Current Management and Treatment Options for Breast Pain

Breast pain, or mastalgia, was a common issue affecting 70% of women at some point, but it was rarely linked to breast cancer. Management strategies depended on the pain's type and severity. Nonpharmacologic methods, such as stress management and relaxation therapy, were recommended for mild to moderate pain, while severe cases might require pharmacologic treatments like tamoxifen, danazol, or bromocriptine, despite their side effects. Cyclic pain was often related to the menstrual cycle and not associated with cancer, whereas noncyclic pain could result from various benign causes. Diagnostic imaging was used selectively, and reassurance alone was sufficient for 70% of women. Nutritional supplements had mixed results, and mechanical support like a well-fitted bra provided some relief.