Many women have breast tenderness and pain, also called mastalgia. It may come and go with monthly periods (cyclic) or may not follow any pattern (noncyclic).
- Cyclic pain is the most common type of breast pain. It may be caused by the normal monthly changes in hormones. This pain usually occurs in both breasts. It is generally described as a heaviness that radiates to the armpit and arm.
- Noncyclic pain is most common in women 30 to 50 years of age. It may also occur in only one breast. It is often described as a sharp, burning pain that occurs in one area of a breast.
Symptoms
Symptoms of breast pain caused by periods:- dull, heavy or aching pain
- pain that begins up to 2 weeks before a period, gets worse and then goes away when the period ends
- usually affects both breasts and sometimes pain spreads to the armpit
When to see a doctor
Make an appointment with your doctor if breast pain:- Continues daily for more than a couple of weeks
- Occurs in one specific area of your breast
- Seems to be getting worse over time
What can I do for breast pain?
- Acetaminophen, such as Tylenol
- Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen (Advil or Motrin), naproxen (Aleve or Naprosyn), or aspirin (Anacin, Bayer)
- If breast pain becomes severe or lasts longer than 3 weeks, call your doctor to discuss your symptoms.
Treatment
For many women, breast pain resolves on its own over time. You may not need any treatment. If you do require 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 you apply an NSAID cream directly to the area where you feel pain.
- Reduce the dose of menopausal hormone therapy. You might consider lowering the dose of menopausal hormone therapy or stopping it entirely.