What is a Breast Self-Exam (BSE)?
A
breast self-exam (BSE) is a method that women can use to check their own breasts for abnormalities such as lumps, changes in size, or differences in shape. This self-exam can help detect early signs of breast cancer and other breast conditions.
Why is BSE Important?
Early detection of breast abnormalities plays a crucial role in successful treatment outcomes. Regular BSEs can help women become familiar with the normal look and feel of their breasts, making it easier to notice any unusual changes. While a BSE is not a substitute for professional screenings like mammograms, it is an additional, cost-effective method to monitor breast health.
How Often Should BSE be Performed?
It is generally recommended that women perform a BSE once a month. The best time to do this is a few days after the end of their menstrual period when breasts are least likely to be swollen or tender. For women who have undergone menopause, choosing a specific day of the month (e.g., the first day of the month) can help maintain a regular schedule.
1. Visual Examination:
- Stand in front of a mirror with shoulders straight and arms on the hips.
- Look for any changes in contour, swelling, dimpling of the skin, or changes in the nipples.
2. Physical Examination:
- Raise arms and look for the same changes.
- While lying down, use the right hand to feel the left breast and vice versa. Use a firm, smooth touch with the first few fingers, keeping them flat and together.
- Cover the entire breast from top to bottom and side to side, from the collarbone to the top of the abdomen, and from the armpit to the cleavage.
- Follow a pattern to ensure that the entire breast is covered. You can use circular motions, up-and-down lines, or a wedge pattern.
- Finally, feel your breasts while standing or sitting, which is often easiest in the shower.
What Should You Look For?
During a BSE, it is important to look and feel for:
- Lumps or thickened areas
- Changes in the size, shape, or appearance of the breasts
- Skin changes such as redness, scaliness, or dimpling
- Nipple discharge, apart from breast milk, particularly if it is bloody
- Inverted nipples or other nipple changes
What to Do if You Find a Lump?
Finding a lump or any unusual changes can be alarming, but it does not necessarily mean you have breast cancer. Many breast lumps are benign. However, it is essential to contact a healthcare provider for a thorough evaluation. They may recommend further diagnostic tests such as a
mammogram,
ultrasound, or a
biopsy.
Additional Resources
For more information, you can consult resources from reputable organizations such as the
American Cancer Society or the
National Breast Cancer Foundation. These organizations offer detailed guides, videos, and other educational materials to help you perform BSE correctly and stay informed about breast health.
Conclusion
Regular BSEs are a proactive way to maintain breast health and detect abnormalities early. While not a replacement for professional medical screenings, they are a valuable complementary practice. If you have any questions or concerns about how to perform a BSE or about changes in your breasts, consult with your healthcare provider for personalized advice.
