Mastalgia is pain in the breast. In premenopausal women, mastalgia can manifest itself as a feeling of discomfort that occurs before menstruation. It is believed that the root cause of mastalgia is cyclic engorgement of the glands, due to venous congestion and swelling of the stroma before menstruation, at which time the mammary gland increases in volume by more than 15%. Genetic aspects. There is a family tendency to develop mastalgia.

Differential Diagnosis

    • Mammary cancer
    • breast cyst
    • Pain syndrome caused by the pathological process of the chest wall or in the organs of the chest.


Drugs of choice

    • NSAIDs
    • Danazol 100-400 mg/day orally for 3-6 months
    • Tamoxifen 10 mg orally 2 times a day for 3-6 months.

Alternative products—not rigorously proven effective

    • Diuretics (traditionally spironolactone) before menses
    • Vitamin E 600 IU/day
    • Norethisterone
    • pregnin
    • Bromocriptine nbsp; 2.5-5.0 mg / day.

Concomitant pathology – premenstrual syndrome. Synonyms

    • Mammalgia
    • Cooper’s disease

See also Premenstrual Syndrome, Mastopathy.

ICD N64.4 Mastodynia

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