Pregnancy is accompanied by a lengthy list of do's and don'ts—take prenatal vitamins, no alcohol, exercise carefully, and eat well. But what about when an unplanned health issue presents itself, such as the necessity for a mammogram? For most women, this might not even be something they think about until they are in a position where breast cancer screening is an option.

Perhaps you're over 40 and in need of your yearly mammogram, or perhaps you have a history of breast cancer in your family and you want to keep your screenings current. More emergently, you've found a lump in your breast. So, can you have a mammogram when pregnant? The answer is yes, but there are several things to consider.

Pregnancy creates substantial hormonal changes that affect the body, as well as breast tissue. Estrogen and progesterone's rise causes the breasts to expand and condition to produce milk, which results in denser tissue. This increased density is more challenging to detect any abnormalities with using mammograms. Even post-delivery, should the woman be breastfeeding, milk-filled glands can also make the breasts denser and, as a result, make mammogram readings less clear.

While 3D mammograms have improved imaging technology to help navigate dense breast tissue, doctors often suggest postponing routine screening mammograms until after pregnancy if there are no symptoms or high-risk factors. However, if a lump or abnormality is found, your doctor may recommend immediate diagnostic imaging.

When Is a Mammogram Necessary During Pregnancy?

Mammograms are not done routinely if a woman becomes pregnant, yet there are specific situations where one might be unavoidable. Breast cancer in pregnancy does occur—1 in 3,000 times—but it's not common. If a lump is detected by a woman, she has constant breast pain and no explanation, or she is at high risk (e.g., strong history of breast cancer in her family or genetic defect such as BRCA1 or BRCA2), a physician will order a mammogram.

The process itself takes very little radiation exposure. The radiation employed by a mammogram is concentrated on the breast, and there is little to no radiation that reaches other areas of the body. A lead apron is also placed over the belly to shield the unborn child.

Alternative Breast Imaging Options During Pregnancy

For pregnant women requiring breast imaging, physicians may initially suggest an ultrasound. In contrast to a mammogram, an ultrasound is not done with the use of radiation and is deemed safe for pregnant women.

An ultrasound of the breast can establish whether a lump is a fluid-filled cyst or a solid tumor that needs further investigation. Yet ultrasounds are not always diagnostic, and in certain instances, a mammogram or biopsy is needed to determine or rule out cancer.

Magnetic Resonance Imaging (MRI) is also an imaging choice but has some drawbacks. The majority of breast MRIs employ a contrast material called gadolinium, which is able to pass through the placenta and to the fetus. Although risks are not entirely clear, physicians usually do not use MRI with contrast unless necessary. Some practitioners may offer an MRI without contrast as an option.

What If You Find a Lump In Your Breast During Pregnancy?

Breast changes throughout pregnancy are normal, but finding a lump should never be taken lightly. If you notice a lump, alert your medical provider right away. They will conduct a clinical breast exam and potentially have you get an imaging study such as an ultrasound or mammogram to see whether anything needs to be done.

If imaging indicates a suspicious mass, a biopsy can be suggested. Core needle biopsy is the most frequently used and is safe during pregnancy. It consists of numbing the skin with local anesthetic and inserting a hollow needle into the area to obtain a small sample of tissue to be tested.

Breast Cancer Treatment During Pregnancy

In the extremely uncommon event of a diagnosis of breast cancer while pregnant, therapy will be determined by the nature and extent of cancer and by how far along in pregnancy one is. The most frequent form of treatment is surgery—either mastectomy (surgical removal of the entire breast) or lumpectomy (surgical removal of the lump)—which is usually safe while pregnant.

Chemotherapy is also possible but usually only attempted after the first trimester, when it can damage developing fetal tissue. Radiation therapy is not used during pregnancy and is typically deferred until after giving birth. Hormonal therapy and targeted therapies are also omitted until after giving birth.

Can I Get a Mammogram While Breastfeeding?

Yes, you can have a mammogram while you are breastfeeding. The radiation in a mammogram does not impact breast milk or hurt the baby. But breast density is still high during lactation, and this might complicate detection of abnormalities. To enhance image quality, physicians usually advise breastfeeding or pumping 30 minutes prior to the mammogram.

Routine screening mammograms are usually delayed in pregnancy unless there is a high-level concern.

If a lump is detected, an ultrasound is typically the initial imaging study done, with a mammogram being a consideration if additional assessment is necessary.

• Pregnancy mammograms utilize minimal radiation and are safe when required.
• Breast MRI with contrast is usually avoided in pregnancy.
• Breast biopsy, when necessary, is safe during pregnancy.

If breast cancer does develop during pregnancy, there are available treatment options that can be adjusted to keep the mother and infant safe.

Pregnancy is a period of significant change, and health issues particularly those involving breast health, are anxiety-provoking. Routine mammograms are typically postponed until after giving birth, but diagnostic testing can be done if necessary. The best you can do is discuss changes you notice in your breasts with your healthcare provider in an open manner. Early detection and prompt treatment can make a very big difference in the health of both mother and fetus.

We live in a world where the option of not turning to medication is almost non-existent. While once issues like fatigue and body aches were restricted to the elderly, it has now started to appear in youngsters as well. Many people depend on drugs for immediate relief in today's fast-paced world. Medication can help, but the best way to stay healthy is to make beneficial habits every day. But according to Dr. Mandeep Singh Basu, Director of Mirasa Ayurveda, there are some small, regular changes that can be made to your lifestyle for quicker healing, balance, and better immunity. You may start making five simple yet effective adjustments right away.

Medicine-free ways to feel energetic

1. Eat Fresh, Balanced, and Natural Foods: Your diet has a big effect on your overall health. Instead of processed and junk foods, eat fresh fruits, vegetables, nutritious whole grains, and meals you make at home. A balanced diet helps your body fight off sickness naturally, boosts your energy levels, and assists with digestion. It's just as crucial to eat on time and avoid overeating.
2. Make sure you get enough sleep: Your body repairs itself as you sleep. Stress, a weak immune system, weight gain, and lifestyle-related problems can all happen if you don't get enough sleep. Get 7-8 hours of uninterrupted sleep every day. Creating a regular sleep routine as well as limiting time spent on electronic devices prior to bedtime would significantly help improve your sleep quality.
3. Stay Physically Active: Regular physical activity benefits both your body and your mind. You don't have to spend hours working out to notice benefits. Simple things like walking, doing yoga, or stretching will help a lot. Daily exercise naturally increases blood flow, speeds up metabolism, and helps control diabetes and high blood pressure.
4. Manage Stress Effectively: Long-lasting stress is one of the key contributors to multiple health issues. Stress that lasts long will negatively affect your heart, digestion, quality of sleep, and eyesight. Incorporate relaxation techniques such as yoga, meditation, deep breathing, and mindfulness into your daily lives. You can also help relieve stress by getting outside into nature or performing hobbies.
5. Cleanse your body in a natural way: Your body naturally removes toxins, but unhealthy habits might slow the process down. If you drink enough water, eat foods high in fiber, and live a healthy life, your body starts to detox in a better way. Drinking warm water or herbal tea first thing in the morning is a simple thing you can do to aid your digestion and your health in general.

By adopting a mindful way of living, you may greatly enhance your physical, mental, and emotional well-being without having to rely on medication. You may also achieve full health and wellness by making relatively simple adjustments to how you live your life every day.

Vaccination has been the most powerful and effective tool in modern medicine that improves the body's immune system and fights off diseases, saving millions of lives annually.

Vaccines reduce the risk of getting a disease by working with your body’s natural defenses to build protection. Vaccines are available to prevent more than 30 life-threatening diseases and infections, helping people of all ages live longer, healthier lives.

According to the World Health Organization (WHO), immunization currently prevents 3.5 million to 5 million deaths every year from diseases like diphtheria, tetanus, pertussis (whooping cough), influenza, and measles.

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While vaccines are available for both young and old, former director of AIIMS New Delhi, Dr Randeep Guleria, in a post on social media platform Instagram, urged doctors to recommend these based on people's age and the presence of comorbidities.

“Two very important factors one has to consider when recommending a vaccine for the adult population. One is the age, and if you have a patient over the age of 60 years, vaccination is definitely something you should recommend, or if a patient has associated comorbidities which increase the chance of vaccine-preventable diseases,” said the noted pulmonologist from Medanta Hospitals, Gurugram, in a Doctor's Special Series.

He recommended doctors to prescribe six types of vaccines for adults, namely:

• Influenza Vaccine

“It can be given as a pre-winter vaccine, which is a northern hemisphere vaccine, or it can be given in May or June when it is a southern hemisphere vaccine,” he added.

A flu vaccine typically reduces the risk of influenza infection, prevents severe illness, and complications.

Also read: This Common Vaccine At Higher Dose Can More Than Halve Alzheimer’s Risk In Older Adults

• Pneumococcal Vaccine

“For the pneumococcal vaccine, we now have a conjugate vaccine, which is available as PCV20, which is once in a lifetime, and that has made things much more easier,” Dr. Guleria said.

The PCV20 vaccine guards against 20 strains of pneumococcal bacteria. It also prevents serious pneumonia, invasive infections, and related complications. It is recommended for adults aged over 65 and those with weakened immune systems.

• Shingles Vaccine

The vaccine against shingles prevents the risk of viral infection that causes a painful rash and nerve damage. It also helps prevent long-term nerve pain and prevents serious complications from shingles. The vaccine is safe for adults 50 and older.

• Tdap vaccine

The Tdap vaccine protects against pertussis infection, also known as whooping cough. It guards against tetanus infections and reduces the risk of diphtheria and related complications.

• HPV vaccine

Beyond cervical cancer, the HPV vaccine also protects against anal and throat cancer. It prevents 90 percent of HPV-related cancers, is safe, and effective. It also prevents genital warts.

Also read: Health Tests Every Woman Should Do Once A Year

• Region-specific vaccination

Also read: How Vaccinations Help Build Immunity? List Of Vaccines You Should Get

For most parents, even a slight rise in temperature can feel alarming. The instinct is to act quickly: cooling up the body, layering up, or trying every home remedy possible. But not everything we’ve grown up hearing about fever may actually be correct.

In a post on social media platform Instagram Dr. Ravi Malik, a New Delhi-based Pediatrician shared few simple, and scientific facts that can make managing fever far less stressful and far more effective.

Cold Water Isn’t The Answer

The use of cold water sponging is one of the most frequently used methods against fever. However, it can turn out to be counterproductive. Very cold water may cause discomfort and might even induce shivering, which results in increased body temperature instead of reduced one. Therefore, the safest and most efficient way of cooling the body down gently is by using the water from a normal tap.

Light Clothing Helps The Body Regulate

It may appear to be a good idea to cover a child with fever, but overdressing inhibits the heat from escaping. In fact, the body must be given a chance to release heat, and clothes that are too heavy prevent that. Clothes that are loose and made of fabrics that allow better air circulation facilitate the body's natural temperature regulation.

Don’t Rush To Sponge At 100°F

There are times when a temperature increase should not be considered a problem. Sponging a fever of about 100°F is not necessary and could be painful. Fever is the body's way of fighting infection, and mild fever does not always need the application of strong cooling measures.

Hydration Is Key

Fever makes the body lose fluids at an increased rate which can rapidly lead to dehydration. Therefore, providing fluids is absolutely essential to the care process. It does not matter whether it is water, milk, or any other liquid - giving the child plenty of fluids is the first step towards healing and is also a means of temperature control from the inside.

Sponging Should Be Full-body

When sponging, concentrating only on the forehead is clearly insufficient. Fever is a systemic response, not a localized one. So gentle, full-body sponging especially on areas like arms, legs, and torso will enable more efficient cooling.

Fans And ACs Are Not The Enemy

A player in the span of fever myths is that a fan or air conditioning must be turned off. However, in fact, a well-ventilated, comfortably cool room actually helps the body relax. It is perfectly okay to continue running the fan or AC, as long as the room is not excessively cold.

Not Every Temperature Is A Fever

A temperature of 99°F often causes unnecessary panic, although it is not a real fever. Being aware of this helps prevent overreaction and allows parents to keep their eyes on the actual symptoms rather than just numbers.

The Takeaway

Dr. Ravi Malik, also the Chairman of Radix Healthcare, points out that handling fever isn't about short-term fixes, but rather about understanding and taking care. When the method is correctly followed - mild cooling, enough water intake, and a composed state of mind fever is much less challenging. And quite often, it is as beneficial to know what not to do as knowing what to do.