Breast self examinations - Gynecology

What is a Breast Self-Examination (BSE)?

A Breast Self-Examination (BSE) is a method that women can use to check their own breasts for lumps, changes, or abnormalities. It is a quick and non-invasive way to monitor breast health and identify potential issues early.

Why is BSE Important?

Early detection of breast cancer can significantly improve treatment outcomes. Regular BSEs help women become familiar with the normal consistency and appearance of their breasts, making it easier to notice any unusual changes.

When Should You Perform a BSE?

It is advisable to perform a BSE monthly, preferably a few days after your menstrual period ends, as your breasts are less likely to be swollen or tender. For postmenopausal women, choosing a consistent day each month is recommended.

How Do You Perform a BSE?

Follow these steps to perform an effective BSE:

Visual Inspection: Stand in front of a mirror with your shoulders straight and your arms on your hips. Look for any changes in the size, shape, or color of your breasts.
Raise Your Arms: Lift your arms and look for the same changes.
Check for Discharge: Gently squeeze each nipple to check for any discharge (milky, yellow fluid, or blood).
Lie Down and Palpate: Lie down and use your right hand to examine your 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.
Palpate Standing Up: Finally, feel your breasts while you are standing or sitting, which can be easier in the shower. Use the same hand movements as described in the previous step.

What Should You Look For?

During a BSE, look for the following signs:

Lumps or thickened areas
Changes in the size, shape, or symmetry
Dimpling or puckering of the skin
Nipple retraction or inversion
Redness or scaling of the nipple or breast skin
Unusual discharge from the nipples

What To Do If You Find a Lump?

Finding a lump can be alarming, but not all lumps are cancerous. Contact your gynecologist for a thorough clinical breast examination if you notice any unusual changes. Your doctor may recommend further tests, such as a mammogram or an ultrasound.

How Reliable is BSE?

While BSE is a useful tool for early detection, it is not a substitute for professional screening methods like mammograms. Combining regular BSEs with clinical exams and mammograms provides a more comprehensive approach to breast cancer screening.

Common Myths About BSE

There are several misconceptions about BSE:

BSE is unnecessary if you have no family history of breast cancer: While family history is a risk factor, most women diagnosed with breast cancer have no family history.
BSE can replace mammograms: BSEs are supplementary to, but not a replacement for, mammograms.
Lumps always mean cancer: Many breast lumps are benign, but any new lump should be evaluated by a healthcare provider.

Conclusion

Regular Breast Self-Examinations (BSE) play a crucial role in the early detection of breast abnormalities and potential breast cancer. While not a standalone diagnostic tool, BSEs, when combined with professional screenings, significantly enhance breast health monitoring. Always consult your gynecologist if you notice any unusual changes during your BSE.