According to CANSA, breast cancer is the most common cancer among South African women. The 2023 National Cancer Registry reports that 1 in 27 women will be diagnosed in their lifetime.
“One of the simplest, most empowering ways to care for your health is by performing regular breast self-examinations (BSEs),” says Dr Portia Mosadi, an obstetrician and gynaecologist at Netcare Rosebank and Netcare Pholoso Hospitals.
“It’s not about becoming obsessive, but rather familiarising yourself with your breasts. Knowing what’s normal for you will help you notice when something isn’t.”
Start early, stay consistent
Dr Mosadi recommends monthly breast self-exams starting in your early 20s, ideally a few days after your period when breasts are less tender. If you don’t menstruate, pick a consistent day each month. Hormonal changes can affect breast texture, so timing matters. After menopause, lumps may be easier to detect due to less dense tissue.
Your 3-step breast exam routine
- In the mirror: Stand tall with hands on hips. Check for changes in shape, size, dimpling, swelling, or nipple inversion. Raise your arms and repeat.
- In the shower or lying down: Use circular motions with the opposite hand to feel from collarbone to armpit. Gently check the nipple for discharge.
- Lying down: Place a pillow under one shoulder to flatten the breast and repeat the same circular technique for a thorough check.
What should you look out for?
“Any changes to your breasts, including a new lump or thickened tissue, are worth checking,” says Dr Mosadi. In the early stages, breast tumours are most often painless, and other signs could include nipple discharge, skin dimpling, and swelling near the collarbone or armpits.
“Not all lumps are cancerous – many are harmless cysts,” reassures Dr Mosadi. “But always book an appointment with your doctor for a proper evaluation. From the age of 40, women should have mammograms at least every year or two years, or more frequently if they are at high risk.”
AND DON’T FORGET…
“Self-exams are great, but they’re just one part of the picture,” she adds. Mammograms, clinical examinations, knowing your family history and maintaining a healthy lifestyle all contribute to keeping your breasts healthy.
