The steps can be performed in any order, but each step is important. The time required to perform the exam varies with the size and features of a woman's breasts but usually only takes about 15 to 20 minutes each month. Women should be sure to examine the breasts in the same manner each month, check the entire breast and armpit area, and remember how the breasts feel from month to month.
Some women prefer to keep a small diary of their monthly breast self-exams.
Spiral or ring pattern, making concentric rings that tighten in a spiral, starting on the outer edges of the breast and ending around the nipple. Women should not lift the fingers while feeling the breasts to ensure that no area is missed. An example of good palpation technique can be seen in the video program . Women should perform BSE when they can be in a private place that is free from disturbances, so they may concentrate fully on the examination. BSE should be performed in a warm room or during a warm shower so that the breast tissue is relaxed and easier to examine.