Painful breast tissue, often bilateral, which can be cyclic or noncyclic
2/3 of breast pain is cyclic and usually associated with hormonal changes related to menses, external hormones...
Location, duration, frequency, severity, associated symptoms, related activities (e.g., trauma), and aggravating and ameliorating factors
Complete medical history with focus on gynecol...
Stop or modify the current hormonal therapy.
A repeat examination may help to establish any cyclic nodularity pattern.
Wear a properly fitted support bra (may be fitted by a pr...
As needed for patients not receiving pharmacotherapy
Time of follow-up will vary by type of pharmacotherapy and patient's particular pr...
Ader DN, Shriver CD. Cyclical mastalgia: prevalence and impact in an outpatient breast clinic sample. J Am Coll Surg. 1997;185(5):466–470.
Blommers J, de Lange-De Klerk ES, Kui...
Premenstrual Syndrome (PMS) and Premenstrual Dysphoric Disorder (PMDD)
Algorithms: Breast Discharge; Breast Pain
53430007 Pain of breast (finding)
237453001 Cyclical mastalgia
237454007 Non-cyclical mastalgia
315250005 Persistent mastalgia (finding)
135876005 M...
When evaluating a patient with breast pain, always rule out cancer first.
In the adolescent population, do not biopsy; instead, refer to a breast specialist.
Premenstrual mastalgia incre...
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