Checking your breasts – making it accessible for everyone

Checking your breasts regularly is an important part of looking after your health. We encourage everyone to check their breasts monthly, get to know what is normal for them and contact their GP if they notice anything unusual.

For people with cerebral palsy, difficulties with movement, coordination, strength or sensation can make breast checking more challenging. However, there are ways to make it easier. Here are some practical tips to help you find an approach that works for you.

How to check your breasts

First, find a comfortable position. You don’t have to stand to check your breasts. You could:

· Check while sitting, lying down or in the bath or shower.

· Use pillows or cushions to support your arms and body.

· Adjust your position to reach different areas more easily.

· Use whichever hand gives you the most control.

1. Look – Use a mirror to look at your breasts. Check for any changes in size, shape, skin texture or appearance, including your nipples.

2. Feel – Using your fingers or the palm of your hand, feel around each breast for any unusual lumps, swelling or changes in texture.

3. Check the whole area – Make sure you check your breasts, armpits and up to your collarbones.

Use additional support

If you have difficulty with grip, coordination or arm movements, small adjustments can help. Try resting your arms on a table, cushion or mobility aid for stability. You could also use your stronger hand to guide your other hand.

If checking independently is difficult, ask someone you trust, such as a partner, family member, carer or healthcare professional, for assistance. You should always feel comfortable and in control of any support you receive.

Managing pain and fatigue

If checking your breasts causes discomfort or tiredness, try:

· Choosing a time when you have more energy.

· Checking one breast at a time.

· Taking breaks when needed.

· Using supports to reduce strain on your muscles and joints.

What if you notice a change?

If you notice anything unusual in your breasts or armpits, contact your GP. Most breast changes are not cancer, but it’s important to get them checked.

Making your GP appointment accessible

If you need additional support during your appointment, you can request reasonable adjustments, including:

· A longer appointment.

· Accessible examination equipment or assistance with transfers.

· A comfortable examination position.

· Having a family member, friend or carer with you.

· A chaperone or female GP, if preferred.

Having cerebral palsy should never be a barrier to receiving appropriate healthcare. New symptoms should not automatically be attributed to your cerebral palsy, and your concerns should always be taken seriously.

If you’re still worried after your appointment, arrange a follow-up.

Further information