Mastalgia history and symptoms

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:  Aditya Govindavarjhulla, M.B.B.S. [2]

## History and Symptoms

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* Timing of pain

* Cyclic

* Associated with menstrual cycle, worst before the menses
* Tends to occur in younger women, usually resolves spontaneously
* Noncyclic

* Unrelated to menses or in post-menopausal patient
* Most common in women ages 40-50
* Can be due to underlying fibroadenoma or cyst
* May resolve with therapy of underlying lesion
* Location of pain

* Cyclic pain tends to be bilateral, poorly localized, +/- radiation to arm/axilla
* Noncyclic tends to be unilateral, sharp, well localized
* Menstrual irregularities
* Medications

* Changes in medications may exacerbate mastalgia

## References

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