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Survey study, 2001

What behaviors and factors are linked to breast pain during the menstrual cycle?

Smoking, caffeine consumption, and stress are each associated with more breast pain. Birth control pills are associated with less breast pain and PMS.

Moderate study design 874 women aged 18-44 in Virginia, USA

What they did

Cross-sectional study using random phone interviews throughout Virginia. Researchers contacted 874 women aged 18-44 and asked about breast pain, smoking, caffeine use, stress, and contraceptive use.

What they found

68% of women experienced cyclical breast symptoms, and 22% experienced moderate to extreme discomfort. Smoking, caffeine, and stress were associated with more pain (odds ratios of 1.52, 1.53, and 1.7 respectively). Hormonal contraceptive use was linked to significantly less mastalgia and PMS. Young women under 35 with breast pain were more likely to have had mammograms (20.2%) than those without breast pain (9.9%). Most women with breast pain (77.5%) did not have PMS.

What it means for you

Lifestyle factors like smoking and caffeine may make cyclical breast pain worse. The study is from one US state and cannot prove these factors cause the pain. It shows that breast pain and PMS are usually separate problems.

22%

experienced moderate to extreme breast pain

68%

experienced some cyclical breast symptoms

1.52

odds ratio for smoking and breast pain

About the study

Original title
Cyclical mastalgia: prevalence and associated health and behavioral factors
Authors
Ader DN, South-Paul J, Adera T et al.
Journal
Journal of psychosomatic obstetrics and gynaecology
Year
2001
Study design
Survey study
Participants
874
What was tested
None

Topics