Breast self-exams: Do you need them? Everything you need to know

Published May 24, 2022

|

Updated Oct 12, 2023

|

Est. reading time: 8 minutes

Key points

  • The practice of regular breast self-exams to screen for breast cancer has been debated since 2015, with the American Cancer Society no longer recommending it for women with an average risk of breast cancer. This decision was based on a study that found self-exams did not change cancer survival rates and could lead to unnecessary biopsies.
  • Despite this, many doctors still recommend monthly self-exams to improve breast self-awareness. Knowing how your breasts normally feel can aid in early detection of any changes. However, these exams should not replace clinical consultations and mammogram screenings.
  • The article provides a detailed guide on how to perform a breast self-exam at home, emphasizing the importance of visual inspection, touch, and various postures. It also addresses what to do if a lump is found, noting that most lumps are benign, but professional examination is necessary to confirm.
  • The COVID-19 pandemic led to a significant reduction in breast cancer screenings as healthcare resources were focused on urgent needs. Now that most clinics have resumed cancer screening services, it is crucial to consult with a healthcare provider to understand personal health risk factors and determine the appropriate screening measures.
  • Solv Health offers a hassle-free way to book appointments for doctor’s visits, providing both virtual and in-person consultations. It also helps in finding local providers, scheduling same-day or next-day appointments, and checking eligibility for free wellness exams through insurance.
Breast self-exams: Do you need them? Everything you need to know

Do breast self-exams work?

Depending on your breast cancer risk, in most cases they are not recommended. Since 2015, the American Cancer Society (ACS) no longer recommends breast self-exams to screen women with an average risk of breast cancer.

This decision was based on research that studied 400,000 women in Russia and China. The study found that self-exams did not change cancer survival rates and may even lead to unnecessary biopsies.

What is recommended: Get to know your own body

“A self-exam is not considered a screening tool but it can help women improve their breast self-awareness. Breasts undergo so many changes throughout a woman’s life. Regular exams can help keep track of them.” says Dr. Rob Rohatsch MD, Chief Medical Officer at Solv.

Many doctors recommend a monthly breast self-exam so that you know your breasts well. If you know how your breasts feel when they are normal, you may be more likely to detect any changes early.

Before you begin a self-exam, here’s what you need to know:

According to Dr. Rohatsch, there is no medical risk associated with doing a breast examination at home. However, breast self-exams are not a substitute for clinical consultations and mammogram screenings.

Women with an average risk of breast cancer

The ACS considers you an average risk if you do not have a personal history of breast cancer, strong family history of breast cancer, a genetic mutation with an increased risk of breast cancer (BRCA), or have not had chest radiation therapy before 30 years of age.

  • Women aged 45 – 54 are recommended a mammogram screening every year.
  • Women over 55 can choose to get one every two years or continue their annual mammogram.

Women with a high risk of breast cancer

  • Women aged 30 and up: The ACS recommends that women with a high risk of breast cancer get a breast MRI and an annual mammogram screening starting at age 30.

Your medical history, family history, genes, and much more go into assessing your risk of breast cancer and what you may need to do. To assess your risk, talk to a healthcare provider.

Plus, regular breast self-exams will help you know your breasts well. In case of any abnormal changes, you will be better informed when discussing your health with your doctor.

Best way to do your breast self-exam

The Mayo Clinic offers tips for your self-exam. For menstruating women over 40, it is recommended to perform your self-exam a few days after your period ends. If you are not menstruating or have irregular periods, it is recommended to pick one day every month to help you stay consistent.

To start, take your shirt and bra off and stand in front of a mirror. For convenience, many women prefer performing their breast exams before a shower or when they change clothes.

According to the Mayo Clinic, the main steps to performing your breast self-exam are:

Breast self-exam, step 1: Use your eyes

Step 1: Use your eyes

  • Stand with your arms down in front of a mirror. Look at both breasts and notice any changes like swelling, dimpling (like an orange peel), or in the shape of your nipples.
  • Raise arms overhead and look for the same changes.
  • Now put your hands on your hips and press firmly to flex (like Wonder Woman). Look for the same changes.
Breast self-exam, step 2: Standing, arms down - with touch

Step 2: Standing, arms down - with touch

  • Use the pads of your three middle fingers to press every part of each breast and under your arm.
  • A circular motion can help make sure you do not miss a spot.
  • In each spot, use three levels of pressure – light, medium, and hard.
  • Take note of any lumps, thickness, or changes.
  • Squeeze your nipples gently to check for discharge.
Breast self-exam, step 3: Lying down - with touch

Step 3: Lying down - with touch

When you lie down, your breast tissue spreads out, and it becomes easier to feel for lumps.

  • Put a pillow under one shoulder and raise that arm above your head.
  • Use your other arm to feel your breast.
  • Use the pads of your three middle fingers. Repeat the same circular touches (from when you were standing) with a light, medium, and firm touch.
  • Repeat with the other breast.
Breast self-exam, step 4: Stand or sit, arms raised - with touch

Step 4: Stand or sit, arms raised - with touch

  • Stand in front of a mirror or in the shower with soap over the area. Raise your arm (keep it slightly bent, not fully straight).
  • Use your other arm to feel your underarm and breasts using the same steps from before (circular with three levels of pressure).
  • Repeat with the other breast.

It may help to record what you notice during each self-exam. This exercise can help you when you visit a doctor.

What if you find a lump during your self-exam? What does a cancerous lump feel like?

The first thing to do is to try to remain calm and take a moment to breathe. It is important to know that most lumps detected during self-exams are benign cysts or muscle tissue, according to the Dana-Farber Cancer Institute.

According to Dr. Rohatsch of Solv, “Lumps that are potentially cancerous are usually painless, hard with firm edges, and do not move.” He added, “Exceptions do exist. The only way to confirm is to get a professional examination and further screening.”

As a next step, the Dana-Farber Cancer Institute recommends checking to see if the lump moves around as you stand, lie down and raise your arm above your head. Lumpy breast tissue usually spreads out in these postures. If your lump is still rigid, schedule a visit with your provider as a next step.

Remember, even hard lumps can be benign so get it checked out if you’re worried. It is impossible to tell if a lump is cancerous just by touch. The best way to find out if a lump is cancerous is to get it checked by a professional.

How has COVID-19 affected breast cancer screenings?

During the COVID-19 pandemic, many elective procedures, including breast cancer screening, were delayed or canceled. Healthcare professionals were focused on emergencies and urgent needs to help protect patients and staff from infection. The Centers for Disease Control and Prevention (CDC) reports that the total number of breast cancer screening tests for women through their ‘Early Detection Program’ reduced by 87% during April 2020 compared to years prior.

Early detection can save lives and it is important to visit your doctor to start your screenings again. Fortunately, most clinics and hospitals have resumed cancer screening services and follow the CDC’s COVID-19 safety protocols. Healthcare providers, along with Solv Health, strongly urge all Americans to go back to their providers to resume regular cancer screening appointments.

What to do next: How to get your screening back on track?

Consult with a healthcare provider to understand your personal health risk factors. Based on these criteria, your doctor can advise if you need regular breast self-exams and what screening is appropriate for you. Solv offers a hassle-free way to book appointments for doctor’s visits. For your screening, you will need an in-person visit. A virtual visit can be helpful for instructions on how to do a self-exam properly. However, if you feel you may have found a lump, please schedule an in-person visit with your provider for further evaluation.

If you have not had a screening check-up in more than a year, you may also consider scheduling a well-woman exam with a local provider.

A well-woman exam is a series of checks to evaluate your overall health. It offers preventive screening for cancer and gynecological diseases through breast exams, mammograms, and pelvic exams. Some centers also offer the HPV vaccine and pap smears for women who want them. Most insurance plans cover one free well-woman exam every 365 days. So, check to see if you’re eligible for a free wellness exam through your insurance.

Use Solv to find providers close to you. For your convenience, we also offer same-day or next-day appointments.


The views expressed by authors and contributors of such content are not endorsed or approved by Solv Health and are intended for informational purposes only. The content is reviewed by Solv Health only to confirm educational value and reader interest. You are encouraged to discuss any questions that you may have about your health with your healthcare provider.

FAQs

Are regular breast self-exams still recommended for women?

No, since 2015, the American Cancer Society no longer recommends breast self-exams as a screening tool for women with an average risk of breast cancer. However, doctors still recommend that women familiarize themselves with their breasts to detect any changes early.

What is the reason for the change in recommendation regarding breast self-exams?

The change in recommendation was based on a study involving 400,000 women in Russia and China. The study found that breast self-exams did not affect cancer survival rates and could potentially lead to unnecessary biopsies.

What is the best way to perform a breast self-exam at home?

The Mayo Clinic recommends several steps for a breast self-exam, including visually inspecting your breasts for changes, using your fingers to feel for lumps or changes in your breasts and underarms, and repeating these steps while lying down and with your arms raised.

What should I do if I find a lump during a self-exam?

If you find a lump during a self-exam, try to remain calm. Most lumps detected during self-exams are benign. However, you should schedule a visit with your healthcare provider for further evaluation.

What does a cancerous lump feel like?

According to Dr. Rohatsch of Solv, potentially cancerous lumps are usually painless, hard with firm edges, and do not move. However, exceptions do exist and the only way to confirm is to get a professional examination and further screening.

How has the COVID-19 pandemic affected breast cancer screenings?

During the COVID-19 pandemic, many elective procedures, including breast cancer screenings, were delayed or canceled to protect patients and staff from infection. As a result, the number of breast cancer screening tests reduced significantly.

Is it safe to resume regular cancer screenings now?

Yes, most clinics and hospitals have resumed cancer screening services and follow the CDC’s COVID-19 safety protocols. It is important to resume regular screenings as early detection can save lives.

How can I get my breast cancer screening back on track?

You should consult with a healthcare provider to understand your personal health risk factors. Based on these criteria, your doctor can advise what screening is appropriate for you. You can use services like Solv to book appointments for doctor’s visits.


Dr. Rob Rohatsch leverages his vast experience in ambulatory medicine, on-demand healthcare, and consumerism to spearhead strategic initiatives. With expertise in operations, revenue cycle management, and clinical practices, he also contributes his knowledge to the academic world, having served in the US Air Force and earned an MD from Jefferson Medical College. Presently, he is part of the faculty at the University of Tennessee's Haslam School of Business, teaching in the Executive MBA Program, and holds positions on various boards, including chairing The TJ Lobraico Foundation.

How we reviewed this article

Medically reviewed

View this article’s sources and history, and read more about Solv’s Content Mission Statement, editorial process, and editorial team.

Sources

5 sources

Solv has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references.

History

Solv’s team of medical writers and experts review and update our articles when new information becomes available.

  • May 24 2022

    Written by Solv Editorial Team

    Medically reviewed by: Dr. Rob Rohatsch, MD

5 sources

Solv has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references.

Solv’s team of medical writers and experts review and update our articles when new information becomes available.

  • May 24 2022

    Written by Solv Editorial Team

    Medically reviewed by: Dr. Rob Rohatsch, MD

Topics in this article

Womens HealthCancer

This site uses cookies to provide you with a great user experience. By using Solv, you accept our use of cookies.