Mastalgia, or breast pain, can be caused by a number of different things. Cyclic pain is the most common form and caused by normal monthly hormonal changes. This type of pain usually occurs in both breasts, causing a feeling of heaviness and tenderness throughout the breasts and sometimes under the armpits. The other type of pain is non-cyclic and this is experienced as sharp pain and may be caused by a cyst.
Over the Counter and Prescription Medications
Mastalgia may be treated with over-the-counter pain killers, such as Tylenol or Advil. If the pain is severe, then your doctor may prescribe tamoxofen, bromocriptine or danazol though these medications are used seldom because of their range of side effects.
Mastalgia and Birth Control Pills
Mastalgia may also be relieved by using birth control pills as these often help to reduce the symptoms of breast pain and tenderness before the onset of your menstrual cycle. However, some brands of birth control pills can actually cause breast pain and tenderness.
Mastalgia and Magnesium
You may also prevent cyclic breast pain by taking a magnesium supplement during the two weeks before your period. The recommended dosage is 200mg each day for the two weeks. Magnesium may also help to reduce other premenstrual symptoms, such as abdominal bloating and fluid retention.
Other Supplements for Cyclic Mastalgia
Other supplements that may help to relieve the symptoms of cyclic mastalgia include evening primrose taken for two weeks before your period at a dose of 1,000-2,000mg daily. Vitamin E may also be beneficial and is often included in evening primrose supplements.
Treatment for Non-cyclic Mastalgia
Your doctor will decide on an appropriate treatment for non-cyclic mastalgia based on a number of factors including your age, health, medical history, any currently prescribed medications, extent of the condition and your preference. Your doctor will perform an examination of the painful area and may order a mammogram. In a few cases a biopsy may also be required. Treatment often includes pain killers and anti-inflammatory medications.
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