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Breast pain, or mastalgia, is one of the most common breast symptoms experienced by women of all ages. While it can be concerning, breast pain rarely indicates cancer. Still, understanding the different causes and knowing when to see a specialist is essential for your peace of mind and long-term breast health. A breast surgeon help women identify the source of their pain and find personalized, effective relief.

Types of Breast Pain

There are two main types of breast pain:

Cyclical Breast Pain:
This pain is linked to hormonal changes during your menstrual cycle. It usually occurs in both breasts, particularly before your period, and may feel like heaviness, swelling, or tenderness. It often improves after menstruation.

Non-Cyclical Breast Pain:
This pain is not related to your cycle and may occur in one or both breasts. It can result from injury, inflammation, cysts, infection, lumps, hormonale changes or sometimes is related to muscle or chest wall issues rather than the breast itself.

Common Causes

• Hormonal fluctuations during the menstrual cycle, pregnancy, or menopause.

• Fibrocystic breast changes, where breast tissue becomes lumpy and sensitive.

• Caffeine intake or a high-fat diet, which can worsen tenderness.

• Poorly fitting bras that offer little support.

• Certain medications, such as hormonal therapy or antidepressants.

• Stress, depression and anxiety

When to See a Doctor

While most breast pain is harmless, medical evaluation is important if:

• The pain is persistent or localized in one area.

• You feel a lump associated with the pain.

• The pain is accompanied by nipple discharge or skin changes.

• The discomfort interferes with your daily life.

• You have fever

Managing Breast Pain

The breast surgeon performs a detailed clinical assessment and, when needed, imaging tests such as ultrasound and mammography. Treatment depends on the cause, but often includes:

• Lifestyle adjustments: Reducing caffeine, salt, and fatty foods.

• Supportive (but not too tight) bras: Especially during physical activity.

• Topical or oral medications: Non-hormonal pain relief or evening primrose oil supplements.

• Hormonal management: In selected cases, under specialist supervision.

FAQs

Q: Is breast pain a sign of cancer?
A: In most cases, no. Breast pain alone is rarely linked to breast cancer, but persistent pain with other symptoms should be checked by a specialist.

Q: Can stress cause breast pain?
A: Yes, emotional stress can sometimes worsen the perception of pain or tension in the breast area.

Q: Can breast pain occur during menopause?
A: Yes. Hormonal fluctuations during perimenopause and menopause can still cause breast tenderness or burning sensations, though the pain often decreases over time as hormone levels stabilize.

About the Author

Dr. Annalisa Perego is a breast surgeon at Well Woman Clinic Dubai, specializing in women’s breast health and early cancer detection. She combines advanced diagnostic techniques with a patient-centered approach to ensure every woman feels safe, supported, and understood.

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