- Cyclical Mastalgia
Definition
- Pain prior to menstruation
Presentation
- typical age 35
- discomfort and sometimes pain are present
- usually bilateral but one breast can dominate
- mainly premenstrual
- usually resolves on commencement of menstruation
- breasts diffusely nodular or lumpy
- variable relationship to the pill
Examination
- as per normal breast examination
Management
- reassurance
- proper bra support
- low fat diet, excluding caffeine
- ideal weight
- analgesia
- Danazol in severe cases
Reference:
john murtagh general practice
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