Painful Breast Introduction

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Painful Breast Introduction
Painful breast is considered as pain in the breast, scientifically called mastalgia. When painful breast is closely related to menstruation, it is called mastodynia. Painful breast is a very common symptom. About 60% of women have some degree of mastalgia, but few consider this symptom important enough to seek medical help.
The painful breast or mastalgia is aWhat is Hematology and what is the role of the hematologist? nuisance usual that affects mainly young women. It can be constant or cyclical and is not usually a symptom of breast cancer. It is necessary to go to the specialist if the pain does not disappear after one or two menstrual cycles or if it persists after menopause.

Main causes of cyclic painful breast

Painful Breast  Introduction

Painful Breast Introduction

Mild pain or small diffuse discomfort in both breasts are normal during the menstrual cycle and occur in almost all women of childbearing age. This type of painful breast usually occurs in the second half of the menstrual
cycle, worsens days before menstruation, and disappears as soon as the woman’s period falls.
When this cyclical pain related to the menstrual cycle is moderate to strong intensity, we say that the patient has cyclical mastalgia. The characteristics are the same of any cyclical pain, but the discomfort is so important that it
can hinder sexual life, social and physical activities in the days before menstruation. Another common cause of cyclic painful breast is known as fibrocystic breast disease. Despite having disease inWhat is Oncology? the name, this breast change is
not a disease in fact. They are only benign cystic nodules that can arise in the breast throughout life due to hormonal stimuli. In some cases, these cysts can be painful.

Main causes of noncyclical painful breast

Unlike cyclical pain, non-cyclical painful breast is not related to the menstrual cycle and generally affects only one of the breasts. Common causes of noncyclical pain include:

 Very large breasts – the weight can cause Cooper’s ligament to stretch, which is the structure that supports the breasts.
 Mastitis – breast inflammations are very common during lactation, but they can also occur in women who are not breastfeeding.
 Trauma to the breast – After injury or trauma, the breast may have non- cyclical pain for some time.
 Ductal Ectasia – This disorder occurs due to dilation and obstruction of the milk-bearing mammary ducts. Ductal ectasia can cause inflammation, leading to a picture very similar to mastitis.
 Pregnancy – The development of the breasts during pregnancy can lead to non-cyclical pain.
 Breast cancer – a type of Mammographymalignant breast tumor, known as Paget’s disease of the breast, is an unusual form of breast cancer that can cause swelling, ulcerations, and pain in the breast.
 Previous breast surgery – after healing of the breast tissue due to surgery or biopsy, the breast that underwent surgery may present with non-cyclical pain.

Main causes of extramammary pain

Painful Breast  Introduction

Painful Breast Introduction

Some women with mastalgia can actually have problems outside the breast, such as muscle pain in the chest region, rib injuries, herpes zoster, fibromyalgia, spinal problems, etc.

Can painful breast be a symptom of breast cancer?

Most women who seek gynecologist for painful breast do so for fear of breast cancer. Fortunately, this fear is unfounded in most cases. The truth is that painful breast is a symptom much more related to benign breast diseases than cancer. Fewer than 3% of women who have painful breast as the sole symptom end up discovering that the source of the pain is a malignant tumor of the breast. In cases of cyclical pain, or when the cause of painful breast is evident, such as recent trauma or a mastitis in progress, there is no need for imaging tests, such as mammography or ultrasound of the breast, to rule out more serious conditions. Unless the pain is of unknown origin and a suspicious isolated nodule can be identified during breast examination, there is no reason to think of breast cancer for patients with complaints of mastalgia.


The first step in treating mastalgia is to calm the patient down and explain that this symptom is not a common sign of breast cancer. In many cases, painful breast goes away over time, without the need for any procedures. In others, simple changes in diet and lifestyle habits can help. Reducing fat, quitting smoking, and reducing caffeine intake appears to be effective in some cases. Women with large breasts should change the size and type of bra to keep
them better supported. Women who practice running or other physical activities that cause intense movement of the breasts should wear “sports bras” to keep them more “trapped.” When the pain is related to a medication, it is either changed or the dose is reduced. IfBreast cancer: Symptoms causes and treatment Us the pain is very uncomfortable, you can use anti-inflammatory drugs or
simple pain relievers for a few days. In cases of severe pain, medications such as tamoxifen and danazol may be prescribed despite frequent side effects.

Treatment and medication of painful breast without specific

The painful breast is likely to go away on its own but when the pain is severe paracetamol or a non-steroidal anti-inflammatory cream will surely be prescribed directly to the area. It may also be effective to change the contraceptive method if you are taking birth control pills or if hormone therapy needs to be changed or stopped in the event of menopause. It is also recommended to carry out some type of relaxation therapy, follow a healthy low-fat diet and reduce caffeine consumption if it is high.

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