Q. How do I perform a breast self-exam?
Doctor Answer is medically reviewed by SecondMedic medical review team.
Performing a breast self-exam (BSE) is a valuable way to become familiar with the normal look and feel of your breast tissue, which can help you detect any changes or abnormalities. Here are step-by-step instructions for conducting a breast self-exam:
1. Choose a Convenient Time: It's often best to perform a breast self-exam a few days after your menstrual period ends when breast tissue is less likely to be swollen or tender. If you are postmenopausal, you can choose any day of the month.
2. Stand in Front of a Mirror:
- Begin by standing shirtless in front of a well-lit mirror.
- Examine both breasts for any visual changes. Look for dimpling, puckering, changes in size or shape, and any skin abnormalities.
3. Check Your Breasts with Your Hands:
- Raise your arms and inspect your breasts with your hands pressed against your hips.
- Next, raise your arms overhead and look for any changes in your breasts' appearance.
4. Examine Your Breasts Lying Down:
- Lie down on your back with a pillow or towel under your right shoulder.
- Use the opposite hand to examine your right breast.
- Use the flat part of your fingers (not the tips) to feel your breast in a circular, clockwise motion. Start from the outermost area and work your way toward the nipple. Use light, medium, and firm pressure.
- Continue this pattern until you've covered the entire breast, including the nipple and areola.
- Pay attention to any lumps, thickening, or changes in texture.
5. Repeat for the Other Breast:
- Move to the left breast, following the same circular pattern using the right hand.
6. Check Your Nipples:
- Gently squeeze each nipple and check for discharge.
- Look for any changes in nipple shape, such as inversion.
7. Stand Up Again:
- Finally, sit or stand up and repeat the visual examination in the mirror. Note any changes in your breasts' appearance that were not visible while lying down.
8. Report Any Changes: If you notice any changes, lumps, or abnormalities during your breast self-exam, or if you have concerns about your breast health, consult a healthcare professional for further evaluation. Keep in mind that most breast lumps are not cancerous, but early detection is crucial for prompt treatment if necessary.
It's essential to perform breast self-exams regularly, preferably on a monthly basis, to become familiar with your breast tissue and detect any changes promptly. Remember that BSE is just one part of breast health maintenance, and routine mammograms and clinical breast exams by a healthcare provider are also important for comprehensive breast care.