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Review, 2005

What causes breast pain and how is it treated?

Breast pain affects up to 2 out of 3 women and can be associated with PMS. It is usually benign, and most women do not need treatment.

Early or limited evidence Women in their reproductive years

What they did

Review article examining causes and management of mastalgia (breast pain) and its association with conditions including PMS.

What they found

Mastalgia affects up to 2 out of 3 women during their reproductive lives. It is usually benign but causes worry about cancer. It can be associated with PMS, fibrocystic breast disease, and psychological disturbance. About 15% of women require pain-relieving therapy. First-line treatments include mechanical breast support, low-fat high-carbohydrate diet, and topical NSAIDs. Hormonal treatments are effective but have side effects. 60% of cyclic mastalgia recurs after treatment.

What it means for you

Breast pain is common in women of reproductive age and often associated with PMS, but most cases are benign and do not require medication. Several treatment options exist for the minority of women who need pain relief.

2 out of 3

Proportion of women affected by breast pain

15%

Percentage requiring pain-relieving therapy

60%

Percentage of cyclic breast pain that recurs after treatment

About the study

Original title
Mastalgia: a review of management
Authors
Olawaiye A, Withiam-Leitch M, Danakas G et al.
Journal
The Journal of reproductive medicine
Year
2005
Study design
Review
What was tested
Mechanical support, dietary changes, topical NSAIDs, hormonal medications

Topics