Breast Pain or Breast Cancer? Dr Liz O’Riordan

Here are some factors to consider when evaluating breast pain:

  • Timing and duration: Is the pain cyclical, related to your menstrual cycle? Does it persist or worsen over time?  
  • Location: Where is the pain located? Is it in one breast or both?
  • Nature of the pain: Is it sharp, dull, aching, or burning?
  • Other symptoms: Are there any accompanying symptoms like lumps, nipple discharge, or skin changes?

Common benign causes of breast pain include:

  • Hormonal changes: Fluctuating hormone levels, especially during or around menstruation, can cause breast tenderness.  
  • Fibrocystic breast disease: This condition involves the growth of fluid-filled sacs (cysts) in the breast tissue, often leading to pain and tenderness.  
  • Breast infections: Infections can cause pain, redness, and swelling in the breast.  
  • Injury or trauma: Physical trauma to the breast can result in pain and bruising.  

If you experience any of the following, it’s important to see a doctor:

  • A new lump in your breast or underarm
  • Changes in the size, shape, or texture of your breast
  • Nipple discharge (other than clear fluid during pregnancy or breastfeeding)
  • Dimpling or puckering of the skin on your breast
  • Persistent breast pain that doesn’t improve

Remember, the best way to determine the cause of breast pain is to consult with a healthcare professional. They can perform a physical examination and may recommend further tests, such as a mammogram or ultrasound, if necessary.