Step-By-Step Guide to Monthly Breast Exams

Mark your calendars for the first of each month to give yourself a breast exam. Prevention is key, and this is something you can do in addition to annual mammograms to detect any changes early.

 

Performing the exam at the same time each month—ideally a few days after your period ends when your breasts are least swollen—can help you notice any differences more easily. If you’re postmenopausal, choose a consistent date each month.

 

In Front of a Mirror

Stand straight with your shoulders back and arms relaxed by your sides. Look for any changes in size, shape, or color. Check if there’s any visible distortion or swelling in your breasts.

 

Specifically you want to look for dimpling, puckering, or bulging of the skin. Other things to watch for: a nipple that has changed position or become inverted, or any redness, rash or swelling of the skin. 

 

Next, raise your arms and repeat the visual check, looking for the same changes.

 

In the Shower (or Lying Down)

Use your right hand to examine your left breast and your left hand to examine your right breast. With your fingers flat and together, use a firm but smooth touch, moving in small circular motions. Cover the entire breast area from top to bottom, side to side, from your collarbone to the top of your abdomen, and from your armpit to your cleavage.

 

Use three different pressure levels: light, medium, and firm to feel all the breast tissue.

 

Choose a pattern for consistency, for a circular pattern start at the nipple and move in larger circles until you reach the outer edge of the breast. For vertical, move your fingers up and down across the breast in rows, like mowing a lawn.

 

Check for any discharge by gently squeeze your nipples.

 

Lying Down

Lie flat on your back with a pillow under your right shoulder and your right arm behind your head. Use your left hand to check your right breast, following the same motions and pressure as described earlier. Repeat for your left breast.

 

What to Watch For

Be aware of any new lumps, thickening, or hard knots in your breast tissue. Also any areas that feel unusually tender or painful without explanation.

 

When to See a Doctor

If you find a lump or any significant changes, don’t panic. Many lumps are benign, but it’s important to have them checked by your provider to rule out any concerns.

 

By regularly performing self-exams, you can become familiar with how your breasts normally look and feel, making it easier to detect anything unusual early.