Every October, pharmacies, clinics and hospitals turn their attention to breast cancer awareness. The message behind the pink ribbon is a simple one: the earlier a change is found and checked, the more treatment options there usually are. Awareness is not about worrying — it is about knowing what is normal for you, so that you notice when something is not.
Get to know what is normal for you
There is no single “correct” way for breasts to look or feel. They change with your monthly cycle, with pregnancy and breastfeeding, with weight, and with age. That is exactly why familiarity matters more than technique: when you know your own pattern, an unusual change stands out. Many people find it easiest to check while showering or applying moisturiser, so it becomes part of a routine rather than a task.
Changes worth having checked
Speak to your doctor if you notice any of the following, in either breast:
- A new lump or an area of thickening that feels different from the rest
- A change in size, shape or the way a breast hangs
- Dimpling, puckering or skin that looks like orange peel
- A nipple that has become pulled in, or has changed position or shape
- Discharge from the nipple that is new and not related to breastfeeding
- A rash, redness or crusting on or around the nipple
- Pain or discomfort in one breast that does not settle
- Swelling or a lump in the armpit or around the collarbone
It is worth saying clearly: most breast changes turn out not to be cancer. Cysts, hormonal changes and benign lumps are all common. But the only way to know is to have it looked at, and no one has ever regretted getting something checked early.
Screening finds what you cannot feel
Checking yourself is not a substitute for screening. A mammogram can pick up changes long before they are large enough to feel, which is why the national breast screening programme exists. If you receive an invitation, take it up — and if you are unsure whether screening applies to you yet, ask your doctor. Should you have a family history of breast or ovarian cancer, mention it: it may change the advice you are given about when and how often to be screened.
Men can get breast cancer too
It is far less common, and for that reason it is often noticed late. The same changes apply — a lump, skin or nipple changes, swelling near the armpit — and they deserve the same attention.
What you can influence
Risk is never entirely in anyone’s hands, and nothing removes it altogether. That said, the evidence consistently points the same way: staying physically active, keeping to a weight that is healthy for you, limiting alcohol, and not smoking all help lower risk. Breastfeeding, where it is possible, offers some protection too. These are the same habits that protect your heart and your bones, which is a reasonable argument for starting with whichever one feels most achievable.
How we can help
Come and talk to us. Our pharmacists are glad to talk you through what to look for, and to help you decide whether something is worth a doctor’s appointment. We can point you towards the right service, and if you would rather speak somewhere less public than the counter, just ask — we have a private consultation room.
If you have noticed a change, please do not sit on it until next month. Book an appointment with your doctor.