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Early menstruationbeginning to have menstrual periods at age 11 or younger increases the number of years the breast tissue is exposed to estrogenStarting menopause at a later agethe more years a woman menstruatesthe longer her breast tissue is exposed to estrogenOlder age at first birth or never having given birthbecause estrogen levels are lower during pregnancybreast tissue is exposed to . more estrogen in women who become pregnant for the first time after age 35 or who never become pregnant.

Tamoxifen and raloxifene belong to the family of drugs called selective estrogen receptor modulatorssermsSerms act like estrogen on some tissues in the bodybut block the effect of estrogen on other tissues.

Having breast tissue that is dense on a mammogram is a factor in breast cancer riskThe level of risk depends on how dense the breast tissue isWomen with very dense breasts have a higher risk of breast cancer than women with low breast density.

Either one or a combination of these should be an indication to get a detailed checkup doneEarly diagnosis results in controlling the disease with minimal treatment and reduced complications.

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