Breast examination

It is important that a woman is aware of her normal breast structure so that if any abnormality does appear she can recognise it. We do not recommend that you examine yourself fastidiously; only that you get to know what your breasts look like and your breast tissue feels like - be "breast aware".You need to be warm and relaxed to examine yourself properly, so after a bath or shower is a good time. First you need to look in a mirror. Remember, very few people are symmetrical and breasts are no exception. Get to know what's normal for you and then you can recognise any changes. The reason for checking your breasts is so that effective treatment can be given if any problems arise. Do get help if you are concerned about any changes - not just lumps. Most changes are innocent and not due to cancer, but it is very important to obtain proper advice so don't delay. Your breasts may feel full and tender just prior to your periods, in which case it is better to check yourself during or after your period

Look first Undress fully to the waist and stand in front of a mirror in a bright light (preferably daylight)	After looking, feel Lying propped up on a pillow, examine one breast, then the other, comparing the two
1. LOOK: With your arms down, look at your breasts from all angles - don't forget to look underneath too	5. Begin by squeezing the nipple, gently, noting any discharge. Then using the flat of your fingers feel the breast gently, moving your hand in small circular movements
2. LIFT: Hands on your head, look for any rash around the nipple or discolouration of the skin	6. Work out in a spiral from the nipple, checking always that the skin moves freely. Feel the full depth of your breast
3. STRETCH: Watching closely for any irregularity off shape or movement of the breasts, raise your straight arms sideways above your head, then lower them	7. Repeat movements with your arm above your head, elbow bent. The breast gland is made up of many small parts which you will probably be able to feel. No part should feel hard
4. PRESS: Then press your hands firmly on your hips. Everything should move smoothly and evenly, with no dimpling of the skin	8. Finish by feeling the tail of the breast, which runs up under the armpit

Remember if you do notice any changes or have any concerns regarding your breasts, do arrange to see a doctor

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Last revision: April 2011