Feel it on the first

It's 2023! Still towards the beginning of a new year. A time for setting goals and resolutions. In keeping with the New Years' spirit, I have a challenge for you. A challenge that is simple, yet possibly life saving. A challenge that will hopefully become a lifestyle change. This challenge is to complete a monthly breast exam.

You may have heard this phrase before, but for those who haven't "feel it on the first" is a catchy slogan to help remind both women and men to complete a monthly breast exam on the first day of the month. So, why not start off the new year the right way and put your health first in an easy and manageable way?

Why is completing a breast exam important?

Being diligent about completing a monthly breast exam is so important because it can potentially save your life. In the U.S. alone, about 41,000 people will die from breast cancer. After receiving a stage IV breast cancer diagnosis, I regret not being more consistent with my self breast exams. I remember thinking to myself, "I'm so young, it's not really that important, plus my doctor completes an exam at my annual checkup so I'll be fine." While my case is somewhat rare, there are still thousands of women under the age of 40 who find they have breast cancer, so it's definitely still important to do. When you make breast exams a priority you will learn the feel, shape, and look of your breasts, so that even if something changes slightly you will be able to detect it and report your findings to your doctor. More often than not, a breast lump is benign, but if you happen to find a cancerous lump, this will hopefully mean early detection which is very successfully treated.

I distinctly remember finding a lump for the first time in November 2020. I thought "Hmm, this is strange, but it's probably nothing." Looking back I wish I would've gone in to see a doctor the following day rather than waiting a month to be seen, so that's why I'm sharing my story to encourage others to be more proactive than I was. While there's no way of knowing if going in a month earlier would've made a difference in the staging of my cancer, it's hard to not beat myself up about it, especially since my cancer is stage IV.

What to look for

While there is no perfect guide for detecting breast cancer -- every cancer is different -- there are general things to look for as you complete a breast exam.

1. Changes in shape to the breast - often described as skin dimpling like an orange peel. There also could be a visual lump or bump that distorts the shape of your breast.

2. Changes in size of your breast and areola.

3. Nipple changes including nipple inversion, discharge, or flaking of the skin around the nipple.

Typically cancerous lumps are firm, irregular, immovable, and painless, however this is definitely not always the case. The original lump I felt was painful which is why I noticed it, and I had no visual changes to my breast, so sadly there is no golden criteria. Hence the phrase, "When in doubt, get it checked out!"

How to complete a self breast exam

Step 1. Look in the mirror without a shirt or bra on and observe if anything looks abnormal. You know your body best, so if there is a change you can visibly see (big or small) this is something to take note of. Some examples of what to be looking for include any lumps, bumps, changes in shape, size, or color, and nipple discharge.

Step 2. Use your hand to feel your breast on the opposite side of your body with your other arm raised.

There are different ways to feel and it really comes down to preference, but some of the most common ways to perform an exam are to circle around the breast and slowly move in towards the nipple, to move in or vertical lines across the breast, or to complete a wedge like pattern where you visually divide the breast into pie segments and feel each section. Whatever method you choose, you should be consistent each month so you have an easier time detecting any changes. Also make sure to feel your armpits as key lymph nodes are located there and can help with early detection of cancer.

Step 3. Repeat the process above but while laying down on a bed. A slight change in position may help reveal different changes to your breast.

Step 4. If you notice anything abnormal or different from your baseline, report it to your doctor right away. Try not to panic as more often than not, a lump or bump is noncancerous, but reporting it right away will at least ensure you get seen by a physician soon and have further testing done.

I hope this was informative and helpful! And again... don't forget to feel it on the first!!!