BREAST SELF-EXAMINATION (BSE) PROCEDURE

1. Definition

• Breast Self-Examination is a method by which a woman examines her own breasts regularly to detect any abnormal changes or lumps at an early stage.

2. Purpose

• To detect breast abnormalities early

• For early diagnosis of Breast Cancer

• To increase awareness of normal breast structure

• To promote self-care and preventive health

3. Indications

• All women above 20 years

• Monthly self-examination

• Women with family history of breast cancer

4. Contraindications

⚠️ No contraindication (safe for all women)

5. Articles / Equipment

• Mirror

• Pillow (for lying position)

6. Patient Preparation

• Explain procedure clearly

• Ensure privacy

• Best time: 5–7 days after menstruation

• Remove upper garments

7. Procedure Steps (Step-by-Step Sentences)

🔹 A. Inspection (In Front of Mirror)

1. Stand in front of a mirror with arms at sides.

2. Observe both breasts for size, shape, and symmetry.

3. Look for any skin changes such as dimpling, redness, or swelling.

4. Raise both arms overhead and observe again.

5. Check nipples for inversion, discharge, or changes.

🔹 B. Palpation (Standing or Sitting Position)

6. Use the pads of three fingers (index, middle, ring fingers).

7. Move fingers in a circular motion over the entire breast.

8. Follow a pattern:

   • Circular

   • Vertical strip

   • Wedge method

9. Apply light, medium, and deep pressure.

10. Cover entire breast including axillary (underarm) area.

🔹 C. Palpation (Lying Down Position)

11. Lie down and place a pillow under one shoulder.

12. Place one hand behind the head.

13. Use opposite hand to examine the breast.

14. Follow the same palpation pattern.

15. Gently press nipple to check for discharge.

🔹 D. Repeat for Other Breast

16. Repeat the same steps for the other breast.

8. Post Procedure Care

• Note any abnormal findings

• Report to doctor if any lump or change is found

• Maintain regular monthly practice

9. Complications

• No physical complications

• Anxiety if abnormality detected

10. Health Education

• Perform BSE monthly

• Know normal breast structure

• Report warning signs:

  • Lump

  • Skin changes

  • Nipple discharge

• Regular clinical check-up

🎯 Viva Questions

Q1. When is the best time for BSE?👉 5–7 days after menstruation

Q2. Which part of fingers is used?👉 Finger pads

Q3. What is the main purpose of BSE?👉 Early detection of breast cancer