1. NO EXCUSES What you can do to reduce the risk of cancer

2. NO EXCUSES: What you can do to reduce the risk of cancer Many of the things we do to stay healthy can also decrease our risk for getting cancer Many of the things we do to stay healthy can also decrease our risk for getting cancer Eating healthy Eating healthy Exercise Exercise Not smoking Not smoking Annual check-ups at the doctor and dentist Annual check-ups at the doctor and dentist Wearing sunscreen Wearing sunscreen Cancer is the second leading cause of death in the United States Cancer is the second leading cause of death in the United States

3. Things done specifically to reduce the risk of cancer Women Women Breast Self Exam (BSE) Breast Self Exam (BSE) Men Men Testicular Self Exam (TSE) Testicular Self Exam (TSE)

4. Why can’t I listen to only half of this presentation? Men Men You are also at risk for breast cancer and should perform a BSE on yourself You are also at risk for breast cancer and should perform a BSE on yourself You can help your significant other perform a BSE You can help your significant other perform a BSE You can tell others about the ease and benefits of BSE You can tell others about the ease and benefits of BSE Women Women Although you are not at risk for TSE, you can help your significant other perform a TSE Although you are not at risk for TSE, you can help your significant other perform a TSE You can tell others about the ease and benefits of TSE You can tell others about the ease and benefits of TSE

5. The power of statistics Cancer is the second leading cause of death in the United States Cancer is the second leading cause of death in the United States Responsible for 23% of deaths Responsible for 23% of deaths Third cause accountable for less than 7% of all deaths Third cause accountable for less than 7% of all deaths Fourth cause accountable for less than 2% Fourth cause accountable for less than 2% Breast is the most common cancer in women Breast is the most common cancer in women Responsible for 32% of cancer Responsible for 32% of cancer Second is Lung Cancer responsible for 12% of all cases Second is Lung Cancer responsible for 12% of all cases 1 in 7 women will develop breast cancer 1 in 7 women will develop breast cancer

6. The power of statistics Testicular cancer rates are on the rise and are up nearly 60% Testicular cancer rates are on the rise and are up nearly 60% Men age 18-24 are at the highest risk for getting testicular cancer Men age 18-24 are at the highest risk for getting testicular cancer

7. Importance of early detection When breast cancer is detected early the survival rate jumps from 88% to 97% When breast cancer is detected early the survival rate jumps from 88% to 97% This might not seem like a big jump but out of 1000 women 117 more women will survive than would have because of early detection This might not seem like a big jump but out of 1000 women 117 more women will survive than would have because of early detection The survival rate for testicular cancer is 99% when detected early The survival rate for testicular cancer is 99% when detected early

8. The most effective program for early detection of breast cancer includes three steps 1. A breast exam by a health care professional starting at age 18 - at least every 3 years starting at age 20 - every year after age 40 2. A monthly BSE starting at age 20 3. A mammogram, or breast x-ray, every year starting at age 40 - If under 40 and have a history of breast cancer or other concerns about personal risk, talk to your doctor about when to start mammograms and how often to get them

9. Why there are NO EXCUSES to not performing the 3 steps in the early detection of breast cancer Girls, you should visit a gynecologist annually once you turn 18, whether sexually active or not, and they can perform a breast exam on you Girls, you should visit a gynecologist annually once you turn 18, whether sexually active or not, and they can perform a breast exam on you Can’t say “I didn’t want to make a separate appointment” Can’t say “I didn’t want to make a separate appointment” If your family has a history of breast cancer, talk to your doctor at a regularly scheduled appointment and add if necessary add a mammogram to your doctor routine If your family has a history of breast cancer, talk to your doctor at a regularly scheduled appointment and add if necessary add a mammogram to your doctor routine A monthly BSE should be performed after your period ends and takes only a few minutes and could be the best time investment of your lifetime A monthly BSE should be performed after your period ends and takes only a few minutes and could be the best time investment of your lifetime Make a point to routinely do this the day after your period ends so you can’t say, “I forgot” Make a point to routinely do this the day after your period ends so you can’t say, “I forgot” Takes only a few minutes so you can’t say “I didn’t have time” Takes only a few minutes so you can’t say “I didn’t have time” Doesn’t cost anything so you can’t say “I didn’t have the money” Doesn’t cost anything so you can’t say “I didn’t have the money” It’s easy so you can’t say “I didn’t know how” It’s easy so you can’t say “I didn’t know how”

10. The most effective program for early detection of testicular cancer includes 2 steps 1. A testicular exam by a health care professional starting at age 15 2. Monthly TSE starting at age 15

11. Why there are NO EXCUSES to not performing the 3 steps in early detection of testicular cancer Guys, you should visit a doctor annually for your general check-up and they can perform a testicular exam on you Guys, you should visit a doctor annually for your general check-up and they can perform a testicular exam on you Can’t say “I didn’t want to make a separate appointment” Can’t say “I didn’t want to make a separate appointment” A monthly TSE can be performed at any time during the month and takes only a few minutes and could be the best time investment of your lifetime A monthly TSE can be performed at any time during the month and takes only a few minutes and could be the best time investment of your lifetime Mark your calendar to do this the same day every month so you can’t say “I forgot” Mark your calendar to do this the same day every month so you can’t say “I forgot” Takes only a few minutes so you can’t say “I didn’t have time” Takes only a few minutes so you can’t say “I didn’t have time” Doesn’t cost anything so you can’t say “I didn’t have the money” Doesn’t cost anything so you can’t say “I didn’t have the money” It’s even easier than a BSE so you can’t say “I don’t know how” It’s even easier than a BSE so you can’t say “I don’t know how”

12. Steps to performing a BSE Looking Looking Use a mirror large enough to see your whole chest. Check the shape and size of your breasts, and the color and texture of your skin in three positions Use a mirror large enough to see your whole chest. Check the shape and size of your breasts, and the color and texture of your skin in three positions Arms down at sides Arms down at sides Arms in the air Arms in the air Hands squeezing hips to tighten your chest muscles Hands squeezing hips to tighten your chest muscles Bending forward at the waste with hands on your hips Bending forward at the waste with hands on your hips

13. Steps to performing a BSE cont. Feeling Feeling Most effective while performed lying down Most effective while performed lying down Spread the breast tissue more evenly Spread the breast tissue more evenly Check the whole breast from the armpit to the breastbone, and from the collarbone to the braline Check the whole breast from the armpit to the breastbone, and from the collarbone to the braline Cover the entire area by going up and down in strips about as wide as three fingers Cover the entire area by going up and down in strips about as wide as three fingers Using three fingers, make three-dime sized circles and repeat this motion over the whole breast Using three fingers, make three-dime sized circles and repeat this motion over the whole breast One just lightly One just lightly One deeper One deeper Don’t lift fingers away from the skin Don’t lift fingers away from the skin Lower your arm and examine the armpit Lower your arm and examine the armpit Do the same with the other arm Do the same with the other arm Variations Variations If you have larger breasts or breast implants go to www.komen.org for further instructions If you have larger breasts or breast implants go to www.komen.org for further instructions www.komen.org

14. Steps to performing a TSE Hold the penis out of the way and examine each testicle separately Hold the penis out of the way and examine each testicle separately Hold one testicle between the thumbs and fingers with both hands and roll it gently between the fingers Hold one testicle between the thumbs and fingers with both hands and roll it gently between the fingers Look and feel for any hard lumps smooth rounded masses or any changes in size, shape, or consistency of the testes Look and feel for any hard lumps smooth rounded masses or any changes in size, shape, or consistency of the testes

15. THERE ARE NO EXCUSES! Quick and easy Quick and easy Can be fun Can be fun Life saving! Life saving!