a
      pur
      health.
     
    
   
   
    
     
         
     
     
       
     
    
   
   
    
     
      3EFORE
      A
      MIRROR
     
    
   
   
    
     
       
     
    
   
   
    
     
      1
     
    
   
   
    
     
      With
      your
      arms
      relaxed
      at
      your
     
     
      sides,
      inspect
      your
      breasts
      carefully
     
     
      for
      any
      changes
      in
      size
      or
      shape.
     
     
      Look
      for
      any
      rashes,
      puckered
      or
     
     
      dimpled
      skin,
      and
      for
      any
      discharge
     
     
      or
      change
      in
      the
      nipples.
     
    
   
   
    
     
      TURN
      and
      inspect
      each
      side
      view
     
    

    
     
      of
      the
      breast.
      Observe
      for
      any
     
     
      flattening
      in
      side
      view.
      When
      turned,
     
     
      inspect
      back
      and
      bra
      line
      areas
      for
     
     
      moles
      and
      skin
      imitations.
     
    
   
   
    
     
      2
     
    
   
   
    
     
      Raise
      your
      arms
      over
      your
      head
     
     
      and
      bend
      forward
      from
      your
      waist
     
     
      inspecting
      both
      breasts
      for
      any
     
     
      changes.
     
    
   
   
    
     
      3
     
    
   
   
    
     
      Standing
      straight,
      raise
      your
      arms
     
     
      over
      your
      head
      and
      move
      them
     
     
      SLOWLY
      up
      and
      down
      (3
      times),
     
     
      observing
      that
      the
      breasts
      move
     
     
      freely
      over
      the
      chest
      wall.
      TURN
      left
     
     
      and
      right,
      observing
      sides
      of
      breasts
     
     
      in
      same
      manner.
     
    
   
   
    
     
      Examine
      your
      breasts
      REGULARLY
      once
      a
      month,
      7
      to
      10
      days
      after
     
     
      Heach
      menstrual
      cycle
      begins,
      when
      breasts
      are
      usually
      not
      tender
      or
     
     
      .
      swollen.
      If
      you
      are
      not
      menstruating,
      pick
      a
      special
      day,
      the
      first
      day
      of
     
     
      ihe
      month
      or
      your
      birthdate,
      to
      practise
      BSE.
      Doing
      BSE
      will
      protect
     
    
   
   
    
     
      LYING
      DOWN
     
    
   
   
    
     
       
     
    
   
   
    
     
       
     
    
   
   
    
     
       
     
    
   
   
    
     
       
     
    
   
   
    
     
      Nh
     
    
   
   
    
     
       
     
    
   
   
    
     
       
     
    
   
   
    
     
       
     
    
   
   
    
     
       
     
    
   
   
    
     
       
     
    
   
   
    
     
       
     
    
   
   
    
     
       
     
    
   
   
    
     
       
     
    
   
   
    
     
       
     
    
   
   
    
     
       
     
    
   
   
    
     
       
     
    
   
   
    
     
       
     
    
   
   
    
     
       
     
    
   
   
    
     
      To
      examine
      your
      left
      breast,
      place
     
     
      the
      back
      of
      your
      left
      hand
      on
      your
     
     
      forehead.
      This
      distnbutes
      breast
     
     
      tissue
      more
      evenly
      on
      the
      chest.
     
     
      With
      the
      fingers
      of
      your
      nght
      hand
     
     
      held
      together
      flat,
      press
      gently
      but
     
     
      firmly
      with
      small
      circular
      motions
     
     
      around
      an
      imaginary
      clock
      face,
     
     
      feeling
      the
      breast
      tissue
      between
     
     
      your
      fingers
      and
      your
      chest
      wall.
     
    
   
   
    
     
      Begin
      at
      the
      outermost
      top
      of
      your
     
     
      left
      breast
      for
      12
      o'clock,
      and
      without
     
     
      lifting
      your
      fingers
      from
      your
      breast
     
     
      feel
      slowly
      and
      carefully
      with
      small
     
     
      circular
      motions
      all
      the
      way
      around
     
     
      the
      rim
      of
      your
      breast
      back
      to
      12.
     
     
      Andge
      of
      firm
      tissue
      in
      the
      lower
     
     
      curve
      of
      each
      breast
      is
      normal.
     
    

    
     
      Now
      move
      your
      fingers
      in
      toward
      the
     
     
      nipple
      about
      2
      cms
      and
      feel
      all
      the
     
     
      way
      around
      again.
      Repeat
      this
      action
     
     
      as
      many
      times
      as
      necessary
      to
      be
     
     
      sure
      you
      have
      covered
      the
      entire
     
     
      breast,
      finishing
      over
      the
      nipple.
     
    
   
   
    
     
      3
     
    
   
   
    
     
      Bring
      your
      left
      arm
      down
      to
      your
     
     
      side
      and,
      still
      using
      the
      flat
      part
      of
     
     
      your
      fingers,
      feel
      under
      your
      armpit,
     
     
      since
      breast
      tissue
      is
      found
      there
     
     
      as
      well.
     
    
   
   
    
     
      4
     
    
   
   
    
     
      Now
      slowly
      repeat
      the
      entire
     
     
      procedure
      using
      your
      left
      hand
     
     
      on
      your
      nght
      breast.
     
    
   
   
    
     
      When
      you
      practice
      BSE
      you
      quickly
      learn
      what
      is
      usual
      for
      you,
      so
      if
     
     
      anything
      unusual
      develops
      you'll
      discover
      it
      at
      a
      very
      early
      stage.
      Ifa
     
     
      lump,
      thickening,
      or
      ANY
      CHANGE
      is
      discovered
      dunng
      BSE,
      it
      is
     
     
      important
      to
      see
      your
      Doctor
      right
      away.
      Don't
      be
      frightened.
      Most
     
     
      breast
      lumps
      or
      changes
      are
      NOT
      cancer,
      but
      only
      your
      Doctor
      can
     
     
      make
      that
      diagnosis.