Among the routine health checks you get when you go to a doctor, a breast exam is also a very important one. You may feel a little embarrassed, scared, or uncomfortable talking about it or undergoing this test. That's very normal. But this test is very valuable for your health, especially in detecting diseases like breast cancer early. So today, let's talk about this very simply, so that all your questions are cleared up.
How often should this test be done?
This really depends on factors like your age and family medical history. The general advice is this:
- If you are between 20 and 39 years old: It is a good idea to have a breast exam by a doctor every one to three years .
- If you are 40 years old or older: It is very important to have this test every year .
But remember this too. If your mother, sister, or close family member has had breast cancer, which means you're at risk, your doctor may recommend that you get screened earlier and more often. So be open with your doctor about your family's health history .
What is the best time to schedule an appointment for testing?
This is a question that many people have. The best time to do a breast exam is a few days after your period ends .
Imagine, during and around your period, your breasts become a little swollen and painful to the touch, right? That's because of the hormonal changes that occur during those days. So, when examining them at such times, it can be difficult to distinguish between a normal lump and an abnormal one. Therefore, after your period is over, your breasts are softer, so any abnormal changes can be easily detected.
If you have stopped having monthly periods (have gone through menopause ), choose a day that is easy for you to remember for this annual checkup. For example, if you choose a day like your birthday, you can do it every year without forgetting.
What really happens in this test?
There's nothing to be too scared about this test. The doctor does it very systematically and in a way that you won't feel uncomfortable. Let's see what happens step by step.
1. Questions you will be asked before the test
First, the doctor will ask you some questions about your health history.
- At what age did you start having your monthly period?
- Do you have children?
- How old were you when you had your first child?
These questions are asked to get an idea of your breast cancer risk , so don't be afraid to give as much information as possible.
2. Breast examination
For this test, you will need to remove your clothing from the waist up. The doctor or a nurse will be with you.
| Steps of the test | Things to do and things to see |
|---|---|
| Visual Inspection | While you are sitting, the doctor will look at your breasts and check their size, shape, and symmetry. He or she will ask you to raise your arms above your head, place them on your hips, and bend forward. He or she will check for any changes in the shape of your breasts or any dimpling of the skin. He or she will also check for redness, rashes , or dimpling of the skin, similar to an orange peel. |
| Physical Exam/Palpation | Next, you will be asked to lie down on an examination table. With one hand behind your head, the doctor will use the soft tips of his or her fingers to carefully feel your breasts and armpits for lumps or other abnormalities. The armpits are checked because breast tissue can spread to those areas as well. |
| Nipple Check | Finally, the doctor will gently squeeze your nipple and look for any discharge. If there is any, a sample may be taken and sent for examination under a microscope. |
This is the best time for you to learn the correct way to do a breast self-exam at home from your doctor. Never be shy about asking.
What is a complete breast cancer screening?
This is a very important point. This examination (Clinical Breast Exam) performed by a doctor is only one part of the early detection method for breast cancer. It is very important to follow all three parts for complete protection .
1. Breast Self-Awareness/Self-Exam: Examine your breasts at least once a month and be aware of their normal appearance. If you notice any new changes, you should see a doctor immediately.
2. Clinical Breast Exam: The test we talked about in this article.
3. Mammogram: This is a special X-ray examination of the breasts. It can detect even very small changes that are invisible to the eye and cannot be felt. It is usually recommended after the age of 40.
Think of it like three parts of a security system. When all three come together, you get the best protection. It's not a good idea to miss any of them.
Take-Home Message
- A clinical breast exam by a doctor is nothing to be afraid of. It is a very important thing to do to protect your health.
- Be aware of how often you should do this based on your age and risk level.
- The best time to schedule a checkup is a few days after your monthly period ends.
- This test, self-examination, and mammograms are the best way to protect yourself from breast cancer.
- Never hesitate to ask the doctor any questions that come to mind during the examination. It is your right.
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