200 miles away from GP and breast concern

For context: I am a (nearly) 23-year-old student who lives down in the south of England with my doctors is up north where my university is based, so I am going to be contacting my GP by the NHS app. My maternal grandmother had breast cancer in her 40's (stage 2 when found) and then got a terminal diagnosis a few years ago in her sixties after it returned and my maternal great-aunt had ovarian cancer in her early 60's and died of it in her 70's. My paternal great-aunt had breast cancer in her 60's too. So, I have a heightened awareness of breast cancer, particularly as I cared for my grandmother in her final stages. 

2 years ago I went for a private ultrasound of my breasts and the consultant doing the ultrasound said I have lumpy and thickened tissue but that they are fibroadenomas and sent me on my way. I don't think those findings were sent to my NHS GP (on the NHS app). There was a sharp needle-like poking stabbing pain in my right breast a few days ago and today, but the pain went. On my inner left breast towards my sternum, the breast tissue seems to have thickened further. I have been aware of performing breast self-exam since I was around 17/18, but changes are hard to detect with already very lumpy and thickened breast tissue. 

I want to go to my NHS GP but I am nervous about being too paranoid and potentially wasting GP time. I find it incredibly difficult to detect changes in my breasts because of just how lumpy they are and I don't want to be dismissed by the GP because of my age. Any advice or help would be appreciated. 

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    Hi Funky Boots,

    Welcome to our forum. It can be difficult to  identify a lump in breasts which are already lumpy. Please go ahead and contact your NHS GP. Whilst it does happen with younger people, nobody should be excluded from tests simply because of their age. Just don't let your GP dismiss you. Tell him/her about your family history and that you feel that your breast tissue has thickened  since you had your ultrasound. If you notice changes these should be investigated.

    Please let us know how you get on. We are always here for you.

    Here's hoping for good news.

    Kind regards,

    Jolamine xx

  • Thank you Jolamine for taking the time to respond. I have browsed a few other threads and seen you take time to respond to people as well, you are wonderful! I appreciate age is on my side and that unlike my mum (with a first and second degree relative with breast/ovarian cancer) that I am at much less of genetic risk. I have issues with anxiety, so I am worried that I will get dismissed for that reason on top of my age. 

     

    I am hoping that I don't have to travel 200 miles for the doctor to check my breasts and dismiss me. 

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    Hi Funky Boots,

    It doesn't make sense for you to travel 200 miles to get your breasts checked in the current climate. As you are currently at home, it sounds as if the best thing for your GP to do would be to refer you to a doctor or clinic closer to your home.

    You are certainly not wasting anyone's time. Only 1 person in every 8 referred to the breast clinic will receive a cancer diagnosis. Write down a list of all the questions you have for your GP to ensure that you don't forget anything important and make an appointment with your GP as soon as you can.

    Do you have a family GP near home? This would be the other way to approach this problem. As you are in lockdown, you shouldn't be travelling any distance. Perhaps your family GP would see you locally instead? - It would certainly be worth a call to the practice receptionist to enqire.

    I hope that it all goes well whichever way you decide to approach this.

    Kind regards,

    Jolamine xx

     

     

  • Thanks Jolamine for the reply. Unfortunately, I am only allowed to be registered with one NHS GP at a time which means I had to choose between a GP at uni and a GP back at home. I was almost pestered at university to change it to a local uni GP. I am contemplating paying out of pocket for a breast ultrasound, but know that biopsies (if needed) can get quite expensive on top of that which I can't really afford out of pocket. I think I might wait until my university deadlines have passed (in a weeks time) and see what the GP can do. If need be, I might have to travel up north if things can't get sorted sooner.

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    Hi FunkyBoots,

    I agree that you can only register with one doctor at a time, but doctors still have a duty to see people who, for instance, fall ill on holiday away from home. Surely, you would be entitled to a similar reciprocal arrangement, particularly in these strange times of lockdown?

    Why not give the nurses on this site a phone and ask for their advice? You can contact them free of charge on 0808 800 4040, Monday - Friday from 9.00am - 5.00pm.

    When undertaking tests privately costs can rise steeply. It is not unusual to have an ultrasound and biopsy on the same day, if there is anything suspicious found. Private hospitals will give you their prices if you ask for them. It is always best to do this, so that you don't get any additional nasty surprises.

    I do so hope that you manage to get something sorted locally.

    Kindest regards,

    Jolamine xx