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Pre-menstrual Breast Pain  (Cyclical Mastalgia)

The “hormonal environment” i.e. the level of certain hormones circulating in your blood stream goes through a monthly cyclical change.  Starting about 10 days prior to the onset of your menstrual period, this hormonal environment may cause swelling, lumpiness & pain in your breasts, which usually gets worse until you have a period when it may improve - often quickly, over a day or two.  Sometimes the cyclical element of breast pain is not so clear

This is a very common problem amongst pre-menopausal women of all ages.  It may be very mild or extremely severe, causing much distress & discomfort.  It is not necessarily associated with nor does it pre-dispose to breast cancer.  In this sense, it is not a serious condition, but merely a nuisance.  The condition which causes cyclical breast pain is referred to as benign mammary dysplasia (BMD) & can also result in thickening in various areas of the breast & masquerade as a “lump"

To help minimise your symptoms you can carry out the following instructions:

1.    Wear a good supportive bra during the time you have pain or discomfort.

2.    Take Vitamin B6 (Pyridoxine), one 50 mg tablet once a day (if you have not already tried this medication).  These tablets are available from any chemist without a prescription & should be taken for at least 3 months before any benefit can be expected.  

3.    If a course of Vitamin B6 has proved ineffective, try a 2 - 3 months course of Evening Primrose Oil capsules.  Take two 500 mg capsules three times daily.  This is not a hormone preparation and can be obtained form Health Food shops & most chemists, without a prescription.

If the above measures are not effective, there are other medications, including some hormone & “anti-hormone” preparations which could be tried.  These can only be prescribed by a doctor  & should be taken under supervision.



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