04/12/2025
5️⃣ Steps to Your Monthly Breast Self-Exam
The exam involves two main parts: Visual Inspection and Physical Palpation (Feeling).
Part 1: Visual Inspection (In Front of a Mirror)
Stand in front of a mirror with your shirt and bra removed.
Step 1: Arms at Your Sides
Look closely at your breasts, noting their usual size, shape, and symmetry. Look for any changes, such as:
~~Dimpling, puckering, or bulging of the skin.
~~A change in the position of the ni**le, or a ni**le that is suddenly pulled inward (inverted).
~~Redness, soreness, rash, or swelling.
Step 2: Arms Raised Overhead
Raise both of your arms high above your head. This movement can make subtle changes more visible. Check again for any of the changes listed in Step 1.
Step 3: Hands on Hips (Flexing Chest Muscles)
Press your hands firmly onto your hips and slightly bend forward. This flexes your chest muscles and can highlight skin changes or differences in breast contour.
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Part 2: Physical Palpation (Feeling)
The physical exam is best done in two positions: lying down (which helps flatten the breast tissue) and in the shower (where soapy hands glide easily).
Key Techniques for Palpation
Use Finger Pads: Use the pads of your three middle fingers (not the tips) to feel the tissue.
Use Three Pressure Levels: Apply light pressure (to feel 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).
Follow a Pattern: Choose one pattern (circular, vertical strip, or wedge) and stick with it to ensure you cover the entire area.
Step 4: Lying Down
Examine the Right Breast: Lie down and place a pillow or folded towel under your right shoulder. Place your right arm behind your head. This position spreads the breast tissue more evenly.
Use the pads of your left hand to examine the entire right breast and the armpit area.
Apply all three pressure levels as you move in your chosen pattern (e.g., small, overlapping circles).
Check the Ni**le: Gently squeeze the ni**le between your thumb and forefinger and check for any discharge (watery, milky, yellow, or bloody).
Switch Sides: Repeat the entire process for the left breast, placing the pillow under your left shoulder and using your right hand.
Step 5: In the Shower (Optional but Recommended)
The shower is a great place to check because your fingers glide easily over wet, soapy skin.
Raise one arm (e.g., your right arm) behind your head.
With the opposite hand (your left hand), use the same finger pads and three pressure levels as you move over the breast and armpit area in your chosen pattern.
Repeat for the other side.
⚠️ What to Look For and What to Do Next
You are feeling for anything new or different from your "normal." This includes a new lump, a hard knot, or a general thickening of the tissue.
Don't panic! Most lumps are not cancerous. They may be cysts, non-cancerous tumors, or normal changes related to your menstrual cycle.
If you find any change that is new or unusual for you, contact your healthcare provider immediately. Timely check-ups are always the best course of action.