Breast Pain (Mastalgia)
WHAT IS BREAST PAIN?
Many women have breast tenderness and pain, also called mastalgia.
Types of the breast pain are:
1-Cyclical pain may come and go with monthly periods. cyclical pain is the most common type of breast pain.
It may be caused by the normal monthly changes in the female hormones.
This pain usually occurs in both breasts. It is generally described as a heaviness or soreness that radiates to the armpit and arm.
The pain is usually most severe before menstrual period and is often relieved when period ends. Cyclical breast pain occurs more often in younger women. Most cyclical pain goes away without treatment and usually disappears at menopause.
2-Noncyclic pain is most common in women 30 to 50 years of age. It may occur in only one breast.
It is often described as a sharp, burning pain that occurs in one area of a breast.
Occasionally, noncyclic pain may be caused by fibro adenoma or a cyst.
If the cause of noncyclic pain can be found, treating the cause may relieve the pain.
Breast pain can get worse with changes in your hormone levels or changes in the medicines you are taking. Stress can also affect breast pain
Is the Breast pain Sign of Breast Cancer?
Breast pain is not a common symptom of breast cancer. But in some cases painful lumps are caused by breast cancer
Management of Breast Pain
1-Bra: You may be able to prevent breast pain, tenderness, or discomfort by wearing a sports bra during exercise. It is important that the sports bra fit properly. It should keep the breasts almost motionless and allow them to move together with the chest, not separately.
It should keep the breasts almost motionless and allow them to move together with the chest, not separately.
2- Using oral contraceptives: These may help reduce cyclic breast pain and breast swelling before periods. But breast pain is also a known side effect of birth control pills.
3->Taking magnesium: Magnesium supplements taken in the second half of the menstrual cycle (usually the 2 weeks before the next period) relieve cyclic breast pain as well as other premenstrual symptoms.
4- Reducing dietary fat: to 15% or less of your dietary intake is likely to reduce breast pain over time. Making long-term dietary change significantly reduces breast pain. Some women feel they have a decrease in breast pain when they decrease the amount of caffeine they consume.
5- Non steroidal anti- inflammatory drugs and aspirin: both may help in reduction of acute pain
6- Evening primrose oil: tablet also has been proven to be helpful in the management of the breast pain in a chronic cases
7-Danazol and tamoxifen: are prescription medicines used for the treatment of severe cyclic breast pain. These medicines are rarely used because they have significant side effects. It is important to determine whether the benefits will outweigh the risks of taking these medicines.
By Dr.Nariman Mohamed Aziz
Breast Surgeon Specialist
Faruk Medical City