Breast pain is any discomfort or pain in the breast.
Pain - breast; Mastalgia; Mastodynia; Breast tenderness
There are many possible causes for breast pain. For example, changes in the level of of hormones during menstruation or pregnancy often cause breast pain. Some swelling and tenderness just before your period is normal.
Some women who have pain in one or both breasts may fear breast cancer. However, breast pain is not a common symptom of cancer.
Some breast tenderness is normal. The discomfort may be caused by hormone changes from:
Soon after having a baby, a woman's breasts may become swollen with milk. This can be very painful. If you also have an area of redness, call your health care provider.
Breastfeeding itself may also cause breast pain.
Fibrocystic breast changes are a common cause of breast pain. Fibrocystic breast tissue contains lumps or cysts that tend to be more tender just before your menstrual period.
Certain medicines may also cause breast pain, including:
Shingles can lead to pain in the breast if the painful blistering rash appears on the skin of your breasts.
If you have painful breasts, the following may help:
There is no good evidence to show that reducing the amount of fat, caffeine, or chocolate in your diet helps reduce breast pain. Vitamin E, thiamine, magnesium, and evening primrose oil are not harmful, but most studies have not shown any benefit. Talk to your provider before starting any medicine or supplement.
Certain birth control pills may help ease breast pain. Ask your provider if this therapy is right for you.
Call your provider if you have:
Your provider may arrange a follow-up visit if your symptoms have not gone away in a given period of time. You may be referred to a specialist.
Hunt KK, Mittendorf EA. Diseases of the breast. In: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 20th ed. Philadelphia, PA: Elsevier; 2017:chap 34.
Jacobs L, Hardin R. Management of benign breast disease. In: Cameron JL, Cameron AM, eds. Current Surgical Therapy. 11th ed. Philadelphia, PA: Elsevier Saunders; 2014:565-567.
Olawaiye AB, Alvero R. Mastodynia. In: Ferri FF, ed. Ferri's Clinical Advisor 2017. Philadelphia, PA: Elsevier; 2017:767-767.
Sandadi S, Rock DT, Orr JW, Valea FA. Breast diseases: detection, management, and surveillance of breast disease. In: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Comprehensive Gynecology. 7th ed. Philadelphia, PA: Elsevier; 2017:chap 15.