Breast Pain

Tests to evaluate breast pain may include:

Clinical breast exam:
- Your doctor checks for changes in the breasts and nearby lymph nodes, including the lower neck and underarm.
- Heart, lungs, chest, and abdomen may be examined to rule out other causes of pain.
- If nothing unusual is found, no additional tests may be needed.
Mammogram:
- An X-ray of the breast that focuses on the area of concern.
- Usually recommended if your doctor feels a lump, thickening, or localized pain.
Ultrasound:
- Uses sound waves to produce images of breast tissue.
- Often done along with a mammogram to evaluate areas of pain, even if the mammogram appears normal.
Breast biopsy:
- May be needed for suspicious lumps, thickened areas, or unusual imaging findings.
- Involves removing a small tissue sample for lab analysis to confirm the diagnosis.

For many people, breast pain resolves on its own. If treatment is needed, options may include:

Eliminate underlying causes or aggravating factors:
- Example: wearing a supportive bra to reduce discomfort.
Topical NSAID medication:
- Apply nonsteroidal anti-inflammatory creams directly to the area of pain for relief.
Adjust birth control pills:
- Modifying the pill schedule or changing methods may help.
- Always consult your doctor before making changes.
Reduce menopausal hormone therapy:
- Consider lowering the dose or stopping therapy under doctor supervision.
Prescription medications:
- Danazol: FDA-approved for fibrocystic breast pain; may have serious side effects like liver or heart problems, weight gain, and voice changes.
- Tamoxifen: Sometimes used for breast pain but may have side effects worse than the pain itself.

Overview