Gen Z Women Confront Breast Cancer Fears Amid Family History

The impact of breast cancer extends beyond diagnosis, leaving emotional scars on family members, particularly among Gen Z women who grapple with their own risk. This fear became acutely personal for many after losing loved ones to the disease. As young women navigate their health, the legacy of familial breast cancer influences their decisions and mental well-being, prompting conversations around genetic testing and proactive health measures.

Many Gen Z women report a growing anxiety surrounding breast cancer, especially when family history is involved. In May 2023, Sarah Ali, then 22, faced the disease directly when her mother was diagnosed. This marked a shift in her perception of breast cancer, transitioning from an abstract concern to a tangible reality. “My mum told us, you all have to take care because it can be in your future,” Sarah recalled, highlighting the emotional burden shared among family members.

Dr. Mok Chi Wei, a senior consultant in breast surgery at Changi General Hospital, noted that young women often voice concerns like, “Will this be me too?” He explained that approximately 5-10 percent of breast cancers arise from inherited genetic mutations such as BRCA1 and BRCA2. The majority, however, stem from lifestyle and environmental factors, including age, obesity, and hormonal exposure.

The stories of young women like Sarah and Krosha Elanjezhiyan, who lost her mother to breast cancer in 2020 at the age of 18, reflect the emotional turmoil prevalent in families affected by the disease. Krosha shared her experience of feeling isolated during her mother’s illness, stating, “I didn’t have very close moments with her during her last moments because she lost her voice.” Such experiences reveal the complex dynamics that can arise when a family member is diagnosed with cancer, often leading to emotional distancing.

Conversations around breast cancer and its implications are vital for empowering young women. Dr. Priyanka Rajendram, clinical head of cancer prevention and control at the Singapore Cancer Society, emphasized that many young women are shaped not only by medical risk factors but also by lived experiences. These narratives, like that of an 18-year-old girl who delayed seeking help despite a significant lump, highlight the need for awareness and proactive health measures.

Despite the fear, many Gen Z women are transforming their anxiety into empowerment. Sarah noted a positive shift in her family’s lifestyle since her mother’s diagnosis, with increased emphasis on healthier eating and regular exercise. “We are more intentional about how we live now,” she said, adding that she has begun performing breast self-examinations.

For others, the prospect of genetic testing is an important consideration. Krosha expressed her willingness to undergo testing, saying, “The fear is definitely there, but I would rather go for a genetic test to be aware and prevent it.” This proactive approach reflects a growing awareness among young women regarding their health and potential risks.

The experts recommend that young women, especially those with a family history of breast cancer, consider genetic counselling. Jeanette Yuen, a principal genetic counsellor at the National Cancer Centre Singapore, explained that women over the age of 21 with a history of cancer in the family should explore their options. The cost of genetic testing can range from S$300 to S$3,000, but understanding one’s genetic risk can lead to tailored preventive measures.

Dr. Rajendram stressed the importance of early detection, stating, “The journey that you would have when you know your risk is very different from someone who found out the risk after having cancer.” Women testing positive for conditions like Hereditary Breast and Ovarian Cancer (HBOC) Syndrome may have a significantly increased risk of developing breast cancer, necessitating more frequent screenings from a younger age.

The emotional impact of breast cancer cannot be overstated. Young women are encouraged to communicate their fears and experiences, fostering a supportive environment. Dr. Rajendram pointed out that many carry their worries in silence, which can create feelings of isolation. Organizations such as the Breast Cancer Foundation and the Singapore Cancer Society offer valuable support, including counselling services tailored for young women.

In conclusion, the intersection of fear and empowerment among Gen Z women confronting the realities of breast cancer is a complex journey. As they navigate their health and familial histories, fostering awareness and open dialogue remains crucial. With proactive measures and support, young women can reclaim their narratives and approach their health with confidence.