Mastalgia has many causes including injury, infection, and plugged milk ducts. Mastodynia is a medical term that means a patient suffers from pain in the breast. Cyclical mastalgia cm or mastodynia typically occurs every month before the start of the menstrual period and is relieved within 7 days of the onset of menses. Prevalence and associated determinants in hamadan city, iran.
Mastalgia is the most frequent symptom seen in patients who undergo breast imaging. Breast pain mastalgia is common in women and occasionally occurs in men. To assess prevalence of cyclical mastalgia and its main determinants in women who attended in health centers of hamadan city, iran. Breast pain or mastalgia is a frequent complaint and it may represent various pathological conditions. Sometimes the pain is felt all over one or both breasts. Main outcome measures daily mastalgia was recorded using a visual analog scale and menstrual. For menstrualrelated mastalgia, acetaminophen or a nonsteroidal antiinflammatory drug nsaid is usually effective. The pain women describe as breast pain can arise either in the breast tissue itself or it can be referred pain, which is felt in the breast. Other medical conditions muscular, skeletal and mechanical problems. Breast pain is the symptom of discomfort in the breast. Fibrocystic breast changes as well as mastalgia are common conditions that women suffer from. What is mastodynia definition, symptoms, causes, treatment diseases mastodynia is a type of disease in which the patient can feel intense pain in the breast region.
Mastalgia breast pain gynecology and obstetrics merck. Flaxseed should be considered as a firstline treatment for cyclical mastalgia. The premenstrual syndrome, premenstrual mastodynia, fibrocystic. The two most common concerns of patients presenting with mastalgia are. Click on any term below to browse the alphabetical index. If pain is severe, a brief course of danazol or tamoxifen may be given. Symptoms, risk factors and treatments of mastodynia medical condition mastodynia, mastalgia or mammalgia is the medical symptom of breast pain or tenderness this video contains general medical. It is so common that it is considered to be a normal function of the body, rather than a disease. Women who present with breast pain but who have a normal exam and imaging studies can be reasonably assured that their risk of breast cancer is similar to that of a woman without breast pain. Rapid hormonal change especially a change that involves an increase in estrogen levels, such as starting birth control pills or hormone replacement or during early pregnancy. Occasionally, a patient may have breast pain that has no identifiable cause, although such simple causes as an illfitting bra may be. Just click edit text or double click me and you can start adding your own content and make changes to the font. Mastodynia definition of mastodynia by medical dictionary. Mastalgia fact sheet westmead bci westmead breast cancer.
Breast pain also known as mastalgia or mastodynia is the number one reason why women visit clinics specializing in breast care and is present in 45 percent of the women who visit these clinics. However, diffuse bilateral pain is very common in women without breast abnormalities. The search was confined to articles published in the english language. Mastalgia is a common health problem in women of reproductive age, and it sometimes becomes severe enough to interfere with daily activities. Information and translations of mastodynia in the most comprehensive dictionary definitions resource on the web.
Cases only with breast pain complaint n789 out of 2798 women has been included in the study. Clinical evaluation of mastalgia pain medicine jama. Pain that involves only one part of a breast is more concerning. In the 15% of mastalgia patients who have lifealtering pain and still request treatment, therapy may consist of a wellfitting bra, a decrease in dietary fat intake, and discontinuance of oral contraceptives or hormone replacement therapy. Mastalgia, or breast pain, is one of the most common breast symptoms experienced by women of reproductive age. In the absence of obvious pathologic changes, mastalgia has been attributed to caffeine consumption and highfat diets, but hard data are lacking.
Management of breast pain mastalgia in primary care mastalgia is commonly experienced by women and is rarely an indication of breast cancer this algorithm should be used to manage mastalgia in primary care among premenopausal women who have a normal clinical. Upon a simple regression analysis, the effect of education duration in mastalgia group on hai was 12. Up to 70% of women will experience this at some time during their life. Several months of hormone treatment may provide several more months of relief, but mastalgia may recur.
Sometimes the pain is associated with the menstrual cycle, but for some people, mastodynia is a symptom of an underlying disease. Cyclical breast pain breast pain that has a clear relationship to the menstrual cycle, and the most common type of breast pain. Sometimes the pain is associated with the menstrual cycle, but for some people, mastodynia is a. Mastalgia is the nonspecific term used for breast pain of any etiology. Breast pain not only disrupts womens daily life quality, but also causes. The search was restricted to randomised clinical trials. Noncyclical breast pain may be constant or intermittent but is not associated with the menstrual cycle. Breast pain also known as breast tenderness, mastodynia, mammalgia, and mastalgia from the greek mastos, breast and algos, pain is a medical symptom. Mastalgia definition many women are troubled by mastalgia breast pain in the absence of a dominant breast mass or suspicious nipple discharge. Effects of longterm hormonal treatment are unknown. The dried fruits of the chaste tree vitex agnus castus vac were traditionally used by monks as a substitute for pepper and was therefore also called monks pepper.
Symptomatic treatment of premenstrual mastalgia in premenopausal. Fatty foods such as animal fat contribute to our mastodynia. In several placebocontrolled studies a clear relation between reduction of breast pain and reduction of serum prolactin levels could be. Sixtyfour women of reproductive age range, 2545 y with premenstrual breast pain who had no clinical evidence of breast lumps or microcalcification. Breast pain, or cyclical mastalgia, is a common health condition affecting an estimated 40% of women during their reproductive years.
Pain that involves both breasts and which occurs repeatedly before the menstrual period is generally not serious. Mastalgia a word that sounds like nostalgia, is the medical name for breast pain, a symptom that confuses many women breast pain, mastodynia or mastalgia represents the most common reason that women come to the doctor asking for a breast exam, says dr. Mastalgia definition of mastalgia by medical dictionary. Approximately 60 to 70 % of women experience some degree of breast pain at some stages of their lives, and in 10 to 20 % of cases, it is severe 2, 3. Even the slightest disturbance of the e2p ratio may contribute to the occurrence of fbd with clinical manifestations of mastalgia and mastodynia, and its correction may improve the quality of life, reduce the frequency of surgical treatments and eventually, the potential risk of developing breast carcinoma. Two thirds of screened patients in most series complain of breast pain, of which more than 50% is cyclical in nature. This information guide is also available in pdf format to download.
An incident of bilateral mastodynia after the menopause. Mastalgia is a frequent clinical symptom in general and gynecological medicine consultation. Objectiveto describe an accurate and reproducible method to quantify a patients subjective experience of breast pain. Breast pain treatment melbourne mastalgia melbourne. Mastodynia definition of mastodynia by the free dictionary. The search was performed with the following key words.
Mastalgia breast pain gynecology and obstetrics msd. Many premenstrual symptoms, particularly premenstrual mastalgia mastodynia are associated with latent hyperprolactinemia jarry et al. Although it is usually mild and selflimited, approximately 15 percent of affected women require treatment. Whilst orthodox medicine can offer a range of treatments, ranging from hormonal control to analgesia, more women are turning to complementary therapies. Apr 01, 2020 the us and eu are implementing laws requiring electric cars to make noise as a safety precaution for pedestrians. In the absence of obvious pathologic changes, mastalgia has been attributed to caffeine. Mastodynia medical definition merriamwebster medical. Symptomatic treatment of premenstrual mastalgia in. 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. Mastalgia is the most common symptom in women, who has gone under breast imaging. Christian jumuga, obstetrics and gynecology specialist at the clinic of senology gynecoland. Breast pain is extremely common, and for many women who attend this is their main and only symptom. Pain in the breast or mammary gland, whether serious or not.
Those women still resistant to therapy may experience relief from evening. Breast pain can be present all the time, or come and go in a random way. Mastodynia article about mastodynia by the free dictionary. It is particular concerning if a hard mass or nipple discharge is also present causes may be related to the menstrual cycle, birth control pills, hormone. Download fulltext pdf download fulltext pdf mastalgia. Patients with mastalgia exhibited higher levels of somatosensory amplification, depression, anxiety, and health anxiety than the control group. Mastalgia breast pain is common and can be localized or diffuse and unilateral or bilateral. Men who suffer from breast pain mastalgia should always consult a doctor to rule out the possibility of breast cancer.
This material may not otherwise be downloaded, copied, printed, stored, transmitted or. 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. Breast pain during lactation or after weaning is not included into this definition but is usually classified as breast engorgement or mastitis. Pain and discomfort may range from minor to severely incapacitating. For the last 50 years it is commercially provided for the treatment of premenstrual symptoms, particularly to prevent premenstrual mastodynia mastalgia.
If other treatment fails, a final possibility is subcutaneous mastectomy used rarely. A palpable mass, mastalgia, and nipple discharge are common breast symptoms for. The cyclical variant of mastalgia is predominant, and patients need proper assessment and management to allay their 2 chief concerns. Shitrita casecontrol study of caffeine and methylxanthines in benign breast. Mastalgia what is mastalgia mastodynia breast pain. However, malignancy should be excluded before starting treatment. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. The most important factors in the evaluation and treatment of breast pain consist of a thorough history, physical, and radiologic evaluation. Most studies were performed with the preparation containing an aqueous. Flaxseed should be considered as a first line treatment for cyclical mastalgia. Focal breast pain should be evaluated with diagnostic imaging. This type of breast pain is not related to periods and is most common in women aged over 40. Mastalgia definition of mastalgia by the free dictionary. It affects up to 70% of women at sometime in their.
There are various medical treatment methods in the. Evaluation and management of breast pain mayo clinic proceedings. Shitrita casecontrol study of caffeine and methylxanthines in benign breast disease. A 54yearold postmenopausal woman is described who quite suddenly experienced intense tenderness and tension in both breasts lasting for about 3 weeks. Retrospective analysis of women with only mastalgia european. Clinical evaluation of mastalgia pain medicine jama surgery. 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.
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. For determining indicators of the appearance of mastalgia and in a multivariable logistic regression model, advanced age, age of marriage, and history of pms were main determinants of mastalgia, while use of ocp was associated with lower incidence of mastalgia. Breast pain sore boobs cyclical and non cyclical patient. To evaluate efficacy and side effects of mastalgia treatment with tamoxifen. Mastalgia is the most common breast symptom in patients attending a breast clinic. Mastalgia is the most common breastrelated complaint of patients seeking care at both primary care clinics and breast referral centers. Estimates are that 4070% of women report premenstrual breast discomfort. Unfortunately, studies specific to breast pain are limited and often small in number and not well designed. Mastodynia definition and meaning collins english dictionary. It affects up to 70% of women at sometime in their lives. Cyclic mastalgia is breast pain that has a clear relationship to the menstrual.
Mastodynia definition at, a free online dictionary with pronunciation, synonyms and translation. The most common symptom of male breast cancer is a breast lump, followed by breast pain and nipple discharge. Nearly twothirds of healthy women experience breast pain that interferes with their daily routines 1 x 1 leirster, s. The premenstrual syndrome, premenstrual mastodynia. The pain may be in just one breast and may be localised to one area in a breast. Retrospective analysis of women with only mastalgia ncbi. How do health anxiety, somatosensory amplification, and. Apr 25, 2015 symptoms, risk factors and treatments of mastodynia medical condition mastodynia, mastalgia or mammalgia is the medical symptom of breast pain or tenderness this video contains general medical. Cyclic mastalgia responds better than noncyclic mastalgia to treatment. Mastodynia mastalgia revistas cientificas universidad ces. Evaluation of breast pain is important to determine whether the pain is due to normal physiological changes related to hormonal fluctuation or to a pathologic process such as breast cancer. But its so common that almost all general physicians see women with this problem.
Wu, journal of clinical and translational hepatology, 2018. Cyclic mastalgia clinical and mammographic observations in a screened population. What is mastodynia definition, symptoms, causes, treatment. There are various medical treatment methods in the literature. Diffuse bilateral pain may be caused by fibrocystic changes or, uncommonly, diffuse bilateral mastitis. Results patients identified as having cyclical mastalgia based on the screening. Breast pain is typically approached according to its classification as. To make a full assessment of the cause, all patients require a full history, examination. In two recent clinical studies the efficacy of the commercially available vitex agnus castus extract to effectively reduce premenstrual mastodynia was established.
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