Mastalgia: Causes and Treatment

Written by: Dra. Ángela Escobar Casas
Edited by: Top Doctors®

Mastalgia is breast pain that interferes with the normal lifestyle of women. It is an issue that women and gynecologists give great importance as it is the most frequent cause of consultation in breast units.

It is essential to describe the characteristics of pain as it helps to know the origin and choose the best treatment.


What can cause breast pain?

Cyclical mastalgia is the most common form of breast pain. Usually bilateral, it begins before menstruation and disappears behind her. Women describe it as tension and hypersensitivity. It is a process that depends on the hormonal stimulation of breast tissue leading to fluid retention and swelling. The relationship with the menstrual cycle is what distinguishes it from other types of pain that can affect breast and have no relationship with him.

The most frequent cause of non-cyclical pain is musculoskeletal. Many women come concerned about pain in the breast, but proper examination will confirm that the source of the pain is in the chest wall and is due to an inflammation of chondrocostal cartilage (Syndrome Tieze), which is pain of origin pectoral muscle and even pain depends on spine problems or shoulder.

Less frequent but also breast origin can be pain in case of mastitis, which is an infection of the mammary tissue. In this case, other signs such as red skin color and heat help diagnosis. On the other hand, it notes that the pain is not accompany breast cancer.

Most women stay quiet after being informed of functional origin of pain in case of cyclic mastalgia and require no treatment. However those suffering severe pain duty be treated.


Treatment for breast pain

Treatment should be staged, starting with non-pharmacological measures and leaving medical treatment for cases that do not improve.

The first measure is the use of a suitable fastener, which hold but not press the breast and not wearing earrings.

Measures in the diet are also important: remove exciting drinks, as well as salt and spices, and make a low-fat diet rich in vitamins A and E. It is also desirable, stop smoking.

It is also important to know what medications the patient is taking as some can produce cyclic mastalgia.

The first recommended treatment is an essential fatty acid: evening primrose oil, evening primrose. Taking 4 to 6 grams per day improves moderate pain cyclic more than half of women. Agna Casta also derived natural Sauzgatillo, it is very effective.

In severe cases associated with Premenstrual Stress Syndrome it is the trend continued treatment with the use of contraceptives or long-acting methods such as the IUD with progestogen.

Therefore, the main objective in women who have come concerned that breast pain is a good diagnosis to rule out breast cancer and reassure them by explaining why the pain occurs and inform them that they can improve with simple measures.

*Translated with Google translator. We apologize for any imperfection
Dra. Ángela Escobar Casas

By Dra. Ángela Escobar Casas
Obstetrics & Gynecology

Dr. Escobar Casas is a specialist in Gynecology and Obstetrics and has 20 years of experience. Expert in diseases of the breast, breast reconstruction surgeries and laparoscopic surgery in scope, inter alia, their professional activity currently underway in the Gynecological center of Marbella, where he works as a doctor and as a director.

*Translated with Google translator. We apologize for any imperfection