Skip to main content

Mastalgia

Eduardo Lara-Torre, MD, FACOG, Amanda B. Murchison, MD and Patrice M. Weiss, MD Reviewed 06/2019
 


BASICS

DESCRIPTION

  • 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 hormon...

DIAGNOSIS

HISTORY

  • Location, duration, frequency, severity, associated symptoms, related activities (e.g., trauma), and aggravating and ameliorating factors

  • Complete medical history with focus on gynecol...

TREATMENT

GENERAL MEASURES

  • 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...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

As needed 

Patient Monitoring

  • As needed for patients not receiving pharmacotherapy

  • Time of follow-up will vary by type of pharmacotherapy and patient’s particular pr...

REFERENCES

1
Scurr J, Hedger W, Morris P, et al. The prevalence, severity, and impact of breast pain in the general population. Breast J.  2014;20(5):508–513. [View Abstract on OvidMedline]
2
Chase ...

ADDITIONAL READING

  • Colak T, Ipek T, Kanik A, et al. Efficacy of topical nonsteroidal antiinflammatory drugs in mastalgia treatment. J Am Coll Surg.  2003;196(4):525–530. [View Abstract on OvidMed...

SEE ALSO

  • Premenstrual Syndrome (PMS) and Premenstrual Dysphoric Disorder (PMDD)

  • Algorithms: Breast Discharge; Breast Pain

CODES

ICD10

N64.4 Mastodynia 

ICD9

611.71 Mastodynia 

SNOMED

  • 53430007 Pain of breast (finding)

  • 237453001 Cyclical mastalgia

  • 237454007 Non-cyclical mastalgia

  • 315250005 Persistent mastalgia (finding)

  • 135876005 M...

CLINICAL PEARLS

  • 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...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

×