Breast pain - What will happen?

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Breast pain is rarely a sign of a serious problem. Often it goes away on its own without any treatment. If your pain is mild, you may just need to be reassured that there's nothing wrong. But if your breast pain is severe there are some treatments that can help.

If you are worried about breast pain, you should see your doctor. They will ask you questions about the pain and examine your breasts to make sure you don't also have signs of breast cancer.

The main signs of breast cancer are:[1]

  • A lump
  • A sore that won't heal
  • A swelling in the skin (called nodule)
  • Other skin changes.

If your doctor thinks you may have breast cancer, they will refer you to a specialist for further tests.

But if your doctor does not suspect cancer, they may ask you to keep a 'pain diary' to help them work out what type of breast pain you have and how bad it is.[2] Most women (more than 8 in 10) are happy with reassurance and don't want any treatment for their breast pain.[2]

You may find having a proper fitted bra or one with more support helps your breast pain. And if you exercise, wearing a sports bra may help.[3] Out of the women who get cyclical breast pain about a third find that it goes away on its own within three months.[4]

Up to 2 in 10 women with breast pain opt for medical treatment.[2] Treatment may help for a while. But up to 6 in 10 women find that the pain comes back eventually.[5]

Treatment seems to work less well for non-cyclical breast pain. But about half the women who get this type of breast pain find it goes away on its own.[5]

References

  1. Cancer Research UK. Guidelines for referral of patients with breast problems. NHS Cancer Screening Programmes 2003.
  2. Smith RL, Pruthi S, Fitzpatrick LA. Evaluation and management of breast pain. Mayo Clinic Proceedings. 2004; 79: 353-372.
  3. BeLieu RM. Mastodynia. Obstetrics and Gynecology Clinics of North America. 1994; 21: 461-477.
  4. Pye JK, Mansel RE, Hughes LE. Clinical experience of drug treatments for mastalgia. Lancet. 1985; 1: 373-377.
  5. Gately CA, Mansel RE. Management of the painful and nodular breast. British Medical Bulletin. 1991; 47: 284-294.

© BMJ Publishing Group Limited ("BMJ Group") 2007. All rights reserved

This information does not replace medical advice. If you are concerned you might have a medical problem please ask your Boots pharmacy team in your local Boots store, or see your doctor.

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