Pain in mammary glands. Understanding Breast Pain: Causes, Symptoms, and Treatment Options
What are the common causes of breast pain. How can breast pain be managed at home. When should you seek medical attention for breast pain. What are the potential complications of untreated breast pain.
The Nature and Prevalence of Breast Pain
Breast pain, medically known as mastalgia or mastodynia, is a common condition that affects many women at various stages of life. It’s characterized by discomfort, tenderness, or pain in one or both breasts. While breast pain can be concerning, it’s important to note that it’s rarely a symptom of breast cancer.
The prevalence of breast pain varies, but studies suggest that up to 70% of women may experience it at some point in their lives. The intensity and duration of the pain can range from mild and intermittent to severe and persistent, impacting daily activities and quality of life.
Types of Breast Pain
- Cyclic breast pain: Related to menstrual cycles
- Non-cyclic breast pain: Not associated with menstrual cycles
- Extramammary pain: Pain originating outside the breast
Understanding the type of breast pain you’re experiencing can help in determining the underlying cause and appropriate treatment approach.
Common Causes of Breast Pain
Breast pain can stem from various factors, ranging from hormonal changes to underlying medical conditions. Identifying the cause is crucial for effective management and treatment.
Hormonal Fluctuations
Hormonal changes are the most common cause of breast pain. These fluctuations can occur during:
- Menstruation and premenstrual syndrome (PMS)
- Pregnancy, especially during the first trimester
- Puberty in both girls and boys
- Menopause
- Breastfeeding
During these periods, hormones like estrogen and progesterone can cause breast tissue to swell and become sensitive, resulting in pain or discomfort.
Fibrocystic Breast Changes
Fibrocystic breast changes are another common cause of breast pain. This benign condition involves the development of fluid-filled cysts and fibrous tissue in the breasts. While not harmful, it can cause tenderness and pain, especially before menstruation.
Medications
Certain medications can contribute to breast pain as a side effect. These may include:
- Hormonal medications (birth control pills, hormone replacement therapy)
- Antidepressants (selective serotonin reuptake inhibitors)
- Antipsychotics
- Diuretics
- Certain cardiovascular medications
If you suspect your medication is causing breast pain, consult your healthcare provider before making any changes to your regimen.
Diagnosing Breast Pain
Proper diagnosis of breast pain is essential for effective treatment. Healthcare providers typically follow a comprehensive approach to determine the underlying cause.
Medical History and Physical Examination
Your doctor will start by taking a detailed medical history, including information about your menstrual cycle, pregnancy history, and any medications you’re taking. A physical examination of the breasts will be performed to check for lumps, skin changes, or nipple discharge.
Imaging Studies
Depending on your age and symptoms, your doctor may recommend imaging studies such as:
- Mammogram: X-ray of the breast tissue
- Ultrasound: Sound wave imaging of the breast
- MRI: Magnetic resonance imaging for detailed breast tissue visualization
These tests can help rule out serious conditions and provide a clearer picture of your breast health.
Home Remedies and Lifestyle Changes for Breast Pain
Many cases of breast pain can be managed effectively at home. Here are some strategies that may help alleviate discomfort:
Supportive Bras
Wearing a well-fitting, supportive bra can significantly reduce breast pain. Sports bras or bras designed for high-impact activities can provide extra support during exercise or daily activities.
Hot or Cold Therapy
Applying heat or ice to the breasts can help reduce pain and inflammation. Use whichever temperature provides the most relief, but avoid direct application to the skin to prevent burns or frostbite.
Over-the-Counter Pain Relievers
Non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or acetaminophen can help manage breast pain. Always follow the recommended dosage and consult your healthcare provider if you need to use these medications regularly.
Dietary Changes
While scientific evidence is limited, some women report relief from breast pain by making dietary changes such as:
- Reducing caffeine intake
- Limiting salt consumption
- Increasing intake of fruits and vegetables
- Maintaining a balanced diet rich in vitamins and minerals
Remember that dietary changes may not work for everyone, and it’s important to maintain a balanced diet for overall health.
Medical Treatments for Breast Pain
When home remedies and lifestyle changes aren’t sufficient, medical treatments may be necessary to manage breast pain effectively.
Hormonal Treatments
For cyclic breast pain related to hormonal fluctuations, your doctor may recommend:
- Oral contraceptives to regulate hormonal cycles
- Danazol, a synthetic hormone that can reduce breast pain
- Tamoxifen, an estrogen receptor modulator
These treatments should be used under close medical supervision due to potential side effects.
Topical Treatments
Non-steroidal anti-inflammatory gels or creams applied directly to the breasts can provide localized pain relief without systemic side effects.
Pain Management Techniques
In cases of severe or chronic breast pain, your doctor may recommend:
- Physical therapy
- Acupuncture
- Relaxation techniques
- Cognitive-behavioral therapy
These approaches can help manage pain and improve overall quality of life.
When to Seek Medical Attention
While most cases of breast pain are benign, certain symptoms warrant immediate medical attention. Contact your healthcare provider if you experience:
- Severe or persistent breast pain that interferes with daily activities
- Breast pain accompanied by fever, redness, or swelling
- Nipple discharge, especially if bloody or clear
- A new lump or mass in the breast that doesn’t go away after your menstrual period
- Breast pain that occurs after menopause (if not on hormone replacement therapy)
Early detection and treatment of serious conditions can lead to better outcomes, so don’t hesitate to seek medical advice if you’re concerned.
Breast Pain and Cancer: Separating Fact from Fiction
One of the most common concerns associated with breast pain is its potential link to breast cancer. However, it’s important to understand that breast pain alone is rarely a symptom of cancer.
The Relationship Between Breast Pain and Cancer
Breast cancer typically presents as a painless lump or mass. While some breast cancers can cause pain, it’s not a common initial symptom. In fact, studies have shown that less than 5% of women diagnosed with breast cancer report breast pain as their primary symptom.
However, this doesn’t mean you should ignore breast pain. Any persistent or concerning symptoms should be evaluated by a healthcare professional to rule out serious conditions and provide appropriate treatment.
Breast Cancer Screening
Regular breast cancer screening is essential for early detection and treatment. The American Cancer Society recommends:
- Women ages 40-44: Optional annual mammograms
- Women ages 45-54: Annual mammograms
- Women 55 and older: Biennial or annual mammograms
Additionally, all women should be familiar with the normal look and feel of their breasts and report any changes to their healthcare provider promptly.
Living with Chronic Breast Pain
For some women, breast pain can become a chronic condition that significantly impacts their quality of life. Managing chronic breast pain often requires a multifaceted approach.
Coping Strategies
Living with chronic breast pain can be challenging, but there are strategies that can help:
- Stress management techniques like meditation or yoga
- Regular exercise to improve overall health and reduce pain
- Joining support groups to connect with others experiencing similar issues
- Working with a pain management specialist to develop a personalized treatment plan
Remember that chronic pain can also affect mental health. Don’t hesitate to seek psychological support if needed.
Ongoing Management
Managing chronic breast pain is often an ongoing process. It may involve:
- Regular check-ups with your healthcare provider
- Adjusting treatments as needed
- Monitoring for any changes in your breast health
- Maintaining open communication with your medical team
With proper care and management, many women with chronic breast pain can achieve significant improvement in their symptoms and quality of life.
Future Directions in Breast Pain Research and Treatment
As our understanding of breast pain continues to evolve, researchers are exploring new avenues for diagnosis and treatment.
Emerging Therapies
Some promising areas of research include:
- Novel pharmacological treatments with fewer side effects
- Advanced imaging techniques for more accurate diagnosis
- Personalized medicine approaches based on genetic factors
- Alternative therapies such as herbal supplements and mindfulness-based interventions
While these areas show promise, more research is needed to establish their efficacy and safety.
Patient Education and Empowerment
There’s an increasing focus on patient education and self-management strategies. This includes:
- Improved resources for breast health education
- Digital tools for tracking breast pain and identifying patterns
- Enhanced communication between patients and healthcare providers
By empowering patients with knowledge and tools, healthcare professionals hope to improve outcomes and quality of life for those experiencing breast pain.
In conclusion, breast pain is a common and often benign condition that affects many women. While it can be concerning, understanding its causes, available treatments, and when to seek medical attention can help alleviate anxiety and ensure proper care. Remember, your healthcare provider is your best resource for personalized advice and treatment options. By staying informed and proactive about your breast health, you can effectively manage breast pain and maintain overall well-being.
Breast pain Information | Mount Sinai
Pain – breast; Mastalgia; Mastodynia; Breast tenderness
Breast pain is any discomfort or pain in the breast.
The female breast is either of two mammary glands (organs of milk secretion) on the chest.
Breast pain can be due to many possible causes. Most likely breast pain is from hormonal fluctuations from menstruation, pregnancy, puberty, menopause, and breastfeeding. Breast pain can also be associated with fibrocystic breast disease, but it is a very unusual symptom of breast cancer.
Considerations
There are many possible causes for breast pain. For example, changes in the level of hormones during menstruation or pregnancy often cause breast pain. Some swelling and tenderness just before your period is normal.
Some women who have pain in one or both breasts may fear breast cancer. However, breast pain is not a common symptom of cancer.
Causes
Some breast tenderness is normal. The discomfort may be caused by hormone changes from:
- Menopause (unless a woman is taking hormone replacement therapy)
- Menstruation and premenstrual syndrome (PMS)
- Pregnancy — breast tenderness tends to be more common during the first trimester
- Puberty in both girls and boys
Soon after having a baby, a woman’s breasts may become swollen with milk. This can be very painful. If you also have an area of redness, call your health care provider, as this may be a sign of an infection or other more serious breast problem.
Breastfeeding itself may also cause breast pain.
Fibrocystic breast changes are a common cause of breast pain. Fibrocystic breast tissue contains lumps or cysts that tend to be more tender just before your menstrual period.
Certain medicines may also cause breast pain, including:
- Oxymetholone
- Chlorpromazine and other antipsychotic medicines
- Water pills (diuretics)
- Digitalis preparations
- Methyldopa
- Spironolactone
- Oral contraceptives
- Estrogen replacement therapy
- Selective serotonin reuptake inhibitors, such as fluoxetine
Shingles can lead to pain in the breast as there is a painful blistering rash that appears on the skin of your breasts.
Home Care
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
There is no good evidence to show that reducing the amount of fat, caffeine, or chocolate in your diet helps reduce breast pain. Vitamin E, thiamine, magnesium, and evening primrose oil are not harmful, but most studies have not shown any benefit. Talk to your provider before starting any medicine or supplement.
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.
When to Contact a Medical Professional
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
What to Expect at Your Office Visit
Your provider will perform a breast examination and ask questions about your breast pain. You may have a mammogram or ultrasound.
Your provider may arrange a follow-up visit if your symptoms have not gone away in a given period of time. You may be referred to a specialist.
Family Practice Notebook website. Medication causes of mastalgia: breast pain due to medication. fpnotebook.com/Gyn/Sx/Mstlg.htm. Accessed January 1, 2023.
Klimberg VS, Hunt KK. Diseases of the breast. In: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 21st ed. St Louis, MO: Elsevier; 2022:chap 35.
Sandadi S, Rock DT, Orr JW, Valea FA. Breast diseases: detection, management, and surveillance of breast disease. In: Gershenson DM, Lentz GM, Valea FA, Lobo RA, eds. Comprehensive Gynecology. 8th ed. Philadelphia, PA: Elsevier; 2022:chap 15.
Sasaki J, Geletzke A, Kass RB, Klimberg VS, Copeland EM, Bland KI. Etiology and management of benign breast disease. In: Bland KI, Copeland EM, Klimberg VS, Gradishar WJ, eds. The Breast: Comprehensive Management of Benign and Malignant Diseases. 5th ed. Philadelphia, PA: Elsevier; 2018:chap 5.
Last reviewed on: 10/10/2022
Reviewed by: Jonas DeMuro, MD, Diplomate of the American Board of Surgery with added Qualifications in Surgical Critical Care, Assistant Professor of Surgery, Renaissance School of Medicine, Stony Brook, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
Breast Pain: 10 Reasons Your Breasts May Hurt
Breast Pain: 10 Reasons Your Breasts May Hurt | Johns Hopkins Medicine
Reviewed By:
Most women experience some form of breast pain at one time or another. Breast pain is typically easy to treat, but on rarer occasions it can be a sign of something more serious.
Medical director of the Suburban Hospital Breast Center Pamela Wright, M.D., discusses the most common causes of breast pain (mastalgia), their treatments and when to see a doctor:
Hormones are making your breasts sore.
Hormonal fluctuations are the number one reason women have breast pain. Breasts become sore three to five days prior to the beginning of a menstrual period and stop hurting after it starts. This is due to a rise in estrogen and progesterone right before your period. These hormones cause your breasts to swell and can lead to tenderness.
“It’s normal to have breast tenderness that comes and goes around the time of your period,” says Wright. “It’s nothing to worry about.”
If you become pregnant, your breasts may remain sore during the first trimester as hormone production ramps up. Breast tenderness is one of the earliest signs of pregnancy for many women.
Steps you can take to minimize sore breasts include:
- Eliminate caffeine
- Eat a low-fat diet
- Reduce salt intake
- Avoid smoking
- Take an over-the-counter pain reliever
- Ask your doctor if switching birth control pills or hormone replacement therapy medications may help
You have a breast injury.
Like any part of your body, breasts can be injured. This can happen because of an accident, while playing sports or from breast surgery. You may feel a sharp, shooting pain at the time of injury. Tenderness can linger for a few days up to several weeks after trauma to the breast. See your doctor if the pain doesn’t improve or you notice any of these signs:
- Severe swelling
- A lump in the breast
- Redness and warmth, which could indicate an infection
- A bruise on your breast that doesn’t go away
Your breasts hurt due to an unsupportive bra.
Without proper support, the ligaments that connect breasts to the chest wall can become overstretched and painful by the end of the day. The result is achy, sore breasts. This may be especially noticeable during exercise. Make sure your bra is the correct size and provides good support.
Breast pain is really coming from your chest wall.
What feels like breast pain may actually be coming from your chest wall. This is the area of muscle, tissue and bone that surrounds and protects your heart and lungs. Common causes of chest wall pain include:
- A pulled muscle
- Inflammation around the ribs
- Trauma to the chest wall (getting hit in the chest)
- Bone fracture
Breastfeeding is causing breast tenderness.
Breastfeeding can sometimes be the source of breast pain. Some of the things you can experience while nursing include:
- Painful nipples from an improper latch (the way a baby latches on to suck)
- Tingling sensation during letdown (when the milk starts to flow to the baby)
- Nipple soreness due to being bitten or having dry, cracked skin or an infection
If you have pain while breastfeeding, it’s best to talk to your doctor or a lactation consultant.
They can help you troubleshoot the problem while maintaining your milk supply.
You have a breast infection.
Breastfeeding women are most likely to get breast infections (mastitis), but they occasionally occur in other women, too. If you have a breast infection, you may have a fever and symptoms in one breast, including:
- Pain
- Redness
- Swelling
If you think you may have a breast infection, it’s important to see a doctor. Treatment typically includes antibiotics and pain relievers.
Breast pain could be a medication side effect.
Some medications may cause breast pain as a side effect. Talk to your doctor about the medications you’re on and if this could be the case for you. Some drugs with this known side effect include:
- Oxymethone, used to treat some forms of anemia
- Chlorpromazine, used to treat various mental health conditions
- Water pills (diuretics), drugs that increase urination and are used to treat kidney and heart disease and high blood pressure
- Hormone therapies (birth control pills, hormone replacement or infertility treatments)
- Digitalis, prescribed for heart failure
- Methyldopa, used to treat high blood pressure
You have a painful breast cyst.
If a tender lump suddenly appears in your breast, you may have a cyst, says Wright. “These fluid-filled lumps aren’t dangerous and often don’t need to be treated as they may resolve on their own. But it’s important to get any lump in your breast evaluated by a doctor.”
To diagnose a cyst, your doctor may recommend a mammogram, ultrasound or aspiration (drawing fluid from the lump). Draining fluid from the cyst is also a form of treatment. If the cyst isn’t bothersome, you may not need any treatment at all.
Learn more about breast cysts and other noncancerous breast lumps.
You’re experiencing painful complications from breast implants.
Some women have complications with breast implants, whether made of silicone or saline. One of the most common causes of pain after breast augmentation surgery is capsular contracture, when scar tissue forms too tightly around implants. Breast pain can also be an indication that one of your implants has ruptured.
Talk to your doctor about any pain you’re having to determine if it could be related to the breast implants.
Breast pain can sometimes be a sign of breast cancer.
It’s unusual for breast cancer to cause pain, says Wright, but not impossible. Inflammatory breast cancer often causes pain but it’s rare, accounting for 1% to 5% of breast cancer cases in the United States. Symptoms of this aggressive disease often come on suddenly and progress rapidly. Inflammatory breast cancer may cause the breast to become:
- Red or discolored
- Swollen or heavy
- Painful
Skin on the breast may also thicken or dimple. If you’re concerned about inflammatory breast cancer, see your doctor immediately.
Although most cases of breast pain are minor problems, it’s important to talk to your doctor about your concerns. “If you have persistent breast pain, you should be evaluated,” says Wright. “And anyone who has a lump — painful or not — should see their doctor for an exam to make sure there isn’t a problem.”
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Pain in the mammary glands – causes and types, diagnosis and examination of the mammary glands in the clinic
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Pain syndrome in the mammary glands, which is also called mastalgia, occurs during the life of 75% of all female representatives. Statistics show that every tenth woman experiences at least a slight chest pain around 5 days of the month.
Due to this prevalence, many women do not pay due attention to it and do not turn to specialists for diagnostic measures.
Pain in the chest can disturb both very young girls (in the premenopausal period) and in women after 45 years (in the postmenopausal period). In some cases, it is observed throughout life during periods of menstruation.
Pain symptom is divided into two types: cyclic and non-cyclic.
Cyclic | Non-cyclic |
---|---|
Directly dependent on the menstrual cycle, felt in two mammary glands at once | Occurs only in one of the mammary glands |
Edema, swelling possible | May extend to armpits |
Nervous system instability | Nervous system stable |
Feeling of heaviness and fullness in the chest | The pain is sharp, burning in nature |
Pain peaks in the last week before menstruation | Pain may occur at any time |
Most common in women under 40 | More common in women over 40 |
In some cases, chest pain may not be related to any of the types. This happens with another source of disease, such as muscle pain.
Causes of pain in the mammary glands can be:
- hormonal disorders
They are the main cause of cyclic pain. As a rule, pain stops during pregnancy, before the onset of the menstrual cycle, or after menopause. This is a consequence of the fact that at these moments hormonal changes in the body stop. - anatomical changes in the breast
This is non-cyclical pain that can be caused by a cyst, blunt trauma, or surgery. The pain here is only on one side, mainly in the nipple area. Character – sharp, cutting. Most often permanent. In this case, you need to immediately contact a specialist. - violation of the balance of fatty acids in the tissues of the mammary glands
The pain is due to the increased sensitivity of gland cells to hormones. - taking certain medications
As a rule, these include hormonal substances, drugs to restore reproductive function, antidepressants. - infectious diseases (in particular mastitis)
Local symptoms are clearly expressed: significant pain, swelling and redness. There are fever, headaches, lack of appetite, feeling of weakness. - Benign and malignant neoplasms (mastopathy, breast cancer) Pain sensations may be completely absent here, which makes timely diagnosis difficult. A slight tumor-like formation appears, a change in color or structure (wrinkling of the skin), discharge from the nipple is possible. The risk group includes nulliparous women after 30 years of age, who initially gave birth late, the hereditary factor and overweight are also important.
- Osteochondrosis of the thoracic spine
Infectious diseases of the mammary glands are no less dangerous to health. Untimely treatment of mastitis causes an abscess (accumulation of pus), which requires surgery to remove. After the operation, the wound heals for a long time, the risk of re-inflammation and suppuration is not excluded.
To rule out the possibility of complications, you need to make an appointment at our clinic. On the basis of tests and diagnostics, specialists will conduct a course of treatment and talk about prevention methods.
Diagnostic measures for pain in the mammary glands consultation of a mammologist (the doctor collects an anamnesis, conducts a detailed survey of the patient)
- manual breast examination
- mammography
- Breast ultrasound
- Breast MRI with contrast
These procedures will allow you to more accurately determine the condition of the mammary glands, the presence of benign and malignant tumors, their size and exact location. Make an appointment with a gynecologist, and qualified specialists will make a diagnosis in a short time, prescribe treatment, and advise on existing issues.
Remember that an annual visit to a mammologist can give you a guarantee of a high quality of life and confidence in a secure future.
Here are some preventative tips that will help you reduce your risk of breast pain:
- boost immunity regularly
- take care of your body from stressful situations
- have a regular sexual partner, categorically avoid abortion and breastfeed
- choose a comfortable and high-quality bra
Prices for the treatment of breast pain
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Primary appointment (examination, consultation) with an obstetrician-gynecologist | 2900 ₽ | Enroll |
Repeated appointment (examination, consultation) with an obstetrician-gynecologist | 2700 ₽ | Enroll |
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“Many-sided pain” in the mammary gland
A woman in our country is a special woman! She thinks and worries about everyone except herself – for her husband with his complaints and problems, for the children with their vaccinations, examinations and schools . .. At the very last moment, she suddenly remembers herself. Does he remember why? Something hurt! The most common complaint of women of any age and the most motivating reason for visiting a doctor is pain in the mammary gland. This is what I would like to talk to you, dear women.
Pain in the mammary gland can be characterized and divided into different manifestations: cyclic – non-cyclic; one-time – constant; sharp, dagger, dull, aching, arching, girdle, local (local), bilateral, unilateral, etc.
The most common of these is cyclic soreness. A few days before the expected menstruation, the mammary glands become engorged, become sensitive, painful when pressed. These symptoms can appear both in 14 and in 2-3 days and disappear immediately after menstruation. This is due to ovulation and the preparation of the body for the natural process – pregnancy. In the second phase of the menstrual cycle, the female body is rebuilt. The hormonal background and the rheological properties of the blood change. For example, have you ever wondered why it is recommended to visit a mammologist for an examination from the 6th to the 12th day of the cycle? Of course, these are average days for most women, and they can vary significantly depending on your personal menstrual calendar: if the discharge stops already on day 2-3, and the cycle duration is, say, 35 days, then such a patient can be extended consultative days from 4 to 17th day of the cycle. The principle should be clear: the discharge practically stops, and ovulation does not occur. On these (recommended) days, the doctor will more objectively assess the situation: the chest is in a calm state; if puffiness is observed, it is in no way connected with physiological processes. In the case when the patient comes to any day convenient for her (not according to the cycle), this threatens with overdiagnosis, sometimes even errors in diagnosis. Let me give you an example again. Patient N., 45 years old, underwent mammography two years ago. Now there are complaints of soreness of the mammary glands.
The patient came for examination on the 25th day of the cycle. A mammogram was performed, which did not reveal exact data for a nodular formation, but the glandular tissue, compared to a two-year-old mammogram, became much larger. This indicates a hormonal surge, since the amount of glandular tissue should decrease over the years, and not increase. In this case, you and I knew in advance that the patient did not come according to the cycle, therefore, having repeated the study on the right days, we saw that the state of the mammary glands on the radiographs was without significant dynamics.
The same error often occurs with diagnostic punctures. First, you need to know that in the second phase of the menstrual cycle, the risk of hematomas at the biopsy site is much more serious. Therefore, surgeons try to carry out any operations for women of reproductive age during the week following menstruation, when bleeding is significantly reduced. Secondly, swelling is directly related to the swelling of each cell of the gland. The cytologist at the time of the procedure – taking a puncture – does not take into account the day of the cycle: he sees a cell that is slightly larger than the norm and – the diagnosis automatically becomes more complicated. The boundaries are very close: norm – hyperplasia – atypia – cancer. From this follows the conclusion – neither you nor the doctor need overdiagnosis.
Pain in the breast on both sides is associated with an imbalance of hormones that are not completely removed from the body by our liver, which remain on the cells of the glandular tissue of the mammary gland and attract fluid. Such a clinical picture with exacerbations in the autumn-spring period is characteristic of fibrocystic mastopathy. Sometimes there are shifts in a specific direction associated with the asymmetry of the mammary glands themselves or with a different amount of glandular tissue in the breast.
Local pain (local) inside the gland, aggravated by movement, patients often characterize as sharp, dagger, or, conversely, dull and aching. It occurs with cystic inclusions in the mammary gland. When filled, the liquid formation pushes the tissues apart, which leads to unpleasant sensations in a particular area of the gland, and the severity of complaints depends on the degree of cavity filling. Cysts are the most benign of all problems, but they are the ones that bring the most discomfort to a woman’s life.
In adolescents, cysts are often asymptomatic and do not cause any complaints. Diagnosed by ultrasound, sometimes they can be suspected when examining the gland – the appearance of a bluish color on the skin of the areola of the nipple. When screening schoolgirls, it was cysts in the mammary gland that were the most common pathology, although the girls did not complain of pain. In adolescence, untreated cysts are often complicated by inflammatory processes.
Inflammation of the mammary gland – mastitis – is manifested by pain, accompanied by reddening of the skin over the area and an increase in temperature, both local and general. The clinical picture, as a rule, develops quickly – within 1-2 days. There is a misconception that mastitis occurs only in lactating women. This is a really common complication in this group: it occurs, as a rule, in the first 2-3 weeks after childbirth, and in most cases after the first childbirth; has two causes – lactostasis and infection (as a result of infection through cracks and / or other damage to the nipples).
In our practice, we often encounter inflammation of the mammary glands in adolescents or women outside the lactation period. Change of season or a sharp temperature drop, drafts are the most common causes of mastitis. We observe a surge of such appeals in the May period. But this year, at the beginning of autumn (after unbearable heat), the number of patients with this pathology has increased dramatically. For the timely appointment of treatment, it is important to consult a doctor at the first symptoms, then, most likely, local antibacterial treatment will be sufficient.