BREAST SELF-EXAMINATION TECHNIQUES.

There are two steps for conducting a breast self-exam. The first step would be visual inspection and the

second one is tactile palpation. When focusing on the visual inspection, it needs to be done in three

separate positions. The positions are, by placing the arms down by the sides, then by placing the arms

behind the head and finally by bending forward. This procedure can be done at home and after 5-7 days

of the menstrual period. When it comes to the tactile palpation, there is three different methods that

can be used. First method is known as “the circular method”, the second one is known as “the wheel

spokes method” and the finally the “grid method”. To conduct any of these methods of breast self-

examination, the woman needs to make sure to use the fat pads of the fingertips of the three middle

fingers, and always use the hand opposite to the breast being examining.
Changes to Assess During Breast Self-Exam

Most women have changes in their breasts during their lifetime. Many of these changes are caused by

hormones. For example, your breasts may feel lumpier or tender at different times in your menstrual

cycle. Other breast changes can be caused by the normal aging process. As you near menopause, your

breasts may lose tissue and fat. They may become smaller and feel lumpy. Most of these changes are

not cancer; they are called benign changes. However, if you notice a breast change, do not wait until

your next mammogram. Make an appointment to get it checked.

Check with your health care provider if you notice that your breast looks or feels different. No change is

too small to ask about. In fact, the best time to call is when you first notice a breast change. Breast

changes to see your health care provider about:

1- A lump (mass) is a firm feeling in or near your breast or under your arm. A change can be in the

size, shape, contour, or symmetry of your breast. Lumps come in different shapes and sizes.

Most lumps are not cancer. If you notice a lump in one breast, check your other breast. If both

breasts feel the same, it may be normal. Normal breast tissue can sometimes feel lumpy.

2- Nipple discharge (fluid that is not breast milk) may be different colors or textures. It is not

usually a sign of cancer. It can be caused by birth control pills, some medicines, and infections.

Get nipple discharge checked, especially fluid that comes out by itself or fluid that is bloody

3- Nipple changes, such as a nipple that points or faces inward (inverted) into the breast.
4- Itching, redness, scaling, dimples, or puckers on your breast