Ból piersi
Leczenie
Mastalgia, dotykająca 70-77% kobiet, jest objawem o różnorodnej etiologii, rzadko wskazującym na poważne schorzenia, ale znacząco wpływającym na jakość życia. W leczeniu pierwszego rzutu zaleca się metody zachowawcze, takie jak noszenie odpowiednio dopasowanego biustonosza, stosowanie ciepłych lub zimnych kompresów, masaż, aktywność fizyczna oraz techniki relaksacyjne. Dietetycznie warto rozważyć ograniczenie kofeiny, tłuszczów nasyconych i soli oraz zwiększenie spożycia błonnika i węglowodanów złożonych. W przypadku bólu umiarkowanego do silnego skuteczne są niesteroidowe leki przeciwzapalne (NLPZ) – zarówno doustne (ibuprofen, naproksen), jak i miejscowe (diklofenak w żelu lub plastrach), wykazujące skuteczność u około 80% pacjentek. Alternatywnie można stosować paracetamol. Suplementacja olejem z wiesiołka (4 x 1000 mg/dzień), witaminą E (200 IU 2x/dzień) oraz witaminą B6 może przynieść ulgę, szczególnie w cyklicznej mastalgii, jednak wymaga długotrwałego stosowania i oceny skuteczności po kilku miesiącach.
Ból piersi – leczenie
Ból piersi (mastalgia) to powszechny problem dotykający nawet 70-77% kobiet w pewnym momencie życia. Chociaż rzadko jest objawem poważnego schorzenia, może znacząco wpływać na komfort życia i powodować niepokój. Należy pamiętać, że ból piersi to objaw, a nie konkretna choroba, dlatego kluczowe jest zidentyfikowanie jego przyczyny, aby zastosować odpowiednie leczenie.12
W wielu przypadkach ból piersi ustępuje samoistnie bez konieczności stosowania leczenia. Jednakże, gdy dolegliwości są intensywne lub utrzymują się przez dłuższy czas, warto skonsultować się z lekarzem, który może zalecić odpowiednie postępowanie.34
Leczenie zachowawcze
Przed wdrożeniem farmakoterapii, warto rozważyć metody zachowawcze, które w wielu przypadkach mogą przynieść znaczącą ulgę:56
- Noszenie odpowiednio dopasowanego, wygodnego biustonosza bez fiszbinów – zwiększenie fizycznego wsparcia piersi może znacząco zmniejszyć dolegliwości bólowe7
- Stosowanie sportowego biustonosza podczas aktywności fizycznej i w nocy89
- Stosowanie ciepłych lub zimnych kompresów na bolesną okolicę10
- Delikatny masaż piersi, który może zwiększyć przepływ krwi przez tętnice i zmniejszyć ból11
- Regularna aktywność fizyczna, która może poprawić krążenie i zmniejszyć ból piersi, zwłaszcza u kobiet z nadwagą12
- Stosowanie technik relaksacyjnych, które mogą pomóc złagodzić wysoki poziom lęku i depresji związany z mastalgią1314
Modyfikacje dietetyczne
Niektóre zmiany w diecie mogą pomóc w łagodzeniu bólu piersi, chociaż dowody na ich skuteczność są ograniczone:15
- Ograniczenie spożycia kofeiny (kawa, herbata, czekolada, niektóre napoje gazowane) – w niektórych badaniach wykazano, że kobiety mają mniejszy ból piersi, gdy ograniczają spożycie kofeiny1617
- Zmniejszenie spożycia tłuszczów nasyconych i zwiększenie spożycia węglowodanów złożonych1819
- Ograniczenie spożycia soli, która może powodować zatrzymywanie płynów20
- Zwiększenie spożycia błonnika w diecie21
Leki przeciwbólowe
W przypadku nasilonych dolegliwości bólowych, lekarz może zalecić stosowanie leków przeciwbólowych:22
- Niesteroidowe leki przeciwzapalne (NLPZ) – zarówno doustne (ibuprofen, naproksen), jak i miejscowe (diklofenak w postaci plastrów lub żelu) są skuteczne u nawet 80% kobiet z bólem piersi, przy minimalnych działaniach niepożądanych2324
- Paracetamol – może być stosowany jako alternatywa dla NLPZ25
- Miejscowe NLPZ – istnieje konsensus, że miejscowe NLPZ są skuteczne w łagodzeniu bólu piersi i powinny być rozważane jako leczenie pierwszego rzutu, ponieważ uważa się, że korzyści przewyższają ryzyko działań niepożądanych2627
Suplementy i witaminy
Niektóre suplementy diety i witaminy mogą łagodzić objawy bólu piersi i jego nasilenie u niektórych osób:28
- Olej z wiesiołka – ten suplement może zmieniać równowagę kwasów tłuszczowych w komórkach, co może zmniejszać ból piersi. Jest to najprostsze i być może najczęściej stosowane leczenie pierwszej linii w mastalgi. Preparat powinien być przyjmowany w dawce czterech kapsułek po 1000 mg dziennie.2930
- Witamina E – wczesne badania wykazały możliwy korzystny wpływ witaminy E na ból piersi u kobiet przedmiesiączkowych, u których ból piersi zmienia się w trakcie cyklu miesiączkowego. W jednym badaniu 200 jednostek międzynarodowych (IU) witaminy E przyjmowanych dwa razy dziennie przez dwa miesiące poprawiło objawy u kobiet z cyklicznym bólem piersi.31
- Witamina B6 – niektóre kobiety odczuwają ulgę w bólu piersi przy suplementacji witaminą B632
Jeśli wypróbujesz suplement na ból piersi, przestań go przyjmować, jeśli nie zauważysz poprawy po kilku miesiącach. Wypróbuj tylko jeden suplement naraz, aby wyraźnie określić, który pomaga złagodzić ból.33
Leczenie hormonalne
W przypadku ciężkiego bólu piersi, który nie ustępuje po zastosowaniu wcześniej wymienionych metod, lekarz może rozważyć leczenie hormonalne:34
Modyfikacja antykoncepcji hormonalnej
Jeśli ból piersi rozpoczął się po rozpoczęciu stosowania pigułek antykoncepcyjnych, zmiana na inną pigułkę może pomóc. W niektórych przypadkach pigułki antykoncepcyjne mogą zmniejszyć cykliczny ból piersi i obrzęk piersi przed miesiączką.3536
Lekarz może zalecić pomijanie tygodnia bez pigułek lub zmianę metody antykoncepcji, jeśli przyjmujesz pigułki antykoncepcyjne, jednak nie próbuj tego bez porady lekarza.37
Zmniejszenie dawki hormonalnej terapii zastępczej
Jeśli ból pojawił się lub nasilił podczas stosowania hormonalnej terapii zastępczej (HTZ) i nie ustępuje po krótkim czasie, należy poinformować o tym lekarza. Możesz rozważyć zmniejszenie dawki HTZ lub całkowite jej zaprzestanie.3839
Leczenie farmakologiczne w ciężkich przypadkach
W przypadkach ciężkiego bólu piersi, który utrudnia codzienne funkcjonowanie, można rozważyć stosowanie silnych leków hormonalnych:40
Tamoksyfen
Tamoksyfen to lek częściej stosowany w leczeniu i profilaktyce raka piersi, jednak badania wykazały, że jest on również skuteczny w leczeniu cyklicznego bólu piersi. Jest najskuteczniejszym z leków na receptę w leczeniu mastalgii – do 96% kobiet z cyklicznym bólem piersi i 56% kobiet z niecyklicznym bólem piersi wykazuje poprawę w badaniach.4142
Tamoksyfen (10 mg dziennie) pod nadzorem specjalisty może być rozważany, gdy leczenie pierwszej linii jest nieskuteczne. Należy jednak pamiętać, że lek ten może powodować działania niepożądane, które mogą być bardziej uciążliwe niż sam ból piersi.4344
Danazol
Danazol jest jedynym lekiem na receptę zatwierdzonym przez Amerykańską Agencję ds. Żywności i Leków (FDA) do leczenia bólu i tkliwości piersi. Jest bardzo skuteczny w leczeniu bólu piersi, łagodząc objawy u około 70% pacjentek, ale jest związany z istotnymi działaniami niepożądanymi u około 25% pacjentek.4546
Danazol niesie ze sobą ryzyko potencjalnie poważnych działań niepożądanych, takich jak problemy z sercem i wątrobą, a także przyrost masy ciała i zmiany głosu, co ogranicza jego stosowanie.47
Bromokryptyna
Innym lekiem stosowanym w przeszłości do leczenia cyklicznej mastalgii jest bromokryptyna. Ten lek działa poprzez obniżenie poziomu wydzielania prolaktyny i jest skuteczny w 50% przypadków. Jednak jego licencja na to wskazanie została wycofana w USA z powodu częstych i nietolerowanych działań niepożądanych.4849
Leczenie bólu niecyklicznego
Jeśli przyczyną bólu niecyklicznego jest specyficzny stan, leczenie przyczyny może złagodzić ból. Niecykliczny ból piersi zwykle gorzej reaguje na leczenie, ale ustępuje samoistnie u około 50% kobiet.5051
W przypadku niecyklicznego bólu piersi lekarz może zalecić podobne metody leczenia jak w przypadku cyklicznego bólu piersi. Jednak jeśli podstawowa przyczyna bólu jest spowodowana takimi czynnikami jak infekcja lub łagodna torbiel, czasami konieczne jest bardziej specyficzne leczenie tej przyczyny (np. antybiotyki lub operacja).52
Leczenie w przypadku infekcji
W przypadku infekcji piersi (zapalenia piersi) leczeniem z wyboru są antybiotyki. Jeśli obecny jest ropień, lekarze będą musieli chirurgicznie usunąć ropę lub usunąć ją igłą.53
Leczenie torbieli
O ile torbiele nie są szczególnie duże lub bolesne, zazwyczaj nie wymagają leczenia. Jeśli leczenie jest konieczne, polega ono na odprowadzeniu płynu za pomocą igły.54
Kiedy zgłosić się do lekarza
Należy skontaktować się z lekarzem, jeśli ból piersi:55
- Utrzymuje się dłużej niż 2 tygodnie56
- Uniemożliwia codzienne aktywności57
- Nasila się z czasem58
- Jest skoncentrowany w określonym obszarze59
- Towarzyszy mu nowy, rosnący guzek60
- Występuje wraz z krwistym lub przezroczystym wyciekiem z brodawki61
- Pojawia się wraz z objawami infekcji piersi, w tym zaczerwienieniem, wyciekiem ropy lub gorączką62
Postępowanie terapeutyczne – algorytm
Leczenie bólu piersi powinno być dostosowane do jego przyczyny i nasilenia. Zaleca się stopniowe podejście, rozpoczynając od prostych interwencji i przechodząc do bardziej zaawansowanych terapii, jeśli objawy się utrzymują:6364
- Terapia pierwszego rzutu:
- Zapewnienie wsparcia (odpowiednio dopasowany biustonosz)
- Miejscowe NLPZ (np. diklofenak w żelu)
- Doustne leki przeciwbólowe (paracetamol, ibuprofen)
- Modyfikacje stylu życia i diety
- Terapia drugiego rzutu:
- Suplementy (olej z wiesiołka, witamina E)
- Modyfikacja terapii hormonalnej (jeśli jest stosowana)
- Terapia trzeciego rzutu (w przypadku ciężkiego, uporczywego bólu):
- Tamoksyfen (10 mg dziennie)
- Danazol
Ważne jest, aby pamiętać, że większość przypadków bólu piersi ustępuje samoistnie z czasem, a leczenie powinno być dobrane indywidualnie, z uwzględnieniem korzyści i potencjalnych działań niepożądanych.6566
| Rodzaj leczenia | Przykłady | Skuteczność | Wskazania | Uwagi |
|---|---|---|---|---|
| Niefarmakologiczne | Dobrze dopasowany biustonosz, kompresy ciepłe/zimne, masaż, techniki relaksacyjne | Umiarkowana | Pierwsza linia leczenia | Bezpieczne, bez działań niepożądanych |
| NLPZ miejscowe | Diklofenak w żelu, ibuprofen w żelu | Do 80% skuteczności | Ból łagodny do umiarkowanego | Niewielkie ryzyko działań niepożądanych |
| NLPZ doustne | Ibuprofen, naproksen | Dobra | Ból umiarkowany | Ryzyko działań niepożądanych ze strony przewodu pokarmowego |
| Suplementy | Olej z wiesiołka (4 x 1000 mg/dzień), Witamina E (200 IU 2x/dzień) | Zmienna | Ból cykliczny | Wymagają długotrwałego stosowania (3-6 miesięcy) |
| Tamoksyfen | 10-20 mg/dzień | Do 96% w bólu cyklicznym, 56% w niecyklicznym | Ciężki, uporczywy ból | Ryzyko działań niepożądanych (zakrzepica, uderzenia gorąca) |
| Danazol | Dawka zależna od ciężkości objawów | Około 70% pacjentek | Ciężki, uporczywy ból | Działania niepożądane u 25% pacjentek (trądzik, przyrost masy ciała, zmiany głosu) |
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Materiały źródłowe
- #1 Breast Pain Treatment Melbourne, VIC | Mastalgia Treatment Melbourne, VIChttps://www.melbournebreastcancersurgery.com.au/breast-painmastalgia.html
Mastalgia means breast pain. Breast pain is extremely common, and for many women who attend this is their main and only symptom. Mastalgia affects up to 77% of women at some time in their lives, and is so common it is considered part of a normal bodily process rather than a disease. […] Doctors often think it a trivial symptom, but for many women mastalgia causes significant discomfort and anxiety. Breast pain can be very distressing, and many women are anxious that they may have breast cancer. […] It should not be forgotten that mastalgia is a symptom, and therefore is not a specific disease in its own right. […] If you are not sure which type of breast pain you have, it may be worth keeping a pain diary (below) for 2-3 months. Record the days when you have breast pain and highlight the days when the pain is severe enough to affect your lifestyle.
- #2 Mastalgia – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK562195/
Mastalgia, or breast pain, affects up to 70% of women and is a frequent concern in primary care, though it is rarely linked to breast cancer. […] Management often includes education to reduce anxiety, proper bra fitting, and topical NSAIDs for relief. Hormonal treatments like tamoxifen are considered for severe cases but carry risks. […] Most cases resolve over time, and a stepwise treatment approach ensures effective management with minimal unnecessary intervention. […] Following the exclusion of an underlying breast malignancy or significant etiology, patients with persistent mild to moderate mastalgia may be treated with conservative interventions. […] Recommended supportive therapies include: Well-fitting bra: Increasing the breast’s physical support with supportive garments, eg, a well-fitted brassiere.
- #3 Breast pain – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/breast-pain/diagnosis-treatment/drc-20350426
For many people, breast pain resolves on its own over time. You may not need any treatment. […] If you do need help managing your pain or if you need treatment, your doctor might recommend that you: […] Eliminate an underlying cause or aggravating factor. This may involve a simple adjustment, such as wearing a bra with extra support. […] Use a topical nonsteroidal anti-inflammatory (NSAID) medication. You may need to use NSAIDs when your pain is intense. Your doctor may recommend that you apply an NSAID cream directly to the area where you feel pain. […] Adjust birth control pills. If you take birth control pills, skipping the pill-free week or switching birth control methods may help breast pain symptoms. But don’t try this without your doctor’s advice. […] Reduce the dose of menopausal hormone therapy. You might consider lowering the dose of menopausal hormone therapy or stopping it entirely.
- #4 Breast Pain: Tenderness, Causes, Diagnosis & Treatmenthttps://my.clevelandclinic.org/health/diseases/15469-breast-pain-mastalgia
If you have noncyclic breast pain, your healthcare provider may suggest using similar treatment methods as they would for cyclic breast pain. But if they find the underlying cause of your pain is due to things like an infection or a benign cyst, sometimes a more specific treatment is necessary for that cause (like antibiotics or surgery). […] Your healthcare provider can help you manage symptoms with treatments like medication and different self-care practices. Pain that lasts longer than two weeks or becomes severe is always worth a call to your provider.
- #5 Mastalgia – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK562195/
Mastalgia, or breast pain, affects up to 70% of women and is a frequent concern in primary care, though it is rarely linked to breast cancer. […] Management often includes education to reduce anxiety, proper bra fitting, and topical NSAIDs for relief. Hormonal treatments like tamoxifen are considered for severe cases but carry risks. […] Most cases resolve over time, and a stepwise treatment approach ensures effective management with minimal unnecessary intervention. […] Following the exclusion of an underlying breast malignancy or significant etiology, patients with persistent mild to moderate mastalgia may be treated with conservative interventions. […] Recommended supportive therapies include: Well-fitting bra: Increasing the breast’s physical support with supportive garments, eg, a well-fitted brassiere.
- #6 Mastalgia – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK562195/
Relaxation therapy: An older study found the use of relaxation therapy can help patients relieve high levels of anxiety and depression associated with mastalgia. […] Exercise: Increased physical activity while wearing a supportive sports bra may improve mastalgia, especially in overweight women. […] Dietary modifications: Avoidance of foods and beverages associated with increased breast pain, including methylxanthines found in coffee, chocolate, tea, and some soft drinks, and saturated fatty acids, may help to mitigate symptoms. […] Nutritional supplements: Nutritional supplementation of vitamins E and D, evening primrose oil (EPO), and soy have been suggested as beneficial therapies in some women. […] Medications, other than analgesics, are used as second and third-line management options, though referral with a subspecialist is recommended due to various adverse effects associated with these treatments.
- #7 Mastalgia – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK562195/
Mastalgia, or breast pain, affects up to 70% of women and is a frequent concern in primary care, though it is rarely linked to breast cancer. […] Management often includes education to reduce anxiety, proper bra fitting, and topical NSAIDs for relief. Hormonal treatments like tamoxifen are considered for severe cases but carry risks. […] Most cases resolve over time, and a stepwise treatment approach ensures effective management with minimal unnecessary intervention. […] Following the exclusion of an underlying breast malignancy or significant etiology, patients with persistent mild to moderate mastalgia may be treated with conservative interventions. […] Recommended supportive therapies include: Well-fitting bra: Increasing the breast’s physical support with supportive garments, eg, a well-fitted brassiere.
- #8https://myhealth.alberta.ca/Health/pages/conditions.aspx?Hwid=tm6412spec
Cyclic breast pain occurs more often in younger women. Most cyclic pain goes away without treatment and usually disappears at menopause. […] If the cause of non-cyclic pain can be found, treating the cause may relieve the pain. […] You may be able to relieve breast pain by using non-prescription medicines. […] If breast pain becomes severe or lasts longer than 3 weeks, call your doctor to discuss your symptoms. […] Danazol and tamoxifen citrate are prescription medicines used for the treatment of severe cyclic breast pain. […] Birth control pills (oral contraceptives) may help reduce cyclic breast pain and breast swelling before periods. […] You may be able to prevent breast pain, tenderness, or discomfort by wearing a sports bra during exercise.
- #9 Breast pain | Breast Cancer Nowhttps://breastcancernow.org/about-breast-cancer/breast-lumps-and-benign-not-cancer-breast-conditions/breast-pain
Breast pain is very common in women of all ages and can also affect men. […] The options for treating cyclical and non-cyclical pain are often the same, though non-cyclical pain is not always as easy to treat. […] If you have cyclical breast pain, your GP may reassure you that what you’re experiencing is a normal part of your monthly cycle. […] Your GP may suggest changes to your diet that might help reduce pain, but there’s limited evidence to show these work. These include eating a low-fat diet, eating more fibre and reducing caffeine and alcohol. […] Wearing a supportive and well-fitting bra during the day, during any physical activity and at night can be helpful. […] Some women have found relaxation therapy useful in reducing their symptoms of cyclical breast pain, such as relaxation CDs or apps, or other complementary therapies such as acupuncture and aromatherapy.
- #10 Breast pain | Healthifyhttps://healthify.nz/health-a-z/b/breast-pain
Breast pain can be treated with self-care measures such as wearing a better fitting bra. […] Treatment for non-cyclical breast pain depends on the cause. […] Here are some self-care measures that may help with breast pain: Wear a supportive and well-fitting bra without an underwire during the day. Wear a sports bra when exercising. Wear a soft support bra without underwire when you sleep. Reduce caffeine. Increasing soy and reducing salt in your diet. Stopping smoking if you smoke. Warm compresses, ice packs or gentle massage may help. Take pain relief, such as paracetamol or ibuprofen, as directed by your healthcare provider or pharmacist. If you take hormone medicine of any kind, discuss stopping, reducing or changing this with your healthcare provider. 3000 mg evening primrose oil each day may help. It takes 4 months of treatment to find out if it works for you. It can give you an upset stomach or headache and shouldn’t be used if you have epilepsy. Discuss evening primrose oil with your healthcare provider or pharmacists first, especially if you’re taking other medicines. […] If your breast pain is non-cyclical, treatment will depend on the cause of your breast pain.
- #11 Quick Remedy For Breast Pain | Dr Rajeev Agarwalhttps://drrajeevagarwal.in/blog/quick-remedy-for-breast-pain/
Women experience several breast-related illnesses that must be treated. Breast pain is another issue that should be managed as soon as possible. Tenderness in the breasts can occur for various reasons; luckily, it does not necessitate medical attention until the discomfort or soreness worsens. […] In most cases, breast soreness in women can be treated with simple home remedies that are helpful if you are wondering how to relieve pain in the breast. […] The following home remedies may be a successful means of reducing breast pain. These methods serve as a quick remedy for breast pain, help to control fluid retention and promote breast health. […] Giving your breasts a good massage is a quick remedy for breast pain. It will increase the blood flow through the arteries, which may relieve the pain.
- #12 Mastalgia – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK562195/
Relaxation therapy: An older study found the use of relaxation therapy can help patients relieve high levels of anxiety and depression associated with mastalgia. […] Exercise: Increased physical activity while wearing a supportive sports bra may improve mastalgia, especially in overweight women. […] Dietary modifications: Avoidance of foods and beverages associated with increased breast pain, including methylxanthines found in coffee, chocolate, tea, and some soft drinks, and saturated fatty acids, may help to mitigate symptoms. […] Nutritional supplements: Nutritional supplementation of vitamins E and D, evening primrose oil (EPO), and soy have been suggested as beneficial therapies in some women. […] Medications, other than analgesics, are used as second and third-line management options, though referral with a subspecialist is recommended due to various adverse effects associated with these treatments.
- #13 Mastalgia – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK562195/
Relaxation therapy: An older study found the use of relaxation therapy can help patients relieve high levels of anxiety and depression associated with mastalgia. […] Exercise: Increased physical activity while wearing a supportive sports bra may improve mastalgia, especially in overweight women. […] Dietary modifications: Avoidance of foods and beverages associated with increased breast pain, including methylxanthines found in coffee, chocolate, tea, and some soft drinks, and saturated fatty acids, may help to mitigate symptoms. […] Nutritional supplements: Nutritional supplementation of vitamins E and D, evening primrose oil (EPO), and soy have been suggested as beneficial therapies in some women. […] Medications, other than analgesics, are used as second and third-line management options, though referral with a subspecialist is recommended due to various adverse effects associated with these treatments.
- #14 Work-up and management of breast pain – Li – Annals of Breast Surgeryhttps://abs.amegroups.org/article/view/6968/html
The treatment for cyclical and noncyclical breast pain overlap, although cyclical breast pain is often more responsive to treatment. […] With normal findings on physical exam and breast imaging, all patients with any type of breast pain should be reassured that their symptoms are not caused by breast cancer. […] If breast pain is persistent, or significantly impacts quality of life, additional therapies can be considered. […] Conservative, non-pharmacological therapies should always be attempted first. […] Multiple studies suggest that patients with breast pain have increased levels of anxiety. […] The elimination of caffeine has been shown to reduce breast pain in some studies but was not shown to be consistently effective in all studies. […] Medications can be considered for persistent or severe pain that does not respond to conservative therapy.
- #15 Breast pain | Breast Cancer Nowhttps://breastcancernow.org/about-breast-cancer/breast-lumps-and-benign-not-cancer-breast-conditions/breast-pain
Breast pain is very common in women of all ages and can also affect men. […] The options for treating cyclical and non-cyclical pain are often the same, though non-cyclical pain is not always as easy to treat. […] If you have cyclical breast pain, your GP may reassure you that what you’re experiencing is a normal part of your monthly cycle. […] Your GP may suggest changes to your diet that might help reduce pain, but there’s limited evidence to show these work. These include eating a low-fat diet, eating more fibre and reducing caffeine and alcohol. […] Wearing a supportive and well-fitting bra during the day, during any physical activity and at night can be helpful. […] Some women have found relaxation therapy useful in reducing their symptoms of cyclical breast pain, such as relaxation CDs or apps, or other complementary therapies such as acupuncture and aromatherapy.
- #16 Mastalgia – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK562195/
Relaxation therapy: An older study found the use of relaxation therapy can help patients relieve high levels of anxiety and depression associated with mastalgia. […] Exercise: Increased physical activity while wearing a supportive sports bra may improve mastalgia, especially in overweight women. […] Dietary modifications: Avoidance of foods and beverages associated with increased breast pain, including methylxanthines found in coffee, chocolate, tea, and some soft drinks, and saturated fatty acids, may help to mitigate symptoms. […] Nutritional supplements: Nutritional supplementation of vitamins E and D, evening primrose oil (EPO), and soy have been suggested as beneficial therapies in some women. […] Medications, other than analgesics, are used as second and third-line management options, though referral with a subspecialist is recommended due to various adverse effects associated with these treatments.
- #17 Why Do My Breasts Hurt? Understanding Breast Pain Causeshttps://www.webmd.com/women/why-do-my-breasts-hurt
To help ease cyclical breast pain, your doctor may suggest you to take oral contraceptives, or they may change the dosage you already take. They might also suggest trying over-the-counter pain relievers, such as acetaminophen, ibuprofen, or naproxen sodium. […] Faith Ohuoba, MD, an OB-GYN at Memorial Hermann Health System in Houston, TX, says making changes to what you eat and drink can also ease pain. „When I have patients come in with breast pain, I always ask, 'Are you eating or drinking a lot of caffeine?’ Caffeine is a well-known cause of breast pain. It can be tea, coffee, and chocolate.” […] To ease your symptoms, try cutting down the fat in your diet. Your doctor might also recommend a diet high in complex carbs. […] Some doctors think taking evening primrose oil helps correct fatty acid imbalances.
- #18 Mastalgia – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK562195/
Relaxation therapy: An older study found the use of relaxation therapy can help patients relieve high levels of anxiety and depression associated with mastalgia. […] Exercise: Increased physical activity while wearing a supportive sports bra may improve mastalgia, especially in overweight women. […] Dietary modifications: Avoidance of foods and beverages associated with increased breast pain, including methylxanthines found in coffee, chocolate, tea, and some soft drinks, and saturated fatty acids, may help to mitigate symptoms. […] Nutritional supplements: Nutritional supplementation of vitamins E and D, evening primrose oil (EPO), and soy have been suggested as beneficial therapies in some women. […] Medications, other than analgesics, are used as second and third-line management options, though referral with a subspecialist is recommended due to various adverse effects associated with these treatments.
- #19 Why Do My Breasts Hurt? Understanding Breast Pain Causeshttps://www.webmd.com/women/why-do-my-breasts-hurt
To help ease cyclical breast pain, your doctor may suggest you to take oral contraceptives, or they may change the dosage you already take. They might also suggest trying over-the-counter pain relievers, such as acetaminophen, ibuprofen, or naproxen sodium. […] Faith Ohuoba, MD, an OB-GYN at Memorial Hermann Health System in Houston, TX, says making changes to what you eat and drink can also ease pain. „When I have patients come in with breast pain, I always ask, 'Are you eating or drinking a lot of caffeine?’ Caffeine is a well-known cause of breast pain. It can be tea, coffee, and chocolate.” […] To ease your symptoms, try cutting down the fat in your diet. Your doctor might also recommend a diet high in complex carbs. […] Some doctors think taking evening primrose oil helps correct fatty acid imbalances.
- #20 8 Ways to Manage Breast Pain and Tenderness | El Camino Healthhttps://www.elcaminohealth.org/stay-healthy/blog/8-ways-manage-breast-pain-and-tenderness
If you have occasional breast pain, youre not alone most women have it at some time in their life. But there are ways to help manage it and some things youre doing might be making it worse. […] If you have noncyclic breast pain, or if your breast pain interferes with your life, see your doctor. […] here are eight ways to help manage the pain or to keep from making it worse: […] A high-fat diet can make breast pain worse and theres evidence it could actually increase your risk for breast cancer. […] some studies have shown that women have less breast pain when they skip caffeine or reduce the amount they consume. […] Both vitamins have been shown to help reduce breast pain. […] Its an excellent source of essential fatty acids, and fatty acid imbalance has been linked to breast pain. […] One of the most common causes of noncyclic breast pain is a poorly fitted bra. […] Salt can cause fluid retention, which has been linked to breast pain. […] Tell them about any pain or changes you can see or feel in your breasts.
- #21 Breast pain | Breast Cancer Nowhttps://breastcancernow.org/about-breast-cancer/breast-lumps-and-benign-not-cancer-breast-conditions/breast-pain
Breast pain is very common in women of all ages and can also affect men. […] The options for treating cyclical and non-cyclical pain are often the same, though non-cyclical pain is not always as easy to treat. […] If you have cyclical breast pain, your GP may reassure you that what you’re experiencing is a normal part of your monthly cycle. […] Your GP may suggest changes to your diet that might help reduce pain, but there’s limited evidence to show these work. These include eating a low-fat diet, eating more fibre and reducing caffeine and alcohol. […] Wearing a supportive and well-fitting bra during the day, during any physical activity and at night can be helpful. […] Some women have found relaxation therapy useful in reducing their symptoms of cyclical breast pain, such as relaxation CDs or apps, or other complementary therapies such as acupuncture and aromatherapy.
- #22 Breast pain – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/breast-pain/diagnosis-treatment/drc-20350426
For many people, breast pain resolves on its own over time. You may not need any treatment. […] If you do need help managing your pain or if you need treatment, your doctor might recommend that you: […] Eliminate an underlying cause or aggravating factor. This may involve a simple adjustment, such as wearing a bra with extra support. […] Use a topical nonsteroidal anti-inflammatory (NSAID) medication. You may need to use NSAIDs when your pain is intense. Your doctor may recommend that you apply an NSAID cream directly to the area where you feel pain. […] Adjust birth control pills. If you take birth control pills, skipping the pill-free week or switching birth control methods may help breast pain symptoms. But don’t try this without your doctor’s advice. […] Reduce the dose of menopausal hormone therapy. You might consider lowering the dose of menopausal hormone therapy or stopping it entirely.
- #23 Mastalgia – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK562195/
For patients with severe pain or mastalgia unresponsive to supportive therapy, the following pharmacologic treatments may be considered: Analgesics: NSAIDs, acetaminophen, ibuprofen, and topical (diclofenac in patch or gel form) are effective in up to 80% of women with mastalgia while having minimal adverse effects. […] Tamoxifen: Out of the prescription medication treatments, tamoxifen, a selective estrogen receptor modulator, is the most effective for mastalgia management, with up to 96% of women with cyclic breast pain and 56% of women with noncyclic breast pain demonstrating improvement in studies. […] Danazol: Although recommended as a second-line prescription agent to tamoxifen, this is the only US Food and Drug Administration (FDA) approved medication to treat mastalgia. […] In general, noncyclic mastodynia responds more poorly to treatment than cyclic mastodynia. However, 50% of noncyclic cases will resolve spontaneously. While cyclic mastalgia more reliably responds to treatment, up to 60% of cases could recur after ceasing therapy.
- #24 Breast painhttps://pmc.ncbi.nlm.nih.gov/articles/PMC3275318/
Breast pain may be cyclical (worse before a period) or non-cyclical, originating from the breast or the chest wall, and occurs at some time in 70% of women. […] Cyclical breast pain resolves spontaneously in 20% to 30% of women, but tends to recur in 60% of women. […] Non-cyclical pain responds poorly to treatment but tends to resolve spontaneously in half of women. […] Diclofenac (a topical NSAID) seems effective at relieving symptoms of cyclical and non-cyclical breast pain but has been associated with adverse effects. […] There is consensus that topical NSAIDs are effective in relieving breast pain and should be considered as a first-line treatment, as the benefits are thought to outweigh the risk of adverse effects. […] Danazol, tamoxifen, toremifene, gonadorelin analogues, and gestrinone may reduce breast pain, but all can cause adverse effects.
- #25 Breast pain: MedlinePlus Medical EncyclopediaLockhttps://medlineplus.gov/ency/article/003152.htm
Breast pain is any discomfort or pain in the breast. […] If you have painful breasts, the following may help: Take medicine such as acetaminophen or ibuprofen, Use heat or ice on the breast, Wear a well-fitting bra that supports your breasts, such as a sports bra. […] Certain birth control pills may help ease breast pain, although in other cases, it may cause breast pain. Ask your provider if this therapy is right for you. […] Contact your provider if you have: Bloody or clear discharge from your nipple, Given birth within the last week and your breasts are swollen or hard, Noticed a new lump that does not go away after your menstrual period, Persistent, unexplained breast pain, Signs of a breast infection, including redness, pus drainage, or fever. […] Your provider will perform a breast examination and ask questions about your breast pain. You may have a mammogram or ultrasound.
- #26 Breast painhttps://pmc.ncbi.nlm.nih.gov/articles/PMC3275318/
Breast pain may be cyclical (worse before a period) or non-cyclical, originating from the breast or the chest wall, and occurs at some time in 70% of women. […] Cyclical breast pain resolves spontaneously in 20% to 30% of women, but tends to recur in 60% of women. […] Non-cyclical pain responds poorly to treatment but tends to resolve spontaneously in half of women. […] Diclofenac (a topical NSAID) seems effective at relieving symptoms of cyclical and non-cyclical breast pain but has been associated with adverse effects. […] There is consensus that topical NSAIDs are effective in relieving breast pain and should be considered as a first-line treatment, as the benefits are thought to outweigh the risk of adverse effects. […] Danazol, tamoxifen, toremifene, gonadorelin analogues, and gestrinone may reduce breast pain, but all can cause adverse effects.
- #27 Breast Pain | AAFPhttps://www.aafp.org/pubs/afp/issues/2016/0515/p872.html
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. […] Noncyclic pain responds poorly to treatment but tends to resolve spontaneously in about one-half of women. […] We found limited evidence that topical diclofenac may be effective at relieving symptoms of cyclic and noncyclic breast pain, but it has been associated with adverse effects. […] There is consensus that topical non-steroidal anti-inflammatory drugs (NSAIDs) are effective in relieving breast pain and should be considered as a first-line treatment, as the benefits are thought to outweigh the risk of adverse effects. […] Danazol, tamoxifen, and gonadorelin analogues (goserelin) may reduce breast pain, but all can cause adverse effects. These agents would usually be prescribed only by a subspecialist.
- #28 Breast pain – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/breast-pain/diagnosis-treatment/drc-20350426
Take a prescription medication. Danazol is the only prescription medication approved by the Food and Drug Administration for treating fibrocystic breasts. However, danazol carries the risk of potentially severe side effects, such as heart and liver problems, as well as weight gain and voice changes. Tamoxifen, a prescription medication for breast cancer treatment and prevention, may help, but this drug also carries the potential for side effects that may be more bothersome than the breast pain itself. […] Vitamins and dietary supplements may lessen breast pain symptoms and severity for some people. Ask your doctor if one of these might help you and ask about doses and any possible side effects: […] Evening primrose oil. This supplement may change the balance of fatty acids in your cells, which may reduce breast pain.
- #29 Breast pain – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/breast-pain/diagnosis-treatment/drc-20350426
Take a prescription medication. Danazol is the only prescription medication approved by the Food and Drug Administration for treating fibrocystic breasts. However, danazol carries the risk of potentially severe side effects, such as heart and liver problems, as well as weight gain and voice changes. Tamoxifen, a prescription medication for breast cancer treatment and prevention, may help, but this drug also carries the potential for side effects that may be more bothersome than the breast pain itself. […] Vitamins and dietary supplements may lessen breast pain symptoms and severity for some people. Ask your doctor if one of these might help you and ask about doses and any possible side effects: […] Evening primrose oil. This supplement may change the balance of fatty acids in your cells, which may reduce breast pain.
- #30 Breast Pain Treatment Melbourne, VIC | Mastalgia Treatment Melbourne, VIChttps://www.melbournebreastcancersurgery.com.au/breast-painmastalgia.html
In some women however, the pain can become quite severe. When this occurs, cyclical mastalgia can be considered abnormal, and such patients usually seek advice and help from their doctor. […] The simplest and perhaps most commonly used first line treatment for mastalgia is Evening Primrose Oil, which proves helpful for many women. This preparation should be taken at a dose of four 1000mg capsules per day. […] Simple pain medication such as paracetamol can reduce mastalgia. This is of particular benefit for women who get cyclical mastalgia that is only present for a few days each month. […] Research has shown that non-steroidal anti-inflammatory pain relief, such as ibuprofen, can help breast pain, particularly non-cyclical pain. […] Some women with cyclical mastalgia find their symptoms improve on a low dose oral contraceptive pill.
- #31 Breast pain – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/breast-pain/diagnosis-treatment/drc-20350426
Vitamin E. Early studies showed a possible beneficial effect of vitamin E on breast pain in premenstrual women who experience breast pain that fluctuates during the menstrual cycle. In one study, 200 international units (IU) of vitamin E taken twice daily for two months improved symptoms in women with cyclic breast pain. There was no additional benefit after four months. […] If you try a supplement for breast pain, stop taking it if you don’t notice any improvement in your breast pain after a few months. Try just one supplement at a time so that you can clearly determine which one helps alleviate the pain or not.
- #32 7 Ways To Treat Breast Pain During Menopause | Rebelle Healthhttps://www.rebellehealth.com/resources/7-ways-to-treat-breast-pain-during-menopause
Explore seven effective ways to treat and manage breast pain during menopause, providing relief and comfort during this transitional period. Say goodbye to breast pain during menopause! Dive into our guide on 7 powerful strategies to reduce breast tenderness during menopause. Painful breasts can interfere with your daily life and sometimes your sleep. Here are some helpful tips to support reduced breast pain and tenderness during perimenopause and menopause. Wearing a well-fitted, supportive bra can significantly alleviate breast discomfort. A sports bra or a bra without underwire can offer more comfort, especially during periods of increased sensitivity. You might want to have a trial elimination of caffeinated drinks/foods such as coffee, tea, cola, energy drinks and chocolate to see if this relieves your breast pain. Reducing your salt intake could help reduce fluid retention and breast pain. Some women find relief from breast discomfort with supplements like vitamin E, Vitamin B6 or evening primrose oil. Maintaining a healthy lifestyle can help manage menopausal symptoms, including breast discomfort. Hormone replacement therapy (HRT) can reduce breast tenderness in some women and contribute to it in others. If you are using menopause hormone therapy, talk to your health provider if you think it could be contributing to your breast pain and they may have a better alternative dose or type. In some cases, over-the-counter pain relievers like ibuprofen or acetaminophen (paracetamol) can help manage breast pain. Women going through menopause should continue regular breast self-exams and mammograms as recommended by their healthcare provider. While breast discomfort during menopause is common, certain signs warrant medical attention: New lumps or changes in breast texture, Persistent breast pain or tenderness, Nipple discharge or changes in nipple appearance. Breast pain during menopause is often a result of hormonal changes and can vary in intensity among women. Use our 7 easy steps to reduce your breast discomfort. Always seek medical advice for any concerning changes in breast health.
- #33 Breast pain – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/breast-pain/diagnosis-treatment/drc-20350426
Vitamin E. Early studies showed a possible beneficial effect of vitamin E on breast pain in premenstrual women who experience breast pain that fluctuates during the menstrual cycle. In one study, 200 international units (IU) of vitamin E taken twice daily for two months improved symptoms in women with cyclic breast pain. There was no additional benefit after four months. […] If you try a supplement for breast pain, stop taking it if you don’t notice any improvement in your breast pain after a few months. Try just one supplement at a time so that you can clearly determine which one helps alleviate the pain or not.
- #34 Breast pain | Breast Cancer Nowhttps://breastcancernow.org/about-breast-cancer/breast-lumps-and-benign-not-cancer-breast-conditions/breast-pain
If your pain started when you began taking a contraceptive pill, changing to a different pill may help. […] If your pain started or increased while taking HRT and does not settle after a short time, tell your GP. […] Research has shown that non-steroidal anti-inflammatory pain relief, such as ibuprofen, can help breast pain, particularly non-cyclical pain. […] If your pain is severe, goes on for a long time or you’ve tried the things listed above and they have not helped, your doctor may consider giving you a hormone-suppressing drug, such as tamoxifen. […] Tamoxifen is not licensed to treat breast pain and is commonly used to treat breast cancer. Research has shown it’s also effective in treating cyclical breast pain, so it’s sometimes used for this. […] Having breast pain can be upsetting, especially if the pain persists and your specialist cannot tell you the exact cause. […] If breast pain is affecting your daily activities, it may make you feel anxious or low in mood.
- #35 Breast pain | Breast Cancer Nowhttps://breastcancernow.org/about-breast-cancer/breast-lumps-and-benign-not-cancer-breast-conditions/breast-pain
If your pain started when you began taking a contraceptive pill, changing to a different pill may help. […] If your pain started or increased while taking HRT and does not settle after a short time, tell your GP. […] Research has shown that non-steroidal anti-inflammatory pain relief, such as ibuprofen, can help breast pain, particularly non-cyclical pain. […] If your pain is severe, goes on for a long time or you’ve tried the things listed above and they have not helped, your doctor may consider giving you a hormone-suppressing drug, such as tamoxifen. […] Tamoxifen is not licensed to treat breast pain and is commonly used to treat breast cancer. Research has shown it’s also effective in treating cyclical breast pain, so it’s sometimes used for this. […] Having breast pain can be upsetting, especially if the pain persists and your specialist cannot tell you the exact cause. […] If breast pain is affecting your daily activities, it may make you feel anxious or low in mood.
- #36https://myhealth.alberta.ca/Health/pages/conditions.aspx?Hwid=tm6412spec
Cyclic breast pain occurs more often in younger women. Most cyclic pain goes away without treatment and usually disappears at menopause. […] If the cause of non-cyclic pain can be found, treating the cause may relieve the pain. […] You may be able to relieve breast pain by using non-prescription medicines. […] If breast pain becomes severe or lasts longer than 3 weeks, call your doctor to discuss your symptoms. […] Danazol and tamoxifen citrate are prescription medicines used for the treatment of severe cyclic breast pain. […] Birth control pills (oral contraceptives) may help reduce cyclic breast pain and breast swelling before periods. […] You may be able to prevent breast pain, tenderness, or discomfort by wearing a sports bra during exercise.
- #37 Breast pain – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/breast-pain/diagnosis-treatment/drc-20350426
For many people, breast pain resolves on its own over time. You may not need any treatment. […] If you do need help managing your pain or if you need treatment, your doctor might recommend that you: […] Eliminate an underlying cause or aggravating factor. This may involve a simple adjustment, such as wearing a bra with extra support. […] Use a topical nonsteroidal anti-inflammatory (NSAID) medication. You may need to use NSAIDs when your pain is intense. Your doctor may recommend that you apply an NSAID cream directly to the area where you feel pain. […] Adjust birth control pills. If you take birth control pills, skipping the pill-free week or switching birth control methods may help breast pain symptoms. But don’t try this without your doctor’s advice. […] Reduce the dose of menopausal hormone therapy. You might consider lowering the dose of menopausal hormone therapy or stopping it entirely.
- #38 Breast pain – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/breast-pain/diagnosis-treatment/drc-20350426
For many people, breast pain resolves on its own over time. You may not need any treatment. […] If you do need help managing your pain or if you need treatment, your doctor might recommend that you: […] Eliminate an underlying cause or aggravating factor. This may involve a simple adjustment, such as wearing a bra with extra support. […] Use a topical nonsteroidal anti-inflammatory (NSAID) medication. You may need to use NSAIDs when your pain is intense. Your doctor may recommend that you apply an NSAID cream directly to the area where you feel pain. […] Adjust birth control pills. If you take birth control pills, skipping the pill-free week or switching birth control methods may help breast pain symptoms. But don’t try this without your doctor’s advice. […] Reduce the dose of menopausal hormone therapy. You might consider lowering the dose of menopausal hormone therapy or stopping it entirely.
- #39 Breast pain | Breast Cancer Nowhttps://breastcancernow.org/about-breast-cancer/breast-lumps-and-benign-not-cancer-breast-conditions/breast-pain
If your pain started when you began taking a contraceptive pill, changing to a different pill may help. […] If your pain started or increased while taking HRT and does not settle after a short time, tell your GP. […] Research has shown that non-steroidal anti-inflammatory pain relief, such as ibuprofen, can help breast pain, particularly non-cyclical pain. […] If your pain is severe, goes on for a long time or you’ve tried the things listed above and they have not helped, your doctor may consider giving you a hormone-suppressing drug, such as tamoxifen. […] Tamoxifen is not licensed to treat breast pain and is commonly used to treat breast cancer. Research has shown it’s also effective in treating cyclical breast pain, so it’s sometimes used for this. […] Having breast pain can be upsetting, especially if the pain persists and your specialist cannot tell you the exact cause. […] If breast pain is affecting your daily activities, it may make you feel anxious or low in mood.
- #40 Breast Pain Treatment Melbourne, VIC | Mastalgia Treatment Melbourne, VIChttps://www.melbournebreastcancersurgery.com.au/breast-painmastalgia.html
For severe cases of mastalgia that interfere with lifestyle, there are strong hormonal medications such as tamoxifen, danazol and bromocryptine. […] Tamoxifen is a drug more commonly used to treat and prevent breast cancer, however, research has shown it is also effective in the treatment of cyclical breast pain. […] Danazol, which was often used in the past, is very effective in treating breast pain, relieving symptoms in around 70% of patients but is associated with significant side-effects in about 25% of patients. […] Another drug also used in the past to treat cyclical mastalgia is bromocriptine. This drug acts to lower the levels of prolactin secretion and is effective in 50% of cases.
- #41 Mastalgia – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK562195/
For patients with severe pain or mastalgia unresponsive to supportive therapy, the following pharmacologic treatments may be considered: Analgesics: NSAIDs, acetaminophen, ibuprofen, and topical (diclofenac in patch or gel form) are effective in up to 80% of women with mastalgia while having minimal adverse effects. […] Tamoxifen: Out of the prescription medication treatments, tamoxifen, a selective estrogen receptor modulator, is the most effective for mastalgia management, with up to 96% of women with cyclic breast pain and 56% of women with noncyclic breast pain demonstrating improvement in studies. […] Danazol: Although recommended as a second-line prescription agent to tamoxifen, this is the only US Food and Drug Administration (FDA) approved medication to treat mastalgia. […] In general, noncyclic mastodynia responds more poorly to treatment than cyclic mastodynia. However, 50% of noncyclic cases will resolve spontaneously. While cyclic mastalgia more reliably responds to treatment, up to 60% of cases could recur after ceasing therapy.
- #42 Breast Pain Treatment Melbourne, VIC | Mastalgia Treatment Melbourne, VIChttps://www.melbournebreastcancersurgery.com.au/breast-painmastalgia.html
For severe cases of mastalgia that interfere with lifestyle, there are strong hormonal medications such as tamoxifen, danazol and bromocryptine. […] Tamoxifen is a drug more commonly used to treat and prevent breast cancer, however, research has shown it is also effective in the treatment of cyclical breast pain. […] Danazol, which was often used in the past, is very effective in treating breast pain, relieving symptoms in around 70% of patients but is associated with significant side-effects in about 25% of patients. […] Another drug also used in the past to treat cyclical mastalgia is bromocriptine. This drug acts to lower the levels of prolactin secretion and is effective in 50% of cases.
- #43 Breast painhttps://pmc.ncbi.nlm.nih.gov/articles/PMC3275318/
Tamoxifen (10 mg daily) under expert supervision, or danazol, may be considered when first-line treatments are ineffective. […] Hormone replacement therapy (HRT), which is associated with increased risks of breast cancer, venous thromboembolism, and gall bladder disease, may worsen breast pain. […] Evening primrose oil has not been shown to improve breast pain, and its licence has been withdrawn for this indication in the UK owing to lack of efficacy. […] There is consensus that pyridoxine, diuretics, progestogens, tibolone, and antibiotics do not have a role in treating mastalgia. […] We don’t know whether the combined oral contraceptive pill reduces breast pain, as we found no RCTs. […] We don’t know whether a low-fat, high-carbohydrate diet, lisuride, or vitamin E reduce breast pain, as we found few studies. […] Bromocriptine reduces breast pain compared with placebo, but its licence for this indication has been withdrawn in the USA because of frequent and intolerable adverse effects.
- #44 Home Remedies: Tending to breast tenderness – Mayo Clinic News Networkhttps://newsnetwork.mayoclinic.org/discussion/home-remedies-tending-to-breast-tenderness/
For many women, breast pain resolves on its own over time and you may not need any treatment. However, while there is little research to show the effectiveness of these self-care remedies, some may be worth a try: […] Use a topical nonsteroidal anti-inflammatory (NSAID) medication. You may need to use NSAIDs when your pain is intense. Your doctor may recommend you apply an NSAID cream directly to the area where you feel pain. […] Take a prescription medication. Danazol is the only prescription medication approved by the Food and Drug Administration for treating breast pain and tenderness. However, danazol carries the risk of potentially severe side effects, such as acne, weight gain and voice changes, which limit its use. Tamoxifen, a prescription medication for breast cancer treatment and prevention, may be recommended for some women, but this drug also carries the potential for side effects that may be more bothersome than the breast pain itself.
- #45 Home Remedies: Tending to breast tenderness – Mayo Clinic News Networkhttps://newsnetwork.mayoclinic.org/discussion/home-remedies-tending-to-breast-tenderness/
For many women, breast pain resolves on its own over time and you may not need any treatment. However, while there is little research to show the effectiveness of these self-care remedies, some may be worth a try: […] Use a topical nonsteroidal anti-inflammatory (NSAID) medication. You may need to use NSAIDs when your pain is intense. Your doctor may recommend you apply an NSAID cream directly to the area where you feel pain. […] Take a prescription medication. Danazol is the only prescription medication approved by the Food and Drug Administration for treating breast pain and tenderness. However, danazol carries the risk of potentially severe side effects, such as acne, weight gain and voice changes, which limit its use. Tamoxifen, a prescription medication for breast cancer treatment and prevention, may be recommended for some women, but this drug also carries the potential for side effects that may be more bothersome than the breast pain itself.
- #46 Breast Pain Treatment Melbourne, VIC | Mastalgia Treatment Melbourne, VIChttps://www.melbournebreastcancersurgery.com.au/breast-painmastalgia.html
For severe cases of mastalgia that interfere with lifestyle, there are strong hormonal medications such as tamoxifen, danazol and bromocryptine. […] Tamoxifen is a drug more commonly used to treat and prevent breast cancer, however, research has shown it is also effective in the treatment of cyclical breast pain. […] Danazol, which was often used in the past, is very effective in treating breast pain, relieving symptoms in around 70% of patients but is associated with significant side-effects in about 25% of patients. […] Another drug also used in the past to treat cyclical mastalgia is bromocriptine. This drug acts to lower the levels of prolactin secretion and is effective in 50% of cases.
- #47 Breast pain – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/breast-pain/diagnosis-treatment/drc-20350426
Take a prescription medication. Danazol is the only prescription medication approved by the Food and Drug Administration for treating fibrocystic breasts. However, danazol carries the risk of potentially severe side effects, such as heart and liver problems, as well as weight gain and voice changes. Tamoxifen, a prescription medication for breast cancer treatment and prevention, may help, but this drug also carries the potential for side effects that may be more bothersome than the breast pain itself. […] Vitamins and dietary supplements may lessen breast pain symptoms and severity for some people. Ask your doctor if one of these might help you and ask about doses and any possible side effects: […] Evening primrose oil. This supplement may change the balance of fatty acids in your cells, which may reduce breast pain.
- #48 Breast Pain Treatment Melbourne, VIC | Mastalgia Treatment Melbourne, VIChttps://www.melbournebreastcancersurgery.com.au/breast-painmastalgia.html
For severe cases of mastalgia that interfere with lifestyle, there are strong hormonal medications such as tamoxifen, danazol and bromocryptine. […] Tamoxifen is a drug more commonly used to treat and prevent breast cancer, however, research has shown it is also effective in the treatment of cyclical breast pain. […] Danazol, which was often used in the past, is very effective in treating breast pain, relieving symptoms in around 70% of patients but is associated with significant side-effects in about 25% of patients. […] Another drug also used in the past to treat cyclical mastalgia is bromocriptine. This drug acts to lower the levels of prolactin secretion and is effective in 50% of cases.
- #49 Breast painhttps://pmc.ncbi.nlm.nih.gov/articles/PMC3275318/
Tamoxifen (10 mg daily) under expert supervision, or danazol, may be considered when first-line treatments are ineffective. […] Hormone replacement therapy (HRT), which is associated with increased risks of breast cancer, venous thromboembolism, and gall bladder disease, may worsen breast pain. […] Evening primrose oil has not been shown to improve breast pain, and its licence has been withdrawn for this indication in the UK owing to lack of efficacy. […] There is consensus that pyridoxine, diuretics, progestogens, tibolone, and antibiotics do not have a role in treating mastalgia. […] We don’t know whether the combined oral contraceptive pill reduces breast pain, as we found no RCTs. […] We don’t know whether a low-fat, high-carbohydrate diet, lisuride, or vitamin E reduce breast pain, as we found few studies. […] Bromocriptine reduces breast pain compared with placebo, but its licence for this indication has been withdrawn in the USA because of frequent and intolerable adverse effects.
- #50 Mastalgia – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK562195/
For patients with severe pain or mastalgia unresponsive to supportive therapy, the following pharmacologic treatments may be considered: Analgesics: NSAIDs, acetaminophen, ibuprofen, and topical (diclofenac in patch or gel form) are effective in up to 80% of women with mastalgia while having minimal adverse effects. […] Tamoxifen: Out of the prescription medication treatments, tamoxifen, a selective estrogen receptor modulator, is the most effective for mastalgia management, with up to 96% of women with cyclic breast pain and 56% of women with noncyclic breast pain demonstrating improvement in studies. […] Danazol: Although recommended as a second-line prescription agent to tamoxifen, this is the only US Food and Drug Administration (FDA) approved medication to treat mastalgia. […] In general, noncyclic mastodynia responds more poorly to treatment than cyclic mastodynia. However, 50% of noncyclic cases will resolve spontaneously. While cyclic mastalgia more reliably responds to treatment, up to 60% of cases could recur after ceasing therapy.
- #51https://myhealth.alberta.ca/Health/pages/conditions.aspx?Hwid=tm6412spec
Cyclic breast pain occurs more often in younger women. Most cyclic pain goes away without treatment and usually disappears at menopause. […] If the cause of non-cyclic pain can be found, treating the cause may relieve the pain. […] You may be able to relieve breast pain by using non-prescription medicines. […] If breast pain becomes severe or lasts longer than 3 weeks, call your doctor to discuss your symptoms. […] Danazol and tamoxifen citrate are prescription medicines used for the treatment of severe cyclic breast pain. […] Birth control pills (oral contraceptives) may help reduce cyclic breast pain and breast swelling before periods. […] You may be able to prevent breast pain, tenderness, or discomfort by wearing a sports bra during exercise.
- #52 Breast Pain: Tenderness, Causes, Diagnosis & Treatmenthttps://my.clevelandclinic.org/health/diseases/15469-breast-pain-mastalgia
If you have noncyclic breast pain, your healthcare provider may suggest using similar treatment methods as they would for cyclic breast pain. But if they find the underlying cause of your pain is due to things like an infection or a benign cyst, sometimes a more specific treatment is necessary for that cause (like antibiotics or surgery). […] Your healthcare provider can help you manage symptoms with treatments like medication and different self-care practices. Pain that lasts longer than two weeks or becomes severe is always worth a call to your provider.
- #53 11 causes of breast pain and how to manage themhttps://www.medicalnewstoday.com/articles/311833
Breast pain management will depend on its cause, but painkillers and lifestyle changes can often help in mild cases. […] PMS is temporary, but people can treat the symptoms by taking over-the-counter (OTC) pain relievers, wearing a comfortable and supportive bra, and using gentle heat to soothe the pain. […] The treatment or management of fibrocystic breasts may involve: taking OTC pain medication, applying cool or warm compresses, avoiding a large intake of salt, caffeine, or fat, starting or stopping birth control pills. […] The treatment for an infection is antibiotics. A person who is chestfeeding will also need to empty the breasts of milk. If an abscess is present, doctors will drain the pus surgically or remove it with a needle. […] People with breast pain should speak with a doctor to find out whether any of their medications could be causing their symptoms.
- #54 11 causes of breast pain and how to manage themhttps://www.medicalnewstoday.com/articles/311833
Treatment options include: physical therapy, surgical removal of scar tissue, use of creams and ointments to lessen the appearance. […] The treatment will vary based on the cause, but it may involve pain management and avoiding movements that worsen the pain until the root cause has improved. […] Unless the cysts are particularly large or painful, they do not need treatment. If treatment is necessary, it involves draining the fluid out with a needle. […] The treatment options for breast cancer include surgery, chemotherapy, hormone therapy, radiation therapy, and biologic therapy. People will often receive more than one of these treatments. […] People can take various steps to relieve the pain of mastalgia. These include: wearing a supportive bra that fits well, taking OTC pain medications, limiting the intake of chocolate, coffee, tea, and soft drinks, applying hot or cold compresses to the breasts, getting regular exercise, engaging in relaxation methods to reduce stress, anxiety, and tension. […] It is advisable to speak with a healthcare professional before trying self-care techniques to ensure they are appropriate. In certain circumstances, medical intervention may be necessary.
- #55 Breast Pain: Types, Causes, and Treatmentshttps://www.healthline.com/health/breast-pain
See a doctor if your pain: keeps you from daily activities, lasts longer than 2 weeks, accompanies a new, growing lump, is concentrated in a specific area, worsens with time. […] The doctor will likely perform a physical exam and potentially recommend an imaging test, like a mammogram, to view your breast tissue. […] If you have cystic breasts, the doctor might perform a needle biopsy. In this procedure, the doctor inserts a thin needle into the cyst to remove a small tissue sample for testing. […] Treatment for breast pain depends on the cause. A doctor may conduct imaging tests to determine the cause or rule out other conditions.
- #56 Breast Pain: Tenderness, Causes, Diagnosis & Treatmenthttps://my.clevelandclinic.org/health/diseases/15469-breast-pain-mastalgia
Breast pain is common and can happen to anyone. Its usually not a sign of breast cancer. Rather, its due to hormonal changes, medications or infection. Seek care if you experience breast pain that lasts longer than two weeks or when it comes with symptoms like a lump, nipple discharge or changes to the texture of the skin on your breast. […] Breast pain that doesn’t go away can also point to an underlying condition that needs treatment from a healthcare provider. […] If your breast pain is even more severe, your provider may suggest danazol or tamoxifen, which are two prescription medications. But these two medications also have certain side effects, which is why its important to talk with your doctor before taking them, to determine whether itll be worth it for your specific case. […] There are also a few other methods that you can use to help relieve breast pain, including: Avoiding, adjusting or stopping hormone medications (like birth control) or medications known to cause breast pain.
- #57 Breast Pain: Types, Causes, and Treatmentshttps://www.healthline.com/health/breast-pain
See a doctor if your pain: keeps you from daily activities, lasts longer than 2 weeks, accompanies a new, growing lump, is concentrated in a specific area, worsens with time. […] The doctor will likely perform a physical exam and potentially recommend an imaging test, like a mammogram, to view your breast tissue. […] If you have cystic breasts, the doctor might perform a needle biopsy. In this procedure, the doctor inserts a thin needle into the cyst to remove a small tissue sample for testing. […] Treatment for breast pain depends on the cause. A doctor may conduct imaging tests to determine the cause or rule out other conditions.
- #58 Breast Pain: Types, Causes, and Treatmentshttps://www.healthline.com/health/breast-pain
See a doctor if your pain: keeps you from daily activities, lasts longer than 2 weeks, accompanies a new, growing lump, is concentrated in a specific area, worsens with time. […] The doctor will likely perform a physical exam and potentially recommend an imaging test, like a mammogram, to view your breast tissue. […] If you have cystic breasts, the doctor might perform a needle biopsy. In this procedure, the doctor inserts a thin needle into the cyst to remove a small tissue sample for testing. […] Treatment for breast pain depends on the cause. A doctor may conduct imaging tests to determine the cause or rule out other conditions.
- #59 Breast Pain: Types, Causes, and Treatmentshttps://www.healthline.com/health/breast-pain
See a doctor if your pain: keeps you from daily activities, lasts longer than 2 weeks, accompanies a new, growing lump, is concentrated in a specific area, worsens with time. […] The doctor will likely perform a physical exam and potentially recommend an imaging test, like a mammogram, to view your breast tissue. […] If you have cystic breasts, the doctor might perform a needle biopsy. In this procedure, the doctor inserts a thin needle into the cyst to remove a small tissue sample for testing. […] Treatment for breast pain depends on the cause. A doctor may conduct imaging tests to determine the cause or rule out other conditions.
- #60 Breast Pain: Types, Causes, and Treatmentshttps://www.healthline.com/health/breast-pain
See a doctor if your pain: keeps you from daily activities, lasts longer than 2 weeks, accompanies a new, growing lump, is concentrated in a specific area, worsens with time. […] The doctor will likely perform a physical exam and potentially recommend an imaging test, like a mammogram, to view your breast tissue. […] If you have cystic breasts, the doctor might perform a needle biopsy. In this procedure, the doctor inserts a thin needle into the cyst to remove a small tissue sample for testing. […] Treatment for breast pain depends on the cause. A doctor may conduct imaging tests to determine the cause or rule out other conditions.
- #61 Breast pain: MedlinePlus Medical EncyclopediaLockhttps://medlineplus.gov/ency/article/003152.htm
Breast pain is any discomfort or pain in the breast. […] If you have painful breasts, the following may help: Take medicine such as acetaminophen or ibuprofen, Use heat or ice on the breast, Wear a well-fitting bra that supports your breasts, such as a sports bra. […] Certain birth control pills may help ease breast pain, although in other cases, it may cause breast pain. Ask your provider if this therapy is right for you. […] Contact your provider if you have: Bloody or clear discharge from your nipple, Given birth within the last week and your breasts are swollen or hard, Noticed a new lump that does not go away after your menstrual period, Persistent, unexplained breast pain, Signs of a breast infection, including redness, pus drainage, or fever. […] Your provider will perform a breast examination and ask questions about your breast pain. You may have a mammogram or ultrasound.
- #62 Breast pain: MedlinePlus Medical EncyclopediaLockhttps://medlineplus.gov/ency/article/003152.htm
Breast pain is any discomfort or pain in the breast. […] If you have painful breasts, the following may help: Take medicine such as acetaminophen or ibuprofen, Use heat or ice on the breast, Wear a well-fitting bra that supports your breasts, such as a sports bra. […] Certain birth control pills may help ease breast pain, although in other cases, it may cause breast pain. Ask your provider if this therapy is right for you. […] Contact your provider if you have: Bloody or clear discharge from your nipple, Given birth within the last week and your breasts are swollen or hard, Noticed a new lump that does not go away after your menstrual period, Persistent, unexplained breast pain, Signs of a breast infection, including redness, pus drainage, or fever. […] Your provider will perform a breast examination and ask questions about your breast pain. You may have a mammogram or ultrasound.
- #63 Work-up and management of breast pain – Li – Annals of Breast Surgeryhttps://abs.amegroups.org/article/view/6968/html
The treatment for cyclical and noncyclical breast pain overlap, although cyclical breast pain is often more responsive to treatment. […] With normal findings on physical exam and breast imaging, all patients with any type of breast pain should be reassured that their symptoms are not caused by breast cancer. […] If breast pain is persistent, or significantly impacts quality of life, additional therapies can be considered. […] Conservative, non-pharmacological therapies should always be attempted first. […] Multiple studies suggest that patients with breast pain have increased levels of anxiety. […] The elimination of caffeine has been shown to reduce breast pain in some studies but was not shown to be consistently effective in all studies. […] Medications can be considered for persistent or severe pain that does not respond to conservative therapy.
- #64 Mastalgia – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK562195/
For patients with severe pain or mastalgia unresponsive to supportive therapy, the following pharmacologic treatments may be considered: Analgesics: NSAIDs, acetaminophen, ibuprofen, and topical (diclofenac in patch or gel form) are effective in up to 80% of women with mastalgia while having minimal adverse effects. […] Tamoxifen: Out of the prescription medication treatments, tamoxifen, a selective estrogen receptor modulator, is the most effective for mastalgia management, with up to 96% of women with cyclic breast pain and 56% of women with noncyclic breast pain demonstrating improvement in studies. […] Danazol: Although recommended as a second-line prescription agent to tamoxifen, this is the only US Food and Drug Administration (FDA) approved medication to treat mastalgia. […] In general, noncyclic mastodynia responds more poorly to treatment than cyclic mastodynia. However, 50% of noncyclic cases will resolve spontaneously. While cyclic mastalgia more reliably responds to treatment, up to 60% of cases could recur after ceasing therapy.
- #65 Mastalgia – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK562195/
Mastalgia, or breast pain, affects up to 70% of women and is a frequent concern in primary care, though it is rarely linked to breast cancer. […] Management often includes education to reduce anxiety, proper bra fitting, and topical NSAIDs for relief. Hormonal treatments like tamoxifen are considered for severe cases but carry risks. […] Most cases resolve over time, and a stepwise treatment approach ensures effective management with minimal unnecessary intervention. […] Following the exclusion of an underlying breast malignancy or significant etiology, patients with persistent mild to moderate mastalgia may be treated with conservative interventions. […] Recommended supportive therapies include: Well-fitting bra: Increasing the breast’s physical support with supportive garments, eg, a well-fitted brassiere.
- #66 Breast painhttps://pmc.ncbi.nlm.nih.gov/articles/PMC3275318/
Breast pain may be cyclical (worse before a period) or non-cyclical, originating from the breast or the chest wall, and occurs at some time in 70% of women. […] Cyclical breast pain resolves spontaneously in 20% to 30% of women, but tends to recur in 60% of women. […] Non-cyclical pain responds poorly to treatment but tends to resolve spontaneously in half of women. […] Diclofenac (a topical NSAID) seems effective at relieving symptoms of cyclical and non-cyclical breast pain but has been associated with adverse effects. […] There is consensus that topical NSAIDs are effective in relieving breast pain and should be considered as a first-line treatment, as the benefits are thought to outweigh the risk of adverse effects. […] Danazol, tamoxifen, toremifene, gonadorelin analogues, and gestrinone may reduce breast pain, but all can cause adverse effects.