Clinical Breast Examination
A clinical breast examination (CBE) is a physical examination of the breast done by a health professional. Clinical breast examinations are used along with mammograms to check women for breast cancer. Clinical breast examinations are also used to check for other breast problems.
Medical experts disagree about the need for regular clinical breast examinations. Some doctors recommend regular CBE. However, the U.S. Preventive Services Task Force (USPSTF) says that studies do not show support for or against regular CBE. Some studies show that mammogram tests alone reduce breast cancer deaths just as well as using mammograms and CBE.
A clinical breast examination may be part of your regular checkup. Talk with your health professional about how often you need a breast examination.
Breast implants do not change a woman's chance of getting breast cancer, so women with breast implants should also have regular clinical breast examinations.
Why It Is Done
A clinical breast examination is done to:
- Find a lump or change in the breast that may mean a serious problem is present, such as breast cancer.
- Check other breast problems that may need more treatment, such as mastitis or a fibroadenoma.
How To Prepare
Tell your health professional if you:
- Have a new lump or change in your breasts. This includes a change in the way your nipples look or if you have any nipple discharge.
- Some women have nipples that sink into the breast, called inverted nipples. For these women, this is normal. But if you do not have inverted nipples and notice a change where your nipple becomes inverted, tell your doctor.
- Have pain in one breast, especially if the pain is not related to having your menstrual period.
- Are or might be pregnant.
- Are breast-feeding.
- Have breast implants.
- Have had a breast biopsy.
- Have completed menopause.
- Are taking hormone replacement therapy.
- Have a personal or family history of breast cancer.
You may want to have your examination 1 to 2 weeks after your menstrual period ends, if you are still menstruating; your breasts are less likely to be tender at that time.
Talk to your health
professional about any concerns you have regarding the need for the test, its
risks, how it will be done, or what the results may mean. To help you
understand the importance of this test, fill out the
medical test information form
(What is a PDF document?)
.
How It Is Done
A clinical breast examination is done by a health professional. You will need to take off your clothes above the waist. You will be given a gown to wear during the examination.
First, your health professional will ask you questions about any problems you may have, your medical history, and your risk factors for breast cancer. Talk to your health professional about any areas of your breasts you may be concerned about.
WebMD Medical Reference from Healthwise
VIVELLE-DOT (estradiol transdermal system) IS AVAILABLE BY PRESCRPTION ONLY.
INDICATION
Vivelle-Dot is used after menopause to: reduce moderate to severe hot flashes; treat moderate to severe dryness, itching and burning in or around the vagina; help reduce your chances of getting osteoporosis (thin weak bones); and treat certain conditions in which a young woman's ovaries do not produce enough estrogens naturally. Vivelle-Dot 0.025 mg/day is only used to prevent osteoporosis from menopause. If you use Vivelle-Dot only to treat your dryness, itching, and burning in and around your vagina or if you use Vivelle-Dot only to prevent osteoporosis from menopause, talk with your healthcare professional about whether a different treatment or medicine without estrogens might be better for you.
IMPORTANT SAFETY INFORMATION
Estrogens increase the chances of getting cancer of the uterus (womb). Report any unusual vaginal bleeding right away while you are taking estrogens. Vaginal bleeding after menopause may be a warning sign of cancer of the uterus (womb).
Do not use estrogens with or without progestins to prevent heart disease, heart attacks, or strokes. Using estrogens with or without progestins may increase your chances of getting heart attacks, strokes, breast cancer, and blood clots. Using estrogens with progestins may increase your risk of dementia (decline in memory and thinking skills).
Vivelle-Dot should not be used if you have unusual vaginal bleeding; currently have or have had certain cancers, including cancer of the breast or uterus; had a stroke or heart attack in the recent past (for example, in the past year); currently have or have had blood clots; currently have or have had liver problems; or think you may be, or know that you are, pregnant.
The most common side effects that may occur with Vivelle-Dot are headache, breast tenderness, and back pain.
You and your healthcare professional should talk regularly about whether you still need treatment with Vivelle-Dot.
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.
Please see Full Prescribing Information for Vivelle-Dot.

