A Decision Rooted in Family History
For Emily Hardaker, breast cancer has been a constant presence since she was 14, when the disease took her mother's life. That early loss shaped her approach to her own health, leading her to choose a preventative double mastectomy two years ago.
In 2017, at age 25, Hardaker tested positive for a BRCA2 gene mutation, which significantly increased her risk of developing breast cancer. The 34-year-old from Brislington, Bristol, said the decision to undergo surgery was straightforward given her family history.
"Seeing as that my mum had passed away, and my family were, I use the term 'riddled with it', which I know is not funny, it was a no-brainer for me," she said.
Hardaker's mother was diagnosed with breast cancer at 40 and died eight years later. Reflecting on her childhood, Hardaker described watching her mother struggle with illness.
"Most of my childhood, I saw my mother quite unwell, quite frail, which definitely feeds into why I've taken the course of action that I have," she said. "She was always ill during childhood, and wasn't the kind of woman who would play or do anything active. I do have happy memories of her, but we would often have to help with things like shopping, for example."
The Genetic Factor
According to Cancer Research, researchers think around seven in every 10 women with a change in the BRCA1 or BRCA2 gene will develop breast cancer by the age of 80. These genes act as tumour suppressors by fixing broken DNA; when they carry harmful changes or mutations, the risk for breast, ovarian, and other cancers increases.
Hardaker's decision to get tested was spurred by her sister, who was diagnosed with a faulty BRCA2 gene in 2016. The news took time to process.
"You think you're going to be ready for something like that, but actually, I don't think I really processed it for a good several years," she said. "It is a hard thing to carry. It's heavy, and then it is also long, so it's not something you can do about it immediately."
A Seven-Year Wait and the Surgery
After deciding she wanted the surgery, Hardaker faced a seven-year wait, partly due to the time taken to process the decision and delays caused by the Covid-19 pandemic. When the operation finally took place two years ago, she had a preventative double mastectomy along with breast reconstruction surgery at the same time.
The surgery dramatically reduced her cancer risk—from 80-90% to 8%. The recovery was challenging; as she described it, the process was "really hard," and she couldn't sleep flat for a month.
Hardaker has spoken about the emotional weight of the procedure, using terms like "amputation" and "losing my womanhood" to convey the difficulty, while also describing the surgery as a "positive" step and a source of "hope for the future."
Returning to Work and Supporting Others
Three weeks after the mastectomy, Hardaker returned to work as a personal trainer at Sweatbox gym in Bedminster. She now supports other women through a network called the Women's Empowerment Movement, helping those facing similar decisions or experiences.