A clinical breast exam (CBE) is a physical examination of the breasts performed by a healthcare professional, such as a doctor, nurse, or other trained medical personnel. The purpose of a clinical breast exam is to check for any abnormalities, changes, or signs of breast cancer. It is often done in conjunction with other breast cancer screening methods, such as mammography and breast self-exams.

Here is an overview of what typically happens during a clinical breast exam:

Health History Review: The healthcare professional will begin by asking about your personal and family medical history, including any history of breast cancer or other relevant conditions.

Visual Inspection: You will be asked to undress from the waist up, and the healthcare professional will visually inspect your breasts for changes in size, shape, or skin texture. They will also look for any visible signs of abnormalities, such as lumps or dimpling.

Palpation: The healthcare professional will use their fingers to gently feel (palpate) your breasts and the surrounding areas, checking for any lumps or areas of thickening. They may use different levels of pressure and follow a systematic pattern to ensure thorough coverage of the breast tissue.

Axillary Exam: The healthcare professional may also examine the lymph nodes in the armpit (axillary nodes) to check for any signs of swelling or tenderness.

Frequency of Clinical Breast Exams: The recommended frequency of clinical breast exams can vary based on individual risk factors, age, and guidelines from different health organizations. Here are some general recommendations:

For Women in their 20s and 30s: The American Cancer Society recommends a clinical breast exam about every three years for women in their 20s and 30s as part of a regular health exam.

For Women 40 and Older: For women aged 40 and older, the American Cancer Society recommends annual clinical breast exams as part of a regular health checkup. In addition to clinical breast exams, mammography is also recommended for early detection of breast cancer in this age group.

Individualized Recommendations:

Individual recommendations may vary based on factors such as personal and family history, breast density, and other risk factors. It's important to discuss your specific situation with your healthcare provider to determine the most appropriate screening plan for you.

It's worth noting that while clinical breast exams can be a valuable component of breast cancer screening, mammography remains the primary tool for detecting breast cancer early. Mammography is recommended at specific intervals based on age and individual risk factors.

If you have concerns about breast health or are unsure about the appropriate screening schedule for you, it's recommended to discuss your individual risk factors and preferences with your healthcare provider. They can provide personalized guidance on breast cancer screening and help you make informed decisions about your health.