Breast self-examination

A breast self-exam is an important part of your health care. This helps them learn how their breasts normally feel, so if they find a lump they will know if it is something that should be discussed with the doctor.

If you decide to perform breast self-exams, be sure to have the test done 3 to 5 days after the start of the menstrual period, when the breasts are not as sensitive or with less protuberances. If you have reached menopause, take the exam the same day each month.

First, lie on your back:

• Place your right hand behind the head. With the middle fingers of the left hand press gently but firmly making small movements to examine the entire right breast.

• Then, sitting or standing, examine the armpit, as the breast tissue extends to this area.

• Press gently on the nipples, checking for secretion. Repeat the process on the left breast.

• Use one of the patterns shown on the diagram to make sure you are covering all breast tissue.

Most women have some bumps, so do not worry about understanding or explaining what a lump or abnormal area is. The goal is to find anything new or different and then go to the doctor for an evaluation.

Although for some women it is easier to perform the exam in the shower, when the skin is soft and wet, it is more likely to examine all the breast tissue lying down.

Then, stand in front of a mirror with your arms at your sides. Look at the breasts directly and in the mirror for changes in texture (skin that looks like orange peel, dimples, wrinkles, dents), shape and contour of the skin or sunken nipple. Do the same with your arms raised above your head.