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Breast Self-Examination (BSE) Format for Printing

Recently, several scientific studies have created confusion by reporting that breast self-exams (BSE) do not reduce a woman's chances of dying of breast cancer, and implying that women no longer need to examine their breasts. However, most experts still agree that if women learn to perform BSE correctly, they could find a tumor earlier, when it is still very small. A smaller tumor improves the chances of saving a breast by avoiding a mastectomy, and may reduce the need for chemotherapy.

It is important to remember that mammography is still the gold standard for early detection of breast cancer. Many cancer organizations, including the American Cancer Society, recommend that every woman 40 or older should have a mammogram every year. Unfortunately mammography misses 10% of cancers. So, it is still important for women to have their breasts examined on a regular basis by a healthcare professional, and perform monthly breast self-exams.

Click on one of the links below for more specific information on how to perform BSE or for additional resources.

The Importance of Breast Self-Exam

Regularly examining her own breasts allows a woman to become familiar with how her breasts normally look and feel and can help her more readily detect any changes that may occur. Many women naturally have some lumpiness and asymmetry (differences between the right and left breast). The key to the breast self-exam is to learn how to find changes in the breasts that persist over time.

While most women are aware of monthly breast self-examination, many still do not know how to perform it properly. Performing BSE incorrectly can be almost as bad as not doing the exam at all since it can give women a false sense of security. After reading these sections on BSE, women should discuss any questions they might have about BSE techniques with their physicians and ask him or her to demonstrate how to perform BSE during the clinical breast exam portion of the physical exam.

The Best Time to Perform Breast Self-Exam

Menstruating women: Hormonal changes due to the menstrual cycle may make the breasts more lumpy or swollen. Women who are menstruating should perform breast self-exam from a few days to about a week after menstruation (period) has ended, when breasts are usually less tender or swollen.

Breast self-exams should be performed once each month beginning at age 20 and continue each month throughout a woman’s lifetime.

Women who are no longer menstruating: should do their BSE on the same day every month. Try to pick a day that is easy to remember, such as the first or fifteenth of every month, and make that the day each month for breast self-exam.

Women using oral contraceptives: are encouraged to do their BSE each month on the day they begin a new package of pills.

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