Perform a breast exam

Breast exam methods vary, but generally they involve using your eyes and hands to observe the appearance and feel of your breasts. A breast exam may be done while standing in front of a mirror, and while either lying down or taking a shower. A breast exam can help identify potential breast problems.You can aslo do a vagina exam to learn more about you vagina.

Doing routine breast exams can give you a greater awareness of the condition of your breasts. You can learn how your breasts vary in sensitivity and texture at different times during your menstrual cycle and throughout different stages of life.

Breast exams, once thought essential for early breast cancer detection, are now considered optional. What's now stressed is breast awareness - being familiar with the normal consistency of your breasts and the underlying tissue

Why is a breast exam necessary?

Doing breast exams helps you learn the normal feel and appearance of your breasts. That makes it easier to notice subtle but potentially serious changes, should they occur.

Say, for example, you feel a barely noticeable area of thickening in the upper area of your breast, next to your arm. If you've become familiar with how your breasts look and feel, you know your breast usually feels completely smooth in that area. Without a tactile memory from having done many breast exams, though, you might not notice this difference. Detecting such a change should prompt you to see your doctor.

Although most breast abnormalities discovered on breast exams aren't cancers, a small proportion are. Some of those cancers are at an early stage, when prompt treatment can be most effective. That's why regular breast exams - with an awareness of what's normal for you - are particularly important if you're at increased risk of breast cancer.

To gain the greatest benefit from regular breast exams, ask your doctor to review your technique at your next checkup.

What am I looking for when I do a breast exam?

You are looking for:

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

* dimpling, puckering, or ridges of the skin on the breast
* a nipple that is pushed inward rather than sticking out
* redness, warmth, swelling, or pain
* itchy, scaly sore or rash on the nipple
* nipple discharge other than breast milk
* change in color, shape, size, or texture of a breast

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


How often should I do a breast exam??

Doing a regular breast exam is optional. It's okay to not do a breast exam or to not do it on a fixed schedule. But doing a breast 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 exam is when your breasts are not tender or swollen, such as a few days after your period ends.

Breast exam tips

1. You can do a portion of the exam while you are in shower. Incorporating it into a normal activity can make it easier to do, and less of a time constraint. Remember to mark your calendar every month as a reminder.

2. Do the self breast exam every month at the same time. Menstruating women should perform it a few days after their period. Women taking oral contraceptives should do the exam on the first day of starting a new pack of pills.

3. Report any changes to your physician, even if you feel it is minor.

4. You can also choose a friend who will be your BSE (breast self exam) Buddy. She can remind you and vice versa to do the exam monthly.

Breast Exam

Breast exam instructions

Lie down and place your right arm behind your head. The exam is done while lying down, not standing up. This is because when lying down the breast tissue spreads evenly over the chest wall and is as thin as possible, making it much easier to feel all the breast tissue.

Use the finger pads of the 3 middle fingers on your left hand to feel for lumps in the right breast. Use overlapping dime-sized circular motions of the finger pads to feel the breast tissue.
Breast self exam

Use 3 different levels of pressure to feel all the breast tissue. Light pressure is needed to feel the tissue closest to the skin; medium pressure to feel a little deeper; and firm pressure to feel the tissue closest to the chest and ribs. A firm ridge in the lower curve of each breast is normal. If you're not sure how hard to press, talk with your doctor or nurse. Use each pressure level to feel the breast tissue before moving on to the next spot.

Move around the breast in an up and down pattern starting at an imaginary line drawn straight down your side from the underarm and moving across the breast to the middle of the chest bone (sternum or breastbone). Be sure to check the entire breast area going down until you feel only ribs and up to the neck or collar bone (clavicle).

There is some evidence to suggest that the up-and-down pattern (sometimes called the vertical pattern) is the most effective pattern for covering the entire breast, without missing any breast tissue.

Repeat the exam on your left breast, using the finger pads of the right hand.

While standing in front of a mirror with your hands pressing firmly down on your hips, look at your breasts for any changes of size, shape, contour, or dimpling, or redness or scaliness of the nipple or breast skin. (The pressing down on the hips position contracts the chest wall muscles and enhances any breast changes.)

Examine each underarm while sitting up or standing and with your arm only slightly raised so you can easily feel in this area. Raising your arm straight up tightens the tissue in this area and makes it harder to examine.

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