Breast pain (mastalgia) is one of the common breast-related complaints among women.
Almost 80% of women experience pain in the breast/axilla during their lifetime. It can
be the cyclical mastalgia mean intensity of pain increases during menses and subsides
once its over. It is usually associated with hormone (Oestrogen and progesterone)
related water retention in the breast which causes duct distension and pain. Many other
factors like body weight, dietary intake etc. also determine the pattern of pain.
Noncyclical mastalgia usually persists throughout the month and bears no
relation with the menstrual cycle. This is a less common and can occur due to
nonhormonal causes such as neuromuscular pain, ill-fitting inner clothes, poor posture
or old trauma to the breast.
Usually mastalgia is not the early symptom of breast cancer, however, examination
by a breast surgeon is advisable. He/ She may ask you for breast mammography and
few blood tests like TSH, Serum Prolactin etc. based on your clinical diagnosis.
Treatment of mastalgia includes lifestyle modification, weight reduction or
treatment of underlying co-morbidities. Various nutrition supplements and hormonal
therapies may be prescribed in severe cases.