Breast Lumps, Breast Pain and Screening: When to See a GP
Finding a breast lump or noticing a breast change can be frightening. Most breast symptoms are not cancer, but they should still be assessed properly. A GP can examine the breast, decide whether imaging is needed, explain screening, and help organise follow-up so you are not left guessing.
Why this matters
Breast symptoms can come from cysts, hormonal changes, infection, benign lumps, injury, breastfeeding problems or cancer. The aim of a GP visit is not to alarm you; it is to take the symptom seriously and work through the next step. Screening is also important, but screening mammograms are for people without symptoms. A new lump or change needs diagnostic assessment, not just routine screening.
A few helpful terms
· Screening mammogram: A breast X-ray for people without symptoms.
· Diagnostic imaging: Imaging requested to assess a symptom such as a lump or nipple change.
· Triple assessment: A breast assessment approach that may include examination, imaging and biopsy when needed.
Common reasons to book a GP appointment
· You have found a new lump, thickening or change in breast shape.
· You have nipple discharge, nipple inversion, skin dimpling, redness or a rash that does not settle.
· You have breast pain that is persistent, one-sided, severe or worrying.
· You are breastfeeding and have pain, fever, redness or possible mastitis.
· You want to understand BreastScreen, family history or your personal risk.
What we can talk through together
Your GP may ask when the change started, whether it changes with your cycle, your family history, pregnancy or breastfeeding history, medications, past breast imaging and any symptoms such as fever or weight loss. They may examine both breasts and underarms. Depending on age and findings, they may request ultrasound, mammogram or specialist referral.
What to expect at the appointment
It is normal to feel nervous about a breast examination. You can ask for a chaperone, ask the GP to explain each step, and stop if you need to. If imaging is arranged, ask how results will be communicated and what follow-up is planned. Do not assume no news is good news; make sure you know how results are tracked.
How to prepare
Write down when you first noticed the change, where it is, whether it is painful, whether it varies with your period, and whether there is discharge or skin change. Bring previous breast imaging reports if you have them.
Care close to home in Maroubra and the Eastern Suburbs
Dr Amanda Henderson is a GP consulting at GP Maroubra, 14 Meagher Ave, South Maroubra NSW 2035. At GP Maroubra, she provides family-focused general practice care across pregnancy and pre-pregnancy health, shared antenatal care, women's health, contraception, paediatrics, skin checks, lifestyle medicine, travel medicine, men's health and preventive care. Patients commonly look for local care from Maroubra, South Maroubra, Coogee, Randwick, Malabar, Matraville, Pagewood and nearby parts of Sydney's Eastern Suburbs.
Choosing a GP is personal. It is reasonable to consider location, appointment availability, communication style, continuity and whether the services offered fit the reason you are booking. The aim is to help you feel prepared for a useful appointment and to know when a concern needs more urgent attention.
When to seek urgent help
Book promptly for a new lump, nipple bleeding, skin dimpling, nipple inversion, persistent one-sided change, breast redness with fever, or a lump in the armpit. Seek urgent care if you are very unwell, have high fever, rapidly spreading redness or severe pain.
Common questions
Is breast pain usually cancer?
Breast pain is common and often not cancer, but persistent, one-sided or worrying pain should be assessed.
Can I go straight to BreastScreen for a lump?
BreastScreen is for screening people without symptoms. A new lump or change should be assessed by a GP so diagnostic imaging can be arranged if needed.
What age is BreastScreen for?
The BreastScreen Australia Program targets women aged 50 to 74, while some others may be eligible. Ask your GP what applies to you.
Should I check my own breasts?
It is helpful to know what is normal for you and seek review if you notice a new or persistent change.
Further reading from trusted Australian sources
· BreastScreen Australia Program
Practical next step
If this sounds like the help you need, book a GP appointment with Dr Amanda Henderson at GP Maroubra. A longer appointment is usually best if the issue is complex, emotional, involves paperwork, or includes more than one concern. Appointments can be made online or by calling GP Maroubra on (02) 9311 9311 during practice opening hours.
General information only: This information is general and does not replace a consultation with a doctor who knows your history. Health advice can change, and your own risks may be different. In an emergency, call 000.