Mammography and breast self-exams:
What you need to know

“Early detection was the key in saving my life. If I hadn’t been getting my annual mammograms, my cancer would not have been detected early enough for effective treatment.” These are the words of a cancer survivor who encourages all women to make annual mammograms a ritual.

After scheduling your mammogram, you may be wondering what to expect and how to prepare for the test.

On the day of your mammogram be sure to not wear any powder, deodorant, lotion or perfume in the arm and breast areas. Wear a two-piece outfit, only the top will need to be removed.

The mammogram screening exam is quick and simple. Two low-dose X-rays are taken of each breast in a special unit that gently flattens the breast tissue. Some pressure is applied to produce a good image.

To minimize any possible discomfort, you may want to schedule your appointment at the end of your menstrual cycle when breasts are the least sensitive and avoid foods and drinks with caffeine for one week prior to your mammogram.

Monthly Breast Self-Exam
You should perform a breast self-exam every month following our menstrual cycle. After menopause perform a breast self-exam on a set day of each month, for example the first day of each month.

	In the shower Raise one arm. With fingers flat, touch every part of each breast and the area around it, gently feeling for a lump or changes under the skin. Use your right hand to examine your left breast, your left hand for your right breast.
	Before a mirror Place your arms at your sides, on your hips, then raise your hands above your head, look carefully for changes in the size, shape and contour of each breast. Look for puckering, dimpling, or changes in skin texture. Turn to left and right and repeat.
	Lying on your back Place a towel or pillow under your right shoulder and your right hand on your forehead - palm up. Examine your right breast with your left hand by touching gently but firmly.
	Circular and vertical Fingers flat, press gently in vertical lines or small circles, starting under your arm, and move in toward the nipple. Be sure to cover your entire breast area. Repeat with left breast area.
	Resting your arm With your arm resting on a firm surface, use the same method to examine the underarm area. This is breast tissue also. If at any time you notice changes see your physician right away.

“This self-exam is not a substitute for periodic examinations by a qualified physician.”

© 1987 Albert Einstein Healthcare Network, Philadelphia. PA 19141. Printed exclusively under license agreement by Pilgrim 76100 All Rights Reserved. Used with permission.

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