Prepare the patient for the examination by explaining that you will be examining her breasts both when she is sitting up and when she is lying on her back. If the patient is lactating, she should be instructed to empty her breasts before the examination.

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The patient should be encouraged to examine her breasts just after her menstrual period each month. If she has not been doing this, the breast examination is a good time to remind her how important it is to be familiar with her breast tissue so that she can identify changes over time. Most organizations suggest that a woman perform breast self-examination every month after the age of 40, or earlier if she has a first-degree relative with premenopausal breast cancer. Click here for more information about breast self-examination.