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Breast Health and Breast Self Examination

Breast health concerns, breast cancer, and getting to know your breasts through breast self examination

Self breast exam video  How to perform a self breast exam  Breast health resources

 Rashes caused by sweat Breast Firming Exercises

 

Why should I do a breast self examination?

Women should know how their breasts normally look and feel. Doing regular breast self exams is the best way to know this. They also help you to notice any changes in your breasts. This is also true for women who have breast implants. A change can breast cancer warning sign imagebe a sign of a problem. If you find a change, see your doctor right away.

 

Does a lump mean I don't have a healthy breast?

Most breast changes or lumps are not cancer. But only a doctor can tell for sure. When breast cancer is found early, you have more treatment choices and a better chance of recovery. So, it is best to find breast cancer as early as possible.

 

Does a breast self exam take the place of a mammogram?

Breast self examinations should not take the place of regular screening mammograms or clinical breast exams, which are done by a doctor. Screening mammograms and clinical breast exams can help doctors find breast cancer early. Treatment is more likely to work well when cancer is found early.  It is an important part of breast health awareness.

 

How often should I examine my breasts?

Women ages 20 to 39 should have a clinical breast exam at least once every 3 years. Once a woman turns 40, she should have a clinical breast examination each year and a screening mammogram every 1 to 2 years. Ask your doctor how often you need one. Breast self exams are an option for women starting in their 20s. Ask your doctor about the benefits and limitations of breast self examinations.

 

What am I looking for when I do a breast self  examination? 
You are looking for:

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a hard lump or knot in or near the breast or in your underarm

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a change in the way your breasts look or feel

If you find a lump or other change in one of your breasts, check out the other breast. If both breasts feel the same, the lumpiness is probably normal. Get to know your breasts better by doing breast self exams. This will help you to tell the difference between how your breasts normally look and feel and any changes. Here are some other changes to look out for:

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dimpling, puckering, or ridges of the skin on the breast

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a nipple that is pushed inward rather than sticking out

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redness, warmth, swelling, or pain

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itchy, scaly sore or rash on the nipple

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nipple discharge other than breast milk

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change in color, shape, size, or texture of a breast

If you see or feel any of these changes, see your doctor right away.


Is there a right way to examine my breasts?
Yes. There are several “right ways” to examine your breasts. Ask your doctor to teach you how to do a breast self-exam. You need to make sure you are doing it correctly.

 

How often should I do a self-exam?
Doing a regular breast self-exam is optional. It’s okay to not do a breast self-exam or to not do it on a fixed schedule. But doing a breast self-exam regularly is a good way to get to know how your breasts normally look and feel. This way, you can more easily notice changes. The best time to do a breast self-exam is when your breasts are not tender or swollen, such as a few days after your period ends.

Be sure to discuss any new lump or change with your doctor.

 

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Breast Self Examinationbreast self exam image 1

Step 1: Standing in front of a large mirror
Undress from the waist up in a well lit room. With your arms relaxed at your sides see if you can see any differences in size, shape, or skin texture. Also look at your nipples for peeling, change
in direction, differences in color and sores. Don’t be troubled if your breasts are different in size and shape. Most women’s are.
breast self exam image 2

Raise your arms above your head and put your hands firmly against the back of your head. Look from side to side looking for differences. Check underneath your breasts. Lift your breast if necessary to see this part.

Next put your hands on your hips, pushing down on breast self exam image 3your hips steadily. This will tighten the muscles under your breasts. Look from side to side looking for differences. Then bend forward and check the sides of your breasts. Check your nipples for discharge by placing your thumb and forefinger on the skin surrounding your nipple and pulling outward.

Step 2: In the shower.
With breast self exam image 4wet soapy hands feel for any lumps in the underarm area. Place your right hand on your hip and reach over with your left hand to feel in the right armpit. Check for lumps and thickening both above and below your collarbone. Repeat on the other side.
 

Then raise one hand above your head. Press the fingbreast self exam image 5ers of the other hand against the breast and follow an up and down pattern along the breast until you have covered the entire breast. Repeat on the other side.

Step 3: Lying Down.

Libreast self exam image 6e down and place your right arm behind your head. Using your left hand make small circular motions with your fingers looking for lumps on your right breast. Start at the outside of your breasts and move inward in a spiral pattern until you’ve reached your nipples. Always keep your fingers in contact with the breast. Vary the amount of pressure you use so that you can feel the tissue closest to the skin and the tissue closest to the chest and ribs. To end place your fingers flat on the top of your nipple and press inward to feel beneath the nipple for any changes. Repeat on the other side

 

Breast exams should be part of an overall breast care process that includes hygiene, diet, and breast exercise programs.

 

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Breast Self Examination Video

video demonstrates techniques for self breast exam

Here are some  changes to look out for:

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If you find a lump or other change in one of your breasts, check out the other breast.

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dimpling, puckering, or ridges of the skin on the breast

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a nipple that is pushed inward rather than sticking out

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redness, warmth, swelling, or pain

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itchy, scaly sore or rash on the nipple

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nipple discharge other than breast milk

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change in color, shape, size, or texture of a breast

If you see or feel any of these changes see your doctor right away.

 

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Breast Health Resources

The American Cancer Society also has a guide that shows the right way to examine your breasts. Visit its web site at:
http://www.cancer.org/docroot/CRI/content/CRI_2_6x_How_to_perform_a_breast_self_exam_5.asp?sitearea=.

Breast Health Access for Women with Disabilities has a guide for breast self-exam for women who have physical limitations. Visits its web site at:
http://www.bhawd.org/sitefiles/bse/bse_broc.html.

 

For more information on breast cancer screening, call womenshealth.gov at 800-994-9662 or contact the following organizations:

 

National Cancer Institute, NIH, HHS
Phone number: 800-422-6237
Internet address:
http://www.cancer.gov

 

American Cancer Society
Phone: 800-227–2345 or 800-ACS-2345
Internet Address:
http://www.cancer.org/

 

National Breast and Cervical Cancer Early Detection Program
Phone number: 800–232–4636 or 800-CDC–INFO
Internet address:
http://www.cdc.gov/cancer/nbccedp/index.htm

 

National "Get A Mammogram: Do It For Yourself, Do It For Your Family" Campaign
(brochures in English, Chinese, Tagalog, and Vietnamese)
National Cancer Institute (NCI)  Phone Number(s): 800-422-6237 or 800-4-CANCER  
Internet Address:
http://breasthealth.cancer.gov

 

Information on this page is courtesy of the Office on Women's Health in the Department of Health and Human Services.


 


 

 

 

 

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