Breast pain
Breast pain is the symptom of discomfort in either one or both breasts. Pain in both breasts is often described as breast tenderness, is usually associated with the menstrual period and is not serious. Pain that involves only one part of a breast is more concerning, particularly if a hard mass or nipple discharge is also present.
| Breast pain | |
|---|---|
| Other names | Mastodynia, mastalgia, breast tenderness |
| Specialty | Gynecology |
| Types | Cyclic, non-cyclic |
| Causes | Menstrual cycle related, birth control pills, hormone therapy, psychiatric medication, breast cancer |
| Diagnostic method | Examination, medical imaging |
| Differential diagnosis | Gallstones, thoracic outlet syndrome, costochondritis |
| Treatment | Reassurance after ruling out cancer, medications |
| Medication | Paracetamol, NSAIDs |
| Prognosis | >75% resolve without treatment |
| Frequency | 70% of women |
Causes may be related to the menstrual cycle, birth control pills, hormone therapy, or psychiatric medication. Pain may also occur in those with large breasts, during menopause, and in early pregnancy. In about 2% of cases breast pain is related to breast cancer. Diagnosis involves examination, with medical imaging if only a specific part of the breast hurts.
In more than 75% of people the pain resolves without any specific treatment. Otherwise treatments may include paracetamol or NSAIDs. A well fitting bra may also help. In those with severe pain tamoxifen or danazol may be used. About 70% of women have breast pain at some point in time. Breast pain is one of the most common breast symptoms, along with breast masses and nipple discharge.