TIMING: Each month, conduct a breast-self exam. Choose an easy day of the month to remember, put it on your calendar, or use the buddy-system (a friend to help you remember).
If you are having menstrual cycles, avoid conducting self-exams in the days leading up to and during your cycles. Choose a day a week after your cycle ends. If you are post-menopausal, picking the same day each month is a helpful formula (such as the 1st or 15th of each month).
PROCESS: Self-exams can be performed in the shower, at the mirror, or while lying down. Begin your self-exam by looking for any changes in your breasts’ appearance: asymmetry, dimpling, puckering, skin texture or nipple changes. Use a line, circle, or wedge technique to search for any changes in the feel of your breasts.
Line technique – Starting in the underarm area, begin making small circles as you travel in a straight line down to below the breast. Begin the second line next to where the first line ended, moving upwards. Continue this pattern until the entire breast has been examined.
Circle technique – Beginning at the outer breast area, move your fingers around your breast in a circle. Continue examining in smaller and smaller circles, working towards the nipple, until the entire breast has been examined.
Wedge technique – Starting at the outer edge, move your fingers in towards the nipple and then back out to the edge. Check the entire breast area, one wedge shape at a time, moving in and out until the entire breast has been examined.
Pay close attention to the pressure used. Light pressure examines the tissue closest to the skin. Medium pressure allows you to feel a little further below the skin. Firm pressure should help you feel tissue closest to the chest and ribs.
If you have had a mastectomy, it is still important to do monthly “chest wall” checks for any changes. If you feel anything out of the ordinary during your self-exam or have any other concerns about changes in your breast, contact your physician right away.