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It is very important that women examine their breasts on a regular basis. Although mammograms can find lumps that cannot be felt, they do not show everything. Approximately 10-15% of cancers that can be felt do not show up on a mammogram.
Breast self-exams (BSEs) should be done the same way each time and during the same time each month. Women who are still having periods should do their self-exams about one week after the end of their periods. Women who are postmenopausal (no longer having periods) should pick a date of importance (such as the birthdate) and do the exam on the same day every month.
Proper examination involves both touch and visual examination. Look for a lump, hard knot, or skin that thickens or dimples.
Lying Down
Place a pillow under your right shoulder. Put your right hand under your head. Check your entire breast area, including up to your collar bone and under your armpit, with the finger pads of your left hand. Use small circles and follow an up and down pattern. Use light, medium and firm pressure over each area of your breast. Gently squeeze the nipple for any discharge. Repeat these steps on your left breast.
 
Before a Mirror
Check for any changes in the shape or look of your breasts. Note any skin or nipple changes such as dimpling or nipple discharge. Inspect your breasts in four steps: arms at sides, arms overhead, hands on hips pressing firmly to flex chest muscles, and bending forward.
 
In the Shower
Raise your right arm. With soapy hands and fingers flat, check your right breast. Use the method described in the "lying down" step. Repeat on your left breast.
If you notice any change, contact your health care provider immediately.
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