This short article briefly discusses the clinical approach to mastalgia and the treatment options in the setting of a general practice. It often feels like a sharpness, burning, or soreness in one area or areas of the breast instead of a generalized feeling of pain and tenderness. The dynamed team systematically monitors clinical evidence to continuously provide a synthesis of the most valid relevant evidence to support clinical decisionmaking see 7step evidencebased methodology guideline recommendations summarized in the body of a dynamed topic are provided with the recommendation grading system used in the original guidelines, and allow users to quickly. Vitamin e and evening primrose oil for management of. The subjectivity of a retrospectively collected symptom questioned the validity of this finding. Theres also breast pain that doesnt originate in the breast at all. Most women will experience relief from their breast pain with treatment. Started in 1995, this collection now contains 6907 interlinked topic pages divided into a tree of 31 specialty books and 737 chapters. The aim of this study therefore was to determine the prevalence and describe factors associated with mastalgia among women attending a tertiary hospital in sub. In this study, the outcomes of psychoeducation on anxiety and pain in a group of patients with. Fan y, pei x, liu z, xia z, zhang d, song a, liu d. Breast pain can be cyclical, and related to the menstrual cycle, or noncyclical. May 15, 2016 breast pain mastalgia may be cyclic worse before a period or noncyclic, originating from the breast or the chest wall, and occurs at some time in 70% of women.
The effect of psychoeducation on anxiety and pain in patients with mastalgia. Effect of evening primrose oil and vitamin b6 on pain. This type of pain doesnt bear any relation to the patterns of your menstrual cycle. Nesse sentido, o mastologista deve estar familiarizado com o tema. Whether imaging is done will depend on the type of pain, the exam findings, the womans age. Epidemiology mastalgia accounts for 50 66% of the common breast. It may be caused by the normal monthly changes in hormones.
Etiology localized breast pain is usually caused by a focal disorder that causes a mass, such as a breast cyst, or an infection eg, mastitis, abscess. Many women have breast tenderness and pain, also called mastalgia. When this discomfort is extreme it is classified as mastalgia severe mastodynia. This type of mastalgia is more common after menopause. Apr 18, 2019 mastodynia definition msh pain in the breast generally classified as cyclical associated with menstrual periods, or noncyclical, i. Breast pain sore boobs cyclical and non cyclical patient. What is mastodynia definition, symptoms, causes, treatment. Vendrell dolor mamario summary breast pain, the most frequent symptom in senology, can be or phisiolo gic in telarche and pregnancy or a symptom of an organic process or an idiopathic entity known as mastodynia. Generally, the pain is present all the time and is in only 1 specific location.
It may be cyclical when related to the menstrual cycle or noncyclical no pattern for the pain. Breast pain is the symptom of discomfort in the breast. Of the various breast diseases, painful breasts or mastalgia have been reported since 18292. In the last decade, casecontrol studies have reported that cyclical mastalgia could be considered as an independent risk factor for breast cancer. There are two clinical forms of mastodynia, the cyclical and the noncy. It is particularly concerning if a hard mass or nipple discharge is also present causes may be related to the menstrual cycle, birth control pills, hormone. Topical nonsteroidal anti inflammator y drugs versus oil of evening primrose in the treatment of mastalgia. Mastalgia what is mastalgia mastodynia breast pain. Breast pain clinical evidence handbook american family. Typically, it occurs in the second half of the monthly cycle, becoming worse in the days just before a period. Cyclic pain is the most common type of breast pain. Eightyfive women with premenstrual cyclical breast discomfort were enrolled.
Vitamin e and evening primrose oil for management of cyclical. Around 65% of the women in the age group of 3050 years visit their doctor for mastodynia in western population3. Mastalgia is the most common breastrelated complaint of patients seeking care at both primary care clinics and breast referral centers. Author r m belieu 1 affiliation 1 department of obstetrics and gynecology, university of missourikansas. Mastalgia breast pain gynecology and obstetrics msd. The premenstrual syndrome, premenstrual mastodynia.
Effectiveness of external sanjierupi gao on mastalgia caused. Mastalgia patients determine the overall approach and improve the quality of life of patients. Effect of evening primrose oil and vitamin b6 on pain control. Mastalgia is the medical term used to describe breast pain. They found an association between fibroadenomas and cyclic mastalgia occurring more than 1 year prior to the first fullterm pregnancy. The data were also analyzed with the separation test by aickin, which showed a trend toward a reduction of cyclical mastalgia with vitamin e and epo individually and in combination.
Pain that involves both breasts and which occurs repeatedly before the menstrual period is generally not serious. This tripleblind randomized controlled clinical trial was conducted on 94 patients with mastalgia referring. Mastalgia is a debilitating disorder, which has serious effects on ones daily life and causes significant medical costs. The effect of psychoeducation on anxiety and pain in patients. Mastalgia must be evaluated just like any other breast symptom lump, nodularity, nipple discharge etc. Mastalgia clinical approach and management for a family physician. Role of imaging techniques in evaluating mastalgia at a.
Mastalgia breast pain gynecology and obstetrics msd manual. Mastalgia is one of the commonest symptoms in patients attending a breast clinic and is also the most frequent reason for breastrelated consultation in general practice. To evaluate the curative effect of external application of the chinese drug, sanjierupi gao, on mastalgia caused by mammary gland hyperplasia. The study aimed to compare the effectiveness of evening primrose oil epo and vitamin b6 in the pain control of cyclic mastalgia. Cyclic mastalgia is common in women and has no optimal therapy. Our results suggest that danazol is a useful drug to control moderate to severe mastalgia. Cyclic mastalgia is most common between ages 3545, but can occur as early as the 20s and can also occur in women after menopause, especially if they are taking hormone replacement therapy. One cause of noncyclic breast pain is trauma, or a blow to the breast. Clinical evaluation of mastalgia pain medicine jama. Nov 23, 2017 up to 7 in 10 women develop breast pain mastalgia at some stage in their lives. Other causes can include arthritic pain in the chest cavity and in. Mastodynia is a type of disease in which the patient can feel intense pain in the breast region.
Mastalgia is a common breast condition among women referred to breast clinics worldwide. Feb 03, 2021 mastalgia refers to any type of pain in the breast or musclesjoints near it. Prevalence at a subsaharan african tertiary hospital. It is important to note that pain is only very rarely associated with cancer.
Breast pain or mastalgia is the common symptom in the breast. Oct 14, 2018 mastalgia is the most common symptom of fibrocystic breast changes. A survey of women found that almost half had mild breast pain, and about 1 in 5 had severe breast pain, although most had not reported these symptoms to their doctor. To evaluate the effectiveness of vitamin e, evening primrose oil epo, and the combination of vitamin e and epo for pain control in women with cyclical mastalgia. Daily doses of 1,200 iu vitamin e, 3,000 mg epo, or vitamin e and epo in combination at these same dosages taken for six months may decrease the. Patient having breast pain may also have the tenderness, due to the tenderness of the breast. Taylor, vitamin b6 in the treatment of premenstrual mastalgia br j clin pract 40. The doctor will do a breast exam to make sure there are no suspicious lumps.
A retrospective, casecontrol study to determine if cyclic mastalgia was a risk factor for breast cancer was conducted on 210 newly diagnosed women with breast cancer. Two thirds of screened patients in most series complain of breast pain, of which more than 50% is cyclical in nature. Mastalgia is a common breast symptom that may affect up to 70% of women in their lifetime 1. Aug 15, 2012 mastalgia accounts for up to 66 percent of physician visits for breast symptoms. In the 15% of mastalgia patients who have lifealtering pain and still request mastodynia obstet gynecol clin north am. The aim of this study therefore was to determine the prevalence and describe factors associated with mastalgia among women attending a tertiary hospital in.
The effect of psychoeducation on anxiety and pain in. Mastodynon in cyclic mastodynia agnucaston and mastodynon are convincingly effective. Breast pain may be bilateral, unilateral or in part of. Mastalgia clinical approach and management for a family. It may come and go with monthly periods cyclic or may not follow any pattern noncyclic. Cyclical breast pain where the pain is related to periods. Aug 23, 2016 mastalgia must be evaluated just like any other breast symptom lump, nodularity, nipple discharge etc. Effectiveness of external sanjierupi gao on mastalgia. Pain that involves only one part of a breast is more concerning. Mastalgia, mastodinia, mastopatia fibroquistica, estrogeno, progestageno, danazol. Cyclical mastalgia is a common complaint, with a potentially important relationship to breast cancer risk. It causes concern and fear of breast cancer and has negative effects on quality of life. Mastalgia, in the absence of any lump and in younger women is a rare symptom of breast cancer4. Premenstrual syndrome pms, mastodynia, prolactin and infertility one of the most common and frightening symptoms for women is premenstrual breast pain premenstrual mastodynia which occurs in more than 20% of the female population.
1175 1664 206 829 845 1003 1456 18 1000 273 1484 1434 840 1390 1683 168 846 1349 1608 980 446 989 437 1398 767 119 144 884 760 1587 494 1185 1641 1229 308