Breast self-exam guidelines 
 In addition to scheduling  
 clinical  screenings  and  
 mammograms,  women  
 should routinely examine and  
 massage  their  
 breasts to detect  
 any  abnormalities. 
  These  
 breast self-exams  
 can be an  
 important  part  
 of  early  breast  
 cancer  detection. 
 While  many  
 women are  
 aware that they  
 should become  
 familiar  with  
 their  bodies,  
 many  are  unsure  
 about just  
 how frequently  
 they  should  conduct  
 breast examinations. 
   Experts  at  Johns  
 Hopkins Medical center advise  
 adult women of all ages  
 to  perform  self-examinations  
 at least once a month. That’s  
 because 40 percent of diagnosed  
 breast cancers are first  
 detected by women who feel a  
 lump. Establishing a regular  
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 breast self-exam schedule is  
 very important. 
 Begin by looking at the  
 breasts in a mirror. Note the  
 size and appearance  
 of the breasts, and  
 pay attention  
 to  any  changes  
 that  are  normal  
 parts  of  hormonal  
 changes  
 associated  with  
 menstruation.  
 Breasts should  
 be evenly shaped  
 without  distortion  
 or swelling. 
 Changes that  
 should cause  
 concern  include  
 dimpling,  puckering, 
  or bulging  
 of  the  skin.  
 Inverted  nipples  
 or nipples that have  
 changed position, as well as  
 any rash or redness, should be  
 noted. In addition, the same examination  
 should be done with  
 arms raised over the head.  
 The breasts should be felt  
 while  both  lying  down  and  
 standing up. Use the right hand  
 to  manipulate  the  left  breast  
 and vice versa. Use a firm  
 touch with the first few fingers  
 of the hand. Cover the entire  
 breast  in  circular  motions.  
 The pattern taken doesn’t matter  
 so long as it covers the entire  
 breast. All tissue, from the  
 front to the back of the breast,  
 should be felt. 
 The same pattern and procedure  
 should be conducted  
 while standing up. Many women  
 find this easiest to do while  
 in the shower.  
 It is important not to panic  
 if  something  is  detected.  Not  
 every lump is breast cancer.  
 And bumps may actually be  
 normal parts of the breast, as  
 certain areas can feel different  
 than others. But bring any concerns  
 to the attention of your  
 doctor.  
 Breast self-exams are a  
 healthy habit to adopt. When  
 used  in  conjunction  with  regular  
 medical  care  and  mammography, 
  self-exams can be  
 yet another tool in helping to  
 detect breast abnormalities.  
 Doctors and nurses will use  
 similar breast examination  
 techniques  during  routine  examinations. 
    
 Women should routinely examine and massage their breasts to detect  
 any abnormalities. 
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