Medical history (history of illness) is an important component in the diagnosis of mastodynia (breast pain). Family history Are there any gynecologic conditions in your family that are common? Social history Current medical history/systemic history (somatic and psychological complaints). Do you have chest pain? Where exactly is the pain localized? On both sides? Has the … Mammary Gland Pain (Mastodynia): Medical History
Endocrine, nutritional, and metabolic diseases (E00-E90). Estrogen stimulus, unspecified. Hyperprolactinemia (see also under the disease hyperprolactinemia) – too high prolactin levels. Hyperandrogenemia – too high androgen level. Deficiency of thyroid hormones, unspecified Deficiency of progesterone, unspecified Cardiovascular system (I00-I99) Angina pectoris (“chest tightness”; sudden onset of pain in the heart area). Mondor’s disease (synonyms: Mondor’s … Mammary Gland Pain (Mastodynia): Or something else? Differential Diagnosis
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height. Gynecological examination Inspection of the mammae (breasts), right and left; nipple (nipple), right and left, and skin [crusting of secretions in the area of the nipple/mammillae due to galactorrhea?/diseased breast milk discharge]. … Mammary Gland Pain (Mastodynia): Examination
Laboratory parameters of the 1st order – obligatory laboratory tests. Histologic (fine tissue) examination is indicated, including: In mammary sonography (ultrasound examination of the breast; breast ultrasound) – in the case of unclear focal findings. In mammography (X-ray examination of the breast) – in the case of microcalcifications. In the case of galactorrhea (abnormal breast … Mammary Gland Pain (Mastodynia): Test and Diagnosis
Therapeutic target Pain relief Therapy recommendations Hormone-free phytotherapeutics (herbal remedies) such as Agnus castus preparations should be at the beginning of a treatment alongside non-drug forms of therapy; furthermore, micronutrients (vital substances) are used in a complementary manner (see supplements below) Hormone therapy for cyclic (premenstrual mastodynia); treatment with: Progestins, oral, transdermal and vaginal; prolactin … Mammary Gland Pain (Mastodynia): Drug Therapy
Obligatory medical device diagnostics. Mammary ultrasonography (ultrasound examination of the breast; breast ultrasound). Optional medical device diagnostics – depending on the results of the medical history, physical examination and mandatory laboratory parameters – for differential diagnostic clarification. Mammography (X-ray examination of the breast). Magnetic resonance mammography (MRI of the breast; breast MRI). Stress ECG (electrocardiogram … Mammary Gland Pain (Mastodynia): Diagnostic Tests
The following symptoms and complaints may indicate mastodynia (breast pain): Leading symptoms Breast pain premenstrual (before menstruation), or occurring cyclically. Tension states of the breast, occurring cyclically. Notice. To distinguish from the mastodynia is the mastalgia, which is a feeling of tension in the breast or breast pain, which are independent of the cycle. In … Mammary Gland Pain (Mastodynia): Symptoms, Complaints, Signs
Pathogenesis (development of disease) The cause of mastodynia, in the case of an endocrinologic disorder, is probably a shift in the estrogen-progesterone balance resulting in relative hyperestrogenism (relative predominance of estrogen action). For the pathogenesis of the other diseases, see under the respective disease. Etiology (causes) Biographic causes Hormonal factors – pregnancy; breastfeeding phase; premenopause/menopause … Mammary Gland Pain (Mastodynia): Causes
General measures Options for symptom relief in cycle-dependent mastodynia. Wearing a well-fitting brassiere. Regular sports activities Nicotine restriction (refraining from tobacco use). Limited alcohol consumption (max. 12 g alcohol per day). Limited caffeine consumption (max 240 mg of caffeine per day; equivalent to 2 to 3 cups of coffee or 4 to 6 cups of … Mammary Gland Pain (Mastodynia): Therapy