Breast Self-Examination

Objective: To examine the value of teaching regular breast self-examination (BSE). Outcome: Reduction of benign biopsy rates. Benefits: To provide better advice for women about the risks and benefits of BSE, and to ensure that women who choose to practise BSE are taught to perform it proficiently. Summary Statement: Routine teaching of BSE does not reduce mortality and likely increases benign biopsy rates. (I) Recommendations: 1. Breast self-examination should not be routinely taught to women. (ID) 2. A full discussion of breast self-examination, including risks, should be provided for the woman who requests it. (IIIA) 3. If a woman makes an informed decision to practise BSE, care providers should ensure she is taught the skills and that she performs self-examination proficiently. (IIIA) Validation: This committee opinion was developed by the Breast Disease Committee of the Society of Obstetricians and Gynaecologists of Canada. It was approved by the Executive and Council of the Society of Obstetricians and Gynaecologists of Canada. Sponsor: The Society of Obstetricians and Gynaecologists of Canada.