Please note: This information was as current as we could make it on the date given above. But medical information is always changing, and some information given here may be out of date. For regularly updated information on a variety of health topics, please visit familydoctor.org, the AAFP patient education Web site.

---

An article on this topic is available in this issue of AFP.

When You Have Breast Pain

Breast pain is a common problem in younger women who are still having their periods (menstrual cycle). It is less common in older women. The pain can be in one breast or in both. It may come and go each month, or it may last for several weeks, or even months, and then just go away.

What causes breast pain?

Pain or tenderness in your breasts can have many causes. Here are some of them:

• Hormone changes during your period
• Water retention, which may happen during your period
• Injury to your breast
• Pregnancy
• Breast-feeding (nursing)
• An infection in the breast
• Breast cancer (not a usual cause of breast pain)

How can my doctor find the cause of my breast pain?

Your doctor will ask you questions to find the cause of your pain and decide if you need treatment. Your doctor will also check to see if you have lumps in your breasts.

If you are younger than 35 years of age and don't have a breast lump, your doctor might decide that you don't need any tests. If you are more than 35 years of age and don't have a breast lump, your doctor might want you to get a mammogram. A mammogram is a special x-ray of the breasts.

If you have a lump (or several lumps) in your breast, your doctor might decide that you need one or more of these tests:

• A mammogram
• A breast sonogram. This painless test uses sound waves to make a picture of the lump.
• A breast biopsy. For this test, some tissue is taken out of your breast and looked at under a microscope.

How is breast pain treated?

There are different treatments for breast pain. You and your doctor can talk about these treatments and choose one or more that might work for you. Here are some treatments for breast pain that does not seem to have a cause:

• Wearing a support bra
• Taking an over-the-counter pain medicine
• Taking evening primrose oil
• Taking danazol (brand name: Danocrine)-- for pain that is very bad

Other treatments for breast pain are sometimes used. There is no proof that these treatments work:

• Avoiding caffeine
• Using less salt
• Taking vitamin E or vitamin B₆
• Taking a "water-pill" (a diuretic)

Most of the time, breast pain goes away all by itself after a few months.

---

This handout provides a general overview on this topic and may not apply to everyone. To find out if this handout applies to you and to get more information on this subject, talk to your family doctor.

Visit familydoctor.org for information on this and many other health-related topics.

Copyright © 2000 by the American Academy of Family Physicians.
Permission is granted to print and photocopy this material for nonprofit educational uses. Written permission is required for all other uses, including electronic uses.

---

April 15, 2000 Contents | AFP Home Page | AAFP Home | Search

---