In a community health pamphlet about breast self-examination, which statement is recommended?

• A. Expect some breast dimpling or discharge with age.
• B. For those who have a menstrual cycle, perform a BSE every month, 2 or 3 days before menstruation.
• C. Breasts can be examined in the shower with soapy hands.
• D. Using the palm of the hand to feel for lumps using a circular motion.

Answer: (C)

Examining in the shower with soapy hands is recommended because the soap lets your fingers glide smoothly over the skin, making it easier to feel any subtle lumps or changes. The proper technique uses the pads of the fingers to press in small circular motions, covering the entire breast and the armpit area, rather than using the palm, which isn’t as sensitive for detecting small irregularities. Dimpling or discharge isn’t a normal change that should be expected with aging, so such signs should be checked by a clinician. Monthly checks are best done at the same point in the cycle, typically after menstruation when breasts are less tender, rather than drifting to times when tenderness could mask a lump.