Self Breast Exam

How do I take care of my breasts?

It's important to know how your breasts normally look and feel, so you'll be able to tell if there are changes later. You may start doing breast self-examinations once a month in your late teen years (18 to 20 years old). This will help you get to know how your breasts feel normally. You will then be able to notice if any new or different lumps develop. Remember, some lumps are normal, but if you are concerned, talk to your health care provider.

Talk with you health care provider about self exams. Breast self-exams are best done at the same time every month, right after your menstrual period ends. Another great time to do an examination is the day after you have seen your health care provider for a check-up, and he or she has said that your breasts are healthy. Then you'll know that all the “lumps” you feel in your breasts are just normal glands. Here's how to do a 3-part breast self-exam that takes only a few minutes.

    Lying down: 

self exam - woman lying down

First, place a pillow under your right shoulder.

Next, put your right hand under your head.

Check your entire right breast area with the pads of the fingers of your left hand.

Use small circles to feel all around your breast, then feel up-and-down (see the diagram below):

self exam - diagram of circular and up-and-down motion

Use light, medium, and firm pressure over each area of your breast.

Gently squeeze the nipple to check for any discharge.

Switch arms and repeat these steps on your left breast.

In front of a Mirror:

self exam - woman in front of a mirror

Check for any changes in the shape or look of your breasts.

Note any skin or nipple changes such as dimpling or nipple discharge.

Look at your breasts in four steps: arms at sides, arms overhead, hands on hips pressing firmly to flex chest muscles, and bending forward.

In the Shower:  

self exam - woman in shower

With soapy hands and fingers flat, raise your right arm.

Check your right breast.

Use the same small circles and up-and-down pattern described above in the “Lying Down” position.

Switch arms and repeat on your left breast.

Your health care provider will perform a breast exam once a year. While you may find this a little embarrassing, a breast exam is an important way for your health care provider to learn what is normal for your breasts and to find any lumps that aren't normal.

Written and reviewed by the CYWH Staff at Boston Children's Hospital
Source: youngwomenshealth.org