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Know Your Body: Learn How To Correctly Perform A Breast Self-Exam

Breast Check Hero lying down
Health & WellnessPost Category - Health & WellnessHealth & Wellness

As it’s Breast Cancer Awareness Month, we’re encouraging all women to check their breasts.

No one wants to hear the “C” word. Yet, in the developed world, one in eight women will develop breast cancer at some point in their lives. It’s the most common type of cancer in the world; in 2018 alone two-million women were given this diagnosis across the world.

October is Breast Cancer Awareness Month so expect to see lots of pink advertising this month to help raise awareness – think pinkathons, pink afternoon tea sets, pink cosmetics deals, monuments lit in pink. Of course the only way to make sure you and your breasts are fine is to check them on a regular basis, because early detection is key. We’re not talking annual mammograms for 40-something mamas but feeling your boobs on a monthly basis, so you know what’s your normal and what’s not. But before we school you in breast self-examination, let’s lay down the basics.

Read more: Women’s Health: Critical Checks For Your 30s, 40s And 50s

breast check under armpits

Who Is At Risk?

Anyone with boobs.

That’s not just women but men, transgender, cisgender, basically anyone with breast tissue can get cancer of the breast. It’s definitely far more common in women, but the American Cancer Society estimates that one in 1,000 men will also suffer from breast cancer at some point in their lives.

Another breast cancer myth is that the disease is all down to genetics, but did you know that 80% of the people who get breast cancer don’t have any family history? So, let’s not only blame the BRCA1 and BRCA2 genes which raise the breast cancer risk by a whopping 56%; the grave diagnosis has got a lot to do with your age, lifestyle, oestrogen and progesterone exposure, alcohol use or abuse, unhealthy body weight, activity level and environment as well.

Changes To Watch Out For

Breasts are lumpy. When I first started doing monthly exams, I would live in constant fear of being a living ball of tumours. But after a couple of months, you get the hang of what’s your normal, what your boobs look and feel like at a certain point in your menstrual cycle, so when something’s off, you will know to alert your doctor.

When To Do A Breast Self-Examination?

The best time for a self-exam is the fourth or the fifth day of your menstrual cycle, that’s when the pre-period breast thickening has subsided so there will be no unusual breast tenderness. The general rule of thumb is to check your breasts for irregularities at the same time every month.

Look Out for These Signs

  • Any hard, irregular blob which does not move with your fingers or the rest of your breast tissue.
  • Any lumpy/bumpy swelling or dimpling, or changes in the texture of your boob or towards the armpit.
  • Changes in the shape or size of one boob.
  • Nipple discharge in one or both breasts (when you’re not pregnant or way past breastfeeding).
  • Swollen lymph nodes in the armpit or around the neck bone.
  • Thickening of the areola, any redness or scaliness in this area.

If something does strike a nerve, don’t go into panic mode, keep calm and know that most lumps are harmless tumours, but consult your doctor for further tests.

Read more: Where To Get Women’s And Family Health Checks In Hong Kong

How To Perform The Breast Self-Check Correctly

Breast Checking down

1. Lie down on your back on the bed or stand in the shower and put your hand above the head. Use the index, middle and ring finger of the other hand to begin the exam.

2. Mentally divide the breast into four quadrants and then start by pressing your fingers firmly into the armpit using circular motions while coming towards the nipple.

check all over breast

3. Check one part of the breast at a time and then work your way around the entire boob.

4. Repeat the process on both breasts.

5. Check firmly under your armpits for any swollen lymph nodes – they’ll feel like peas under your skin.

6. Squeeze the nipples to see if there is any abnormal discharge. By abnormal discharge, we mean any discharge which shouldn’t be there or blood.

breast cancer checking in mirror

7. Stand in front of the mirror and observe the shape, size and texture of your breasts. Is there a change? Anything suspicious like bumps, rashes or retracted nipples which don’t look normal, need to be reported to the doctor straight away.

That’s it, keep a close watch on your twins and stay healthy!

Read more: The Top Breastfeeding And Lactation Consultants In Hong Kong


Editor’s Note: This post was originally written by Nikita Mishra on 24, October 2018 and was updated on 7, October 2019.

All images are courtesy of SMG.

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