Breast Pain: Common Causes & When to See a Doctor

What Is Breast Pain?

Breast pain (mastalgia) is very common and affects most women at some point. It can be cyclical (related to your menstrual cycle) or non-cyclical. While breast pain is rarely a sign of cancer, persistent or severe pain should be evaluated for peace of mind and appropriate treatment.

Common Causes of Breast Pain

• Hormonal fluctuations (menstrual cycle)
• Fibrocystic breast changes
• Ill-fitting bra
• Chest wall pain (costochondritis)
• Medication side effects (HRT, birth control)
• Caffeine intake

When to See a Doctor

See a doctor if breast pain is severe, persistent, localized to one area, accompanied by a lump, or if you have nipple discharge or skin changes.

Warning Signs That Need Immediate Attention

Frequently Asked Questions

Is breast pain a sign of cancer?

Breast pain is rarely a sign of cancer. Most breast cancers are painless lumps. However, any new lump, even if painful, should be evaluated. Persistent, localized breast pain should also be checked.

Why do my breasts hurt before my period?

Hormonal changes, particularly rising progesterone, cause breast tissue to swell and become tender before menstruation. This cyclical breast pain is normal and usually resolves when your period starts.

What helps breast pain?

Wearing a well-fitted supportive bra, reducing caffeine, applying warm or cool compresses, taking OTC pain relievers, and evening primrose oil may help. For severe cyclical pain, hormonal treatments are available.

Can caffeine cause breast pain?

Some women report that caffeine worsens breast pain, though research is mixed. Reducing caffeine for 2-3 months to see if symptoms improve is a reasonable trial with no downside.

How much does breast pain evaluation cost?

A gynecologist visit costs $150-$400. A mammogram costs $100-$300. Breast ultrasound costs $200-$500. OpenMyPro helps you find affordable women's health care.

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