Breast Pain: When to Be Seen
Breast pain (mastalgia) is very common and rarely a sign of breast cancer. It is often cyclical — linked to the menstrual cycle and affecting both breasts — or related to the chest wall muscles. Pain that is persistent, one-sided, or accompanied by a lump or skin change should be assessed.
What is breast pain?
Breast pain is discomfort felt in one or both breasts. It is described as cyclical when it follows the menstrual cycle, or non-cyclical when it does not. Much breast pain actually arises from the chest wall or muscles rather than the breast tissue itself.
Common causes
- Hormonal (cyclical) — the most common type
- Chest wall or muscular pain — often one-sided and reproduced by pressing
- Cysts — can cause localised tenderness
- Medications — including some hormonal treatments
- Infection — with redness, heat and swelling
How it is assessed
For most people, examination and reassurance are enough. Where pain is persistent, focused or comes with another change, Mr Ghosh arranges imaging to exclude an underlying cause. Book through the one-stop clinic.
When to seek medical advice
See a doctor promptly — or call 999 if you feel acutely unwell — if you notice any of the following:
- A new lump with the pain
- Persistent, focused pain in one spot
- Skin changes, redness or swelling
- Nipple changes or discharge
- Pain with signs of infection (fever, redness, heat)
Most breast changes are not cancer. But any new or persistent change should be assessed. Our one-stop breast clinic offers same-day specialist assessment.
Frequently asked questions
Is breast pain a sign of cancer?
Breast pain alone is rarely a sign of breast cancer. Most breast pain is hormonal (cyclical) or related to the muscles and joints of the chest wall. Pain with a lump or skin change should be assessed.
Why do my breasts hurt before my period?
Cyclical breast pain is driven by hormonal changes in the second half of the menstrual cycle. It usually affects both breasts and eases when your period starts.
What helps breast pain?
A well-fitting supportive bra, simple pain relief, and reassurance help most people. Persistent or one-sided pain that is affecting your life should be assessed.
Related information
Sources
Worried about a breast symptom?
Book a same-day one-stop appointment with Mr Debashis Ghosh, or call our team in confidence.