🤲 NHS & WHO sourced

Breast Self-Examination — the TLC Method

The simple Touch–Look–Check routine for breast self-examination. Know what is normal for you so any change stands out.

Reviewed against NHS & WHO guidelines Last reviewed: January 2025 For educational purposes — not medical advice
✓ Most breast changes are not cancer — but all should be checked by a GP
✓ There is no single "right" technique — the key is familiarity with your normal
✓ Premenopausal women should check at the same point in their cycle for consistency
✓ Self-examination between NHS screening appointments is strongly recommended

Why self-examination matters

NHS screening only takes place every three years. Breast cancer can develop between appointments. Regular self-examination means you are more likely to notice a change early, when treatment is most effective.

The TLC method

  • TOUCH: Using the flat of your fingers, gently feel your entire breast, armpit and collarbone area. Feel for any new lump, thickening or area that feels different from the rest. You can do this lying down, standing, or in the shower.
  • LOOK: Stand in front of a mirror with your arms by your sides, then raised above your head. Look for any change in size, shape or contour; any skin changes (dimpling, puckering, redness, "orange peel" texture); any nipple changes (inversion, discharge, rash).
  • CHECK: If you notice anything new or unusual, see your GP promptly — do not wait. Most changes are not cancer, but only a doctor can confirm this.

How often should you check?

There is no evidence that a strict monthly routine is necessary. The NHS recommends simply being "breast aware" — incorporating regular checking into your normal routine, for example in the shower or when getting dressed. Premenopausal women may find it easiest to check at the same point in their menstrual cycle each time, when breasts are least tender (usually a week after a period).

What is normal?

Most women's breasts are not identical. Some degree of lumpiness is normal, particularly in the week before a period. What you are looking for is anything NEW or CHANGED from what is normal for you. If in doubt, see your GP.

Frequently asked questions

How do I check my breasts for cancer? +
Use the TLC method: Touch — using the flat of your fingers, feel your entire breast, armpit and collarbone area for any new lump or thickening. Look — in the mirror, check for any change in size, shape, skin dimpling, puckering or nipple changes. Check — see your GP promptly if you notice anything new or unusual. There is no single right technique; the goal is familiarity with your normal.
How often should I check my breasts? +
There is no evidence that a strict monthly routine is necessary. The NHS recommends simply being "breast aware" — incorporating regular checks into your normal routine, for example in the shower or when getting dressed. Premenopausal women may find it easiest to check at the same point in their cycle, about a week after their period ends, when breasts are least tender.
What does a normal breast feel like? +
Most women's breasts have some natural lumpiness, especially in the week before a period, and the two breasts are rarely identical. What matters is what is normal for YOU. You are looking for anything NEW or CHANGED — a new lump, a skin change, a nipple change. If something seems different from your usual, see your GP rather than waiting.

Clinical sources

  • NHS — www.nhs.uk
  • World Health Organization — www.who.int

This content is for educational purposes and does not constitute medical advice. Always consult a qualified healthcare professional for personal medical guidance.

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