When should you speak to a GP about breast changes?

October is Breast Cancer Awareness Month, an important reminder to be breast aware and know which changes are worth speaking to a GP about.

Breasts naturally change throughout our lives and can look and feel different during the menstrual cycle, pregnancy, breastfeeding and after menopause. The important thing is to know what’s normal for you, so you’re more likely to notice when something changes.

Most breast changes are not cancer. However, if you notice something new or unusual for you, it’s always worth getting it checked.

What breast changes should I look out for?

When checking your breasts, don’t just look for lumps. Pay attention to how your breasts and nipples look and feel, and be aware of any changes.

A new lump or swelling

This could be in your breast, upper chest or armpit. Most breast lumps are harmless, but any new lump should always be checked by a GP.

A change in the size or shape of your breast

It’s completely normal for breasts to be different sizes. What we’re looking for is a new change that isn’t normal for you, particularly if it affects one breast.

Changes to the skin

Look for changes in the texture or appearance of the skin on your breast, such as puckering or dimpling, sometimes described as looking like orange peel. Redness or inflammation should also be checked. Remember that changes in colour can look different and may be less noticeable on darker skin tones.

Changes to your nipple

Speak to a GP if you notice that a nipple has recently changed in appearance or position, such as becoming pulled inwards when it wasn’t previously. A new rash or crusting around the nipple should also be assessed.

Nipple discharge

Unexpected fluid from the nipple when you aren’t pregnant or breastfeeding should be checked, particularly if the discharge contains blood.

Persistent breast or armpit pain

Breast pain on its own isn’t usually a symptom of breast cancer and is very common. However, pain that is new, unusual for you or doesn’t go away is worth discussing with your GP, particularly if you have other breast changes alongside it.

How often should I check my breasts?

There’s no complicated technique you need to learn. The aim is simply to become familiar with how your breasts normally look and feel.

Try to check your breasts regularly. Around once a month can be a useful habit. Remember to check the whole breast and chest area, including up towards your collarbone and underneath your armpits.

You might find it easiest to do this in the shower, while getting dressed or lying down.

I’ve noticed a change. What should I do?

If you find a new lump or swelling, or notice another breast or nipple change that isn’t normal for you, make an appointment with a GP.

It’s natural to feel worried, but most breast changes are not breast cancer. There are many other possible causes, including hormonal changes, cysts and other benign breast conditions.

Your GP can talk through what you’ve noticed, examine your breasts if appropriate and arrange further investigation or a referral to a breast clinic if needed.

Know your normal

Breast Cancer Awareness Month is a helpful reminder, but being breast aware is important all year round.

You don’t need to diagnose yourself or know exactly what you’re looking for. The key is knowing what’s normal for you and getting any new or unusual changes checked.

Know your normal. Be aware of changes. And if something doesn’t feel right, speak to a GP.

If you’ve noticed a breast change and would like to discuss it with a doctor, you can book an appointment with Chelmsford Private GPs. You can also read more about our women’s health services.