At the same time each month, check for any changes in the normal look or feel of your breasts. Look for a lump, hard knot, skin thickening or dimpling, or nipple retraction. Report any findings to your doctor. Monthly breast self exam, yearly breast exam by a physician, and yearly mammograms (for women 40 and over) are essential for health breast care.

Check your breasts using these steps:

Lying down:
Place a pillow under your right shoulder. Put your right hand under your head. Check your entire breast area with the finger pads of your left hand. Use small circles and follow an up-and-down pattern. Use light, medium, and firm pressure over each area of your breast. Repeat these steps on your left breast.

Before a mirror:
Check for any changes in the shape or look of your breasts. Note any skin or nipple changes such as dimpling or nipple discharge. Inspect your breasts in four steps: arms at sides, arms overhead, hands on hips pressing firmly to flex chest muscles, and bending forward.

In the shower:
Raise your right arm. With soapy hands and fingers flat, check your right breast. Use the same small circles and up-and-down pattern described above in "Lying Down." Repeat on your left breast.