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Keep Ahead has been developed and funded by Novartis Pharmaceuticals UK Limited. This site is intended for UK early breast cancer patients and general public.

What is early breast cancer?

Early breast cancer is a term used to describe breast cancer that is small and found only in the breast tissue, or in lymph nodes close to the breast.1 In many cases, early breast cancer may be highly treatable and survivable,2 and the goal of treatment is to remove or control the cancer before it spreads.1 This is why it is so important to catch the cancer at the earliest stage possible.

While it’s encouraging to know that many people successfully manage early breast cancer, we understand that every person’s breast cancer journey comes with emotional and physical challenges.

lab computer scan

Tips and advice for improved quality of life (QoL)

Navigating life with breast cancer can be scary and maybe even frustrating at times, but there are people you can speak to if you are struggling.

Here are a few ideas that may help you improve your quality of life.

woman on bike

STAY ACTIVE

  • Physical activity may reduce breast cancer risk by 40% and has been observed to have the most impact as a lifestyle factor on breast cancer outcomes.3
  • At least 150 minutes per week of physical activity is recommended.3
weight scale

DIET

  • Western-style diets (high in processed grains, processed meats and red meats) and prudent diets (high in fruits, vegetables, whole grains, fish and chicken) have similar rates of breast cancer recurrence.3
  • Dietary saturated fat, especially from high-fat dairy products, may be associated with increased breast cancer mortality.3
  • Soy products have not been found to increase breast cancer recurrence and may actually reduce it.3
breaking cigarette

QUITTING SMOKING

  • Those who quit smoking after a breast cancer diagnosis may be able to reduce their risk of disease progression and improve overall survival and disease-free survival to those who continued smoking.3
limit alcohol intake

Alcohol intake

Limiting alcohol consumption to one or fewer drinks per day reduces the risk of a second primary breast cancer.3

support system

Use your support systems

Whether it’s family, friends, or a support group, staying connected to loved ones can help you feel less isolated.

yoga

Manage stress

Practices like mindfulness, meditation, or even your hobbies can help to calm times of stress.

talk to your care team

Talk to your care team

Don’t hesitate to ask your medical team about anything from side effects to emotional support services. They are there to help guide you through this journey.

RISK OF RECURRENCE IS TOP OF MIND FOR MANY PATIENTS

While breast cancer treatments are often effective, it’s important to keep in mind that  it’s important to keep in mind that having a conversation about the risk of recurrence with your doctor can help you identify steps to minimise the chances of cancer coming back.4

Your personal risk of recurrence is an important factor to consider when selecting a breast cancer treatment plan. Talk to your healthcare professional early to explore your options and make informed decisions based on your individual risk profile.

Regular follow-ups, monitoring, and open conversations with your doctor are key to catching any potential issues early. Staying aware of your body and letting your care team know about any red flag symptoms of recurrence allows for early medical intervention if necessary.
 

Keep ahead background

Breast cancer, menopause and infertility

If you’re undergoing treatment for breast cancer, like chemotherapy, hormone (endocrine) therapy or ovarian suppression, you might experience menopausal symptoms. Some women find these symptoms manageable, although it is perfectly normal if you find them difficult to cope with. Sometimes it can affect your quality of life, stopping you from doing the things you enjoy. Speak to your care team if you are struggling to manage.5

Below are some common menopausal symptoms:

hot flush icon

Hot flushes 

night sweat icon

Night sweats

change to orgasm icon

Changes to how you  experience orgasm

vaginal dryness

Vaginal dryness

skin sensation

A crawling sensation under the skin

sex drive

Changes to sex drive

palpitations

Heart palpitations

Joint pain

Joint pain

changes to skin and hair

Changes to skin and hair

weight gain

Weight gain, particularly  around the waist

difficulty sleeping

Difficulty sleeping

memory problems

Memory and concentration problems

feeling anxious

Feeling anxious or irritable

mood changes

Mood changes

making appointments work for you - appointment guide

Many women have concerns about whether they can still get pregnant, especially when they are young, and their treatment has brought on early menopause. This can be emotionally challenging, especially if you’re hoping to start a family or have more children.5

Even if your periods have stopped and you’re experiencing menopausal symptoms, you may still be fertile and capable of becoming pregnant. During menopause, fertility can persist, as your ovaries may still be partially functioning.5

If you have questions about how breast cancer treatment may impact menopause, how you can manage your menopause symptoms, or need any further information about your fertility and menopause status, your healthcare team can provide guidance specific to your situation.5

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Talking to friends and family about your early breast cancer

Being diagnosed with early breast cancer is life-changing, and sharing this news with friends, family, and even your workplace can be a significant step in building your support system to help you in your ongoing journey.

You don’t have to share everything at once, nor do you have to speak about it straight away. Some people take time to process their news and share their feelings only when they feel ready. It can be helpful to explain that your treatment might affect your quality of life, so take the time to figure out a way to bring this up and what you want from it before you initiate the conversation.

  • Think about what you’ve been told about diagnosis
  • Think about your treatment
  • Speak with someone you trust to help process your feelings

Important things to consider:

  • Who you want to tell (friends, family members, colleagues)
  • How much do you want to share with them?
  • How do you want to deliver the news? (Private social media chats, in person)

When you do find the right time to speak about it, you could let your friends and/or family know that you would like their support, whether that is in the form of attending appointments with you, researching breast cancer with you, or giving you some time alone. There are many ways to approach this conversation, and everybody does it differently. Ultimately it comes down to you as an individual, so take the time to figure out how to have the conversation which best suits you.

If you feel overwhelmed by the amount of people are reaching out, don’t be afraid to set boundaries, or have a close friend or relative speak for you if you don’t want to.

talking to work

Talking about your diagnosis at work

When sharing the news at work, consider speaking to your manager or HR about your diagnosis. If you’re not comfortable getting into the specifics, you could try explaining that you may have medical appointments or need flexibility so they can accommodate your needs and provide a supportive environment while undergoing treatment.

Letting people know you might not be your usual self

Early breast cancer treatment often brings physical and emotional changes which may impact your energy and focus. If you feel comfortable with it, you can share your experiences with close colleagues or team members. Even letting them know that your treatment and its side effects might lead to days where you are quieter or less focused than usual. This can help to foster a more compassionate and comfortable work environment.

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Should I tell everyone at work?

Under the Equality Act from 2010, you’re not required to tell anyone about your diagnosis at work, but our recommendation is to tell your employer since you are protected under the law. If you choose not to tell them, they will not know how best to support you. The following may help when you have that discussion with your employer:

  • Be clear on what your diagnosis means.
  • Explain what your treatment looks like in terms of appointments and recovery, where you are being treated and when will you need time off. But also mention that treatment plans can change depending on how you respond, so flexibility and regular, open communication is really important
  • You should discuss and agree with your employer how colleagues and others e.g. suppliers and clients will be informed about your illness. Who will say what, to whom, how and when?
  • Note that anyone who you’re telling about your diagnosis needs your expressed permission to inform others.

These changes might impact my development and stop me progressing in my career
Here in the UK, it is discriminatory to treat anyone differently in terms of promotion or pay because they have cancer. That is a right from the first day of your employment and you are protected forever. If you are experiencing discriminatory treatment due to your diagnosis, get advice from ‘Working With Cancer’ or other cancer support organisations. You should also speak to your HR team to support you during this time.

Where can I find out more?
Working With cancer

Macmillan

Maggie’s

References:

  1. Cancer Research UK. Stage 1 breast cancer. Available from: https://www.cancerresearchuk.org/about-cancer/breast-cancer/stagesgrades/stage-1 [Accessed: February 2025]
  2. National Breast Cancer Foundation. Stage 1 Breast Cancer Overview. Available from: https://www.nationalbreastcancer.org/breast-cancerstage-1/ [Accessed: February 2025]
  3. Hamer J, Warner E. Lifestyle modifications for patients with breast cancer to improve prognosis and optimize overall health. CMAJ. 2017 Feb21;189(7):E268-E274. doi: 10.1503/cmaj.160464. PMID: 28246240; PMCID: PMC5318212.
  4. BreastCancer.Org. Breast Cancer Recurrence Risk. Available from: https://www.breastcancer.org/treatment/planning/risk-of-recurrence [Accessed: February 2025]
  5. Breast Cancer Now. Menopausal symptoms and breast cancer. Available from: https://breastcancernow.org/about-breast-cancer/treatment/hormone-endocrine-therapy/menopausal-symptoms-and-breast-cancer/ [Accessed: February 2025]
  6. NHS. Symptoms, Menopause. Available from: https://www.nhs.uk/conditions/menopause/symptoms/ [Accessed: February 2025]
  7. Mayo Clinic. Night Sweats. Available from: https://www.mayoclinic.org/symptoms/night-sweats/basics/definition/sym-20050768#:~:text=Night%20sweats%20are%20repeated%20episodes,your%20bedroom%20is%20too%20warm [Accessed February 2025]
  8. Breast Cancer Now. Sex and the effects of breast cancer treatment. Available from: https://breastcancernow.org/about-breast-cancer/life-after-treatment/sex-and-the-effects-of-breast-cancer-treatment/#:~:text=5.-,Changes%20to%20how%20you%20experience%20orgasm,your%20orgasm%20may%20be%20reduced. [Accessed: February 2025]
  9. Breast Cancer Now. Intimate relationships and breast cancer. Available from: https://breastcancernow.org/about-breast-cancer/life-after-treatment/intimate-relationships-and-breast-cancer/ [Accessed: February 2025]
  10. Carpenter J.S., Sheng Y., Elomba C., et al. (2021), ‘A systematic review of palpitations prevalence by menopausal status’, Curr Obstet Gynecol Rep; 10: 7–13. DOI: 10.1007/s13669-020-00302-z
     

UK | February 2025 | FA-11295688