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There are 2 steps of BSE-
1. Look
Stand in front of the mirror with arms on the hips (Use a picture)
Look for signs of lumps, skin changes such as dimpling, bulging or redness or change in the size.
Look for change in the position or an inversion of the nipple.
You may raise your arms to look for skin changes or signs in the arm pit or under the breast.
2. Feel
Lie down on a bed with a pillow under the head and arm under the neck.
Using the pad 3 middle fingers of the opposite hand, feel your breast.
Either in a circular manner or up to down and side to side.
Cover your entire breast from the collar bone to the top of your abdomen, below the breast, along the outer part of the breast to the armpit and till your cleavage.
Include the nipple and slightly squeeze the nipple.
Repeat in the opposite breast.
Begin examination with a soft touch and then increase pressure to feel the deep tissue.
Clinical breast examination (CBE)-
Recommended for all women once a year after 30 years of age. It is done by a health care professional.
Mammogram-
Low energy X ray examination of the breasts that help in early detection of cancer or precancerous cells.
Digital Mammogram provides an electronic image.
Recommended annually from 40 (Ultrasound for <40 years. It is a clinical decision).
Note- Please do not be afraid of the pain from a mammogram as it is minimal. Also, the benefits outweigh the cons.