was a lump in my breast I was 56
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years old
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48 43 years old the exact causes of
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breast cancer well they're unknown but
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what we do know is that there are
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certain risk factors that can increase
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your chances of developing the disease
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you can influence some risk factors
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while others you can't like getting
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older being a woman and having a family
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history of breast cancer understanding
00:51
these factors may help reduce your risk
00:55
the New Zealand Breast Cancer Foundation
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wants you to know that most women who
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get breast cancer don't have a family
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history with the disease there's
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absolutely no history of breast cancer
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in my family on either side I'm I'm the
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first that became sir a big shock it was
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also a massive shock that I was just 31
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years old when I was first diagnosed
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even then I've thought god this is a nom
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de l'homme entities the majority of
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breast cancer cases are in women over 50
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however if your mother sister or
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daughter has had breast or ovarian
01:31
cancer and particularly if they were
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under 50 you may have a higher chance of
01:36
getting breast cancer and this one that
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applies to the blokes - it's important
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to know about the incidence of breast
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cancer on both sides of your family and
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discuss this with your doctor your
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breast health may need closer monitoring
01:50
my mum was diagnosed when she was 48 and
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then my auntie was diagnosed under 50 as
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well so I think it's about as a family
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being aware of it and on to it and
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knowing that it's something that we do
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have to be careful of and look out for
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all breasts are different some women
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have a higher percentage of dense breast
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tissue which may increase their breast
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cancer risk when I first developed very
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dense breast tissue I understood that
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the problem with that was that it would
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obscure any potential tumor
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I now know from the research that I've
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read more recently that in fact that
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level of breast density was actually a
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risk factor in itself breast density
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isn't something you can feel it can only
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be seen on an x-ray you may wish to ask
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about your breast density after your
02:50
next mammogram the good news you can
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reduce your risk through lifestyle
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choices
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many studies show that women who are
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overweight especially after menopause
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have a higher chance of getting breast
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cancer
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maintaining a healthy weight along with
03:07
regular exercise will help to reduce
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your risk research has shown that
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alcohol is linked to breast cancer so
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try and cut back to no more than one
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standard drink a day
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exposure to hormones can also affect
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your breast cancer risk many of us who
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are menopausal of age have terrible
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problems with hormones and if the
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quality of your life is bad enough that
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you need to take hormone replacement
03:33
therapy then obviously you need it we do
03:35
know that after three years of hormone
03:37
replacement therapy your risk of breast
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cancer goes up so definitely after three
03:42
years I advise my patients to start
03:44
thinking about whether they still need
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it and certainly after five years the
03:48
risk is really too great and then once
03:51
we've done one side we merely go on to
03:53
the other the oral contraceptive pill at
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a young age is quite safe in fact it's
03:58
protective for ovarian cancer so it's a
04:01
very safe thing to be on but we do know
04:03
that over the age of 40 on the oral
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contraceptive pill increases your risk
04:07
of breast cancer as well so know your
04:12
risks and try to make lifestyle changes
04:14
where you can maintain a healthy weight
04:16
built on regular exercise into your week
04:18
go easy on the alcohol and talk to your
04:21
doctor about the potential risks of the
04:23
pill or HRT after 40 make sure you share
04:26
any family history of breast cancer with
04:28
your doctor and to further reduce your
04:32
risk start regular mammograms at 40
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for more advice call the New Zealand
04:38
Breast Cancer Foundation on a 800 BC
04:40
nurse or talk to your doctor
Cervical cancer is one of the most preventable cancers. Regular screening allows for early detection, follow-up testing and treatment.
From September 2023, HPV (human papillomavirus) testing became the new method for cervical screening in New Zealand. HPV testing is a screening test that looks for human papillomavirus, which causes cell changes that may lead to cervical cancer.
You may be able to choose a self-administered HPV vaginal swab rather than the traditional cervical sample collection. Your doctor or nurse can advise you on what type of screening is most suitable for you.
Women, transgender or non-binary people who have a cervix and are aged 25–69 years are eligible for publicly funded screening. Generally will only need a screening test once every five years, but you should make an appointment with your doctor if you notice anything unusual in between screenings. This includes bleeding or spotting between periods or after sex, vaginal discharge that is not normal for you, or persistent pain in your pelvis or lower back.
If you are 25 and have not been screened, or you think you are overdue for a screen, contact your Defence Health Centre (DHC). If you are under 27 years of age you can also discuss the potential benefits of the HPV vaccination, which – in conjunction with regular HPV screening – provides the best protection against cervical cancer.
Defence Health Centre (DHC). If you have any concerns book an appointment with your doctor at your nearest DHC. They will be able to do an examination and discuss any concerns and refer to a specialist if necessary. If you do receive a serious prognosis, the doctor will provide resources and support.
Gymnasium. If you need help to exercise more, or to lose weight to be healthier, consult your local Physical Training Instructor (PTI) and ask for advice on an appropriate exercise program.
Social Support. Sometimes the pressures of work and family and stress of everyday life can impact on our health. You may also be dealing with a frightening health prognosis. We strongly recommend that you reach out and talk to someone, our chaplains, the marae, our social workers and NZDF4U can all help.