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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.
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Breast self-exams
should be performed once each month beginning at age 20 and continue each month throughout
a womans 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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