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I’ve wondered about that myself, actually, as a card carrying member of the itty bitty titty committee.
I can’t speak for mammography specifically, as I have absolutely zero intention of ever getting one (I take personal issue with how sensitive they are these days, as they frequently find tumors that never would have actually caused a problem because they are very slow-growing, leading to over-treatment) but for self-exams, do be aware that certain breasts can have more or less cystic tissue, which can change the feel of the breast. It’s not related to size, afaik, just your own composition, tho larger breasts have a lot more tissue to spread cysts and tumors through, so they might be more or less obvious.
Thus, self exams (for all Humans) are most valuable when you do them regularly, so you know what your own tissue normally feels like, and you can pick out new lumps and monitor them.
I have a lot of cystic tissue, so my breasts are normally a bit on the firm and lumpy side. Nothing to worry about, but if I didn’t know that was normal for me, I might think it was cancerous.
They give you a card?
Yep, inherited membership from my mother :)
Society: Shake what your Momma gave ya!
You: *Waggles card