Breast Health: How to Do A Self Exam
Breasts, glorious breasts.
They come in all shapes and sizes, and whether you love yours or not, breast health is important. Sure, they can sometimes feel useless, achy, and distracting but it’s vital that we check on them regularly - breast health is a huge part of your overall health.
Why we need to check them
Boobs tend to feel squidgy and soft, but this depends on where you are in your cycle; certain times of the month bring breast tenderness, swelling, and the occasional lumps for some women.
Don’t. Freak. Out.
The word lump can make anyone’s eyes widen, but when these occur as part of your typical cycle, they’re usually nothing to worry about. What you need to watch for are lumps and other symptoms that don’t follow any usual pattern/cycle.
How to check your boobs
Breast self-examinations may seem confusing if you don’t know what you’re looking for, but regularity is key. The more you check, the more likely you are to catch any changes in the look and feel of your breasts before anything sinister has time to develop.
Make a mental note to check at least once a month. Here’s how:
Look straight on in the mirror (hands on hips) and scan for dimpling/puckering/bulging skin, changes to the nipple, or redness/rashes/swelling
Raise your arms above your head and look again for the same things
Lean forward so your boobs hang away from your chest and look again
Check for discharge. This could be either blood or a watery, milky or yellow fluid leaking from one or both nipples
Lie on your bed and feel your left breast with your right hand, and vice versa. Keep your four fingers flat and use them to firmly massage in circular motions around each breast, up to the collarbone, down to the top of your abdomen, and into your armpit and cleavage. You’ll need to press more firmly to reach deeper tissue in the center.
Do the same again, but this time while standing or sitting upright in a chair.
If you’re a visual person, this graphic from Breast Cancer Now (formerly Care) may help.
What to look and feel for
Breasts are generally fleshy and a bit lumpy anyway, so it’s difficult to tell if you’re feeling a lump that is just a hormonal change, or something that needs checking. In general, always get lumps checked. Some lumps to feel for are those that:
are particularly hard
are painless to squeeze
have irregular edges
don’t move when pushed
appear in the top outer part of your breast
get bigger over time
The above are the most common criteria but don’t discount a lump if it doesn’t have one or more of these characteristics: if in doubt, always check it out.
Some other things to feel for are:
Nipple discharge
One breast getting suddenly bigger than the other
Changes in the outline/shape of the breast
Pain in the breast that doesn't go away with your hormone cycle
What to do if you find something
Getting checked is of the utmost importance, but keep in mind that finding a lump or abnormality is more than likely going to be fine - according to NHS statistics, 9 out of 10 breast lumps turn out to be benign (non-cancerous).
Never, ever be embarrassed to get a lump or abnormality checked by your GP. Early detection is incredibly important, so book an appointment ASAP. Like, now.
Not next month.
What happens at an exam
An initial breast exam with your GP isn’t exactly pleasant, but it’s usually pain-free and over in a few minutes. An appointment usually involves answering questions about medication, past surgery, and family history of cancer, followed by an exam that’s similar to the self-exam described above.
To rule out cancer, they may send you for further tests such as an ultrasound scan, thermography, mammogram, or in rare cases a biopsy (where a needle extracts a sample of the lump). But don’t worry, these are all routine checks, and being referred for one is pretty normal just to be on the safe side.
When was the last time you checked your breasts?
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