Understanding Breast Pain (Mastalgia)

Overview

Breast pain, or mastalgia, is a common condition affecting up to 70% of women at some point in their lives. While it can be concerning, breast pain alone is rarely a sign of breast cancer.

Types of Breast Pain

Cyclical Breast Pain

• Related to menstrual cycle
• Usually affects both breasts
• Pain typically increases before menstruation
• Often accompanied by breast swelling

Non-cyclical Breast Pain

• Not related to menstrual cycle
• May affect one specific area
• Can be constant or intermittent
• May be related to specific activities

Common Causes

Hormonal Factors

• Menstruation
• Pregnancy
• Menopause
• Hormone replacement therapy

Other Causes

• Improper bra fit
• Chest wall pain
• Medications (including some antidepressants)
• Breast cysts
• Breast infection

When to See a Doctor

Seek medical attention if you experience:

• Severe or persistent pain
• Breast lumps
• Nipple discharge
• Redness or swelling
• Pain that interferes with daily activities

Treatment Options

Self-Care Measures

• Wearing a well-fitted supportive bra
• Using hot or cold compresses
• Over-the-counter pain relievers
• Reducing caffeine intake

Medical Treatments

• Oral contraceptives (for cyclical pain)
• Topical pain medications
• Evening primrose oil supplements
• Prescription medications when necessary

Prevention Strategies

1. Maintain a healthy weight
2. Limit caffeine consumption
3. Exercise regularly
4. Wear proper-fitting bras
5. Track symptoms to identify patterns

Conclusion

While breast pain can be uncomfortable and concerning, it's usually benign and treatable. Understanding your symptoms and working with healthcare providers can help manage this common condition effectively.