Regular breast self-examinations: how to do them at home

Written in association with: Dr Shiroma De Silva-Minor
Published: | Updated: 06/03/2024
Edited by: Conor Lynch

In this article below, highly regarded consultant breast oncologist, Dr Shiroma De Silva-Minor, provides a step-by-step guide with regards to how women can check their breasts for any changes at home.

How should women examine their breasts at home, and how often should they do it?

As a breast oncologist, I would advise women to do regular breast self-examinations, to help detect any changes in their breasts. Below are some practical steps that women can follow to examine their breasts.

 

Choose a time each month when your breasts are least likely to be tender or swollen. This is usually a few days after your menstrual cycle has ended if you are premenopausal. If you are postmenopausal, choose a day every month to examine yourself and put it in the calendar.

 

Stand in front of a mirror with your arms at your sides. Look at your breasts in the mirror, checking for any changes in size, shape, or colour. Also, look for any skin dimpling, puckering, changes in the nipple or asymmetry (comparing one breast to the other). Raise your arms above your head and check for the same changes as in step two.

 

Place your hands on your hips and press down on your hips to tense the muscles over your chest. Again, look for the same changes as in step two.

 

Lie down on your back with a pillow under your right shoulder and your right arm behind your head. Use your left hand to examine your right breast. Use the tips of your fingers to feel for any lumps or thickening in the breast tissue, press down gently but firmly, moving in a circular motion from the outer edge of the breast to the nipple, to examine the whole of the right breast.

 

Gently squeeze the nipple to look for a discharge. Repeat the process for the left breast.

 

Finally, sit or stand up and examine your underarms and the area above your collarbones, for any lumps or swelling. If you notice any changes or abnormalities during your self-examination, contact your doctor immediately. Remember, regular breast self-examinations, along with clinical breast exams and mammograms, can help detect breast cancer early, when treatments are most successful.

 

To schedule in an appointment with Dr Shiroma De Silva-Minor, simply head on over to her Top Doctors profile today.

By Dr Shiroma De Silva-Minor
Clinical oncology

Dr Shiroma De Silva-Minor is an accomplished and experienced consultant breast oncologist who specialises in breast cancer (both male and female), breast screening, chemotherapy, radiotherapy, immunotherapy, intraoperative radiation therapy, inflammatory breast cancers, HER2 positive disease, triple-negative breast cancers and breast cancer in pregnancy.

Dr De Silva-Minor oversees the entire (non-surgical) breast cancer pathway so she can advise on all aspects of treatment, including genetic counselling and testing, systemic (chemo) therapy, radiotherapy, and lifestyle factors in optimising health and minimising disease recurrence.  Dr De Silva-Minor was a Consultant Clinical Oncologist at the Oxford University Hospitals NHS Foundation Trust from 2008 till 2024 and recently left the NHS. The doctor now  has a private practise at the Cromwell Hospital in London and GenesisCare in Oxford.

Dr De Silva-Minor, whose clinical expertise is in the treatment of early, metastatic and recurrent breast cancer, notably obtained her first medical qualification in 1995, with her medical doctorate from the prestigious Cardiff-based University of Wales College of Medicine. In 1999, Dr De Silva-Minor was awarded the Membership of the Royal College of Physicians (UK).  Dr De Silva-Minor undertook  specialist oncology training at centres of oncological excellence in London, including The Middlesex Hospital, The Royal Free Hospital, as well as The Royal Marsden Hospital, amongst others.

In 2003, Dr De Silva-Minor was awarded the Fellowship of the Royal College of Radiologists and was also recognised as a clinical oncology specialist on the General Medical Council's register in 2007. 

Dr De Silva-Minor has published extensively in peer-reviewed journals. During a Fellowship in head and neck radiation oncology at The Princess Margaret Hospital in Toronto, Canada, Dr De Silva-Minor was awarded the Prize for Academic Excellence by the Princess Margaret Hospital and the University of Toronto for her research into the use of PETCT scans (Positron Emission Tomography) when identifying head and neck tumours for treatment with radiotherapy.   Dr De Silva-Minor was a member of the breast cancer expert panel for the National Institute of Health and Clinical Excellence (NICE), updating clinical guidelines on breast cancer management.

Dr De Silva-Minor is also collaborating on a metanalysis with the Early Breast Cancer Trialists' Collaborative Group (EBCTCG) to bring together the research on radiotherapy clinical trials to better understand how to optimally treat breast cancer patients with radiotherapy.  Dr De Silva-Minor is a member of the Advisory Board on Cancer in Pregnancy (ABCIP), an international panel of experts in managing breast cancer in pregnancy. 

Dr De Silva-Minor is a passionate advocate for empowering her patients to be involved in their management decisions. Treatment is completely bespoke to individual patients, their specific tumour subtype, taking into consideration the individual's beliefs, wishes and personal circumstances.

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