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While we’ve made plenty of strides in the past decades, breast cancer continues to be one of the most common types of cancer in the US. But with early detection, it can be treated before it spreads to other areas of the body. That’s where a breast exam comes in. With this easy exam, Dr. Wolowick and Dr. Mitchell can catch any abnormalities before they become more serious.

What is a Breast Exam? 

A breast exam (also called a clinical breast exam or CBE) is a simple examination by a health professional. It is often done along with a standard gynecological exam or before a mammogram. They are done to detect lumps in the breasts or other changes. If lumps are present, discharge is coming from the nipple, or other changes are found, more testing may be done. 

Your doctor will carefully feel your breasts, underarms, and the area below your collarbone. 

Who Needs a Breast Exam?  

A breast exam is typically recommended every 1-3 years for women ages 25 to 39. At 40, a breast exam is recommended every year. Your doctor may recommend you have a breast exam more often if you have an increased risk for breast cancer, like a family history of breast cancer, or have a specific genetic mutation (BRCA1 or BRCA2). 

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What to Expect During A Breast Exam 

A breast exam is very simple. We will have you remove your shirt and bra and give you a gown to ensure you’re comfortable. You’ll lay on your back and place your arms above your head. From there, your healthcare provider will then examine your breasts for any abnormalities. They will then manually feel your breasts and armpits for any lumps, skin abnormalities, or changes to the nipples.  

We’ll also ask about your reproductive history, family history, and menstrual cycle, talk about your risks for breast cancer based on your medical history, and discuss anything you can do to prevent the disease. 

Additionally, some women have naturally bumpy breast tissue. It’s important we know that before your breast exam. 

Breast Exam Results 

For most women, a clinical breast exam will find no signs of breast cancer, but if your exam does find something abnormal, you’ll likely need follow-up tests to check whether or not the findings are breast cancer. The follow-up tests will likely include a mammogram, breast ultrasound, and, if further tests are needed, a biopsy. 

Frequently Asked Questions

How often should women get a breast exam?

Women should have a clinical breast exam at least every three years, starting in their 20s and annually after age 40. Self-breast exams are also recommended monthly to monitor for any changes.

Why are breast exams necessary?

Breast exams are essential for early detection of breast cancer and other abnormalities, increasing the chances of successful treatment. Regular exams help identify lumps or changes in breast tissue that may indicate a problem.

How is a breast exam performed?

During a breast exam, one of our providers will manually feel the breasts and underarms for lumps, thickening, or other abnormalities. The exam typically includes visual inspection and palpation while the patient is both sitting and lying down.

How effective is a breast exam?

While not as precise as a mammogram, breast exams can effectively detect lumps and other changes that warrant further investigation. They are a valuable tool in combination with imaging for early detection of breast conditions.

At what age should I get a breast exam?

Clinical breast exams should start in a womans 20s, with frequency increasing annually after age 40. Women should also begin performing monthly self-breast exams in their 20s to monitor for any changes. Those with a family history of breast cancer or are otherwise at a higher risk of developing the disease will create a personalized screening schedule with one of our providers to best suit their needs.

How can I do a self-breast exam at home?

You can perform a self-breast exam either standing or lying down with your shirt and bra off. When standing, use the pads of your fingers to feel for lumps or changes in breast tissue, moving in a circular motion from the outer breast toward the nipple. When lying down, put one arm behind your head and use the pads of your fingers on your free arm to feel the tissue covering your entire breast and armpit area, then repeat on the other side. It’s best to do this once a month, ideally a few days after your menstrual cycle ends.

How long will the breast exam take?

A clinical breast exam typically takes just a few minutes to complete. The time may vary slightly depending on the size of your breasts and any findings that require additional evaluation.

Does the breast exam hurt?

Breast exams are generally not painful, but some women may experience slight discomfort, especially if they have sensitive breasts. If you feel pain during the exam, inform your provider so they can adjust their technique.

What is being checked for during a breast exam?

During a breast exam, our providers check for lumps, thickened tissue, or any changes in breast size, shape, or skin texture. They also examine the underarm area for swollen lymph nodes, which can be a sign of an underlying issue.

What are common red flags of a breast exam?

Common red flags during a breast exam include the discovery of a lump, changes in breast shape or size, nipple discharge, or skin dimpling. These findings may require further testing, such as a mammogram or ultrasound, to determine the cause.

Schedule a Consultation 

Take control of your breast health and schedule a breast exam at MAIA today! Our team happily serves the Chicago, Aurora, Downers Grove, and Naperville, IL areas and will ensure you receive the care you need. Take the first step and call our Downers Grove, IL office at 630-320-6703 or complete our online contact form. 

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Additional Resources

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