The most common breast symptom in women of all ages, breast pain is not usually a sign of cancer and, in most cases, resolves on its own.

On average, 70–80% of women will experience breast pain during their lifetime. 

Types of Breast Pain

There are two types of breast pain: cyclical and noncyclical.

Cyclical Breast Pain 

This is the most common type of breast pain. It is associated with hormonal changes and is typically related to menstruation, usually beginning the week prior. Pregnancy, lactation, hormone replacement therapy, and oral contraceptives can also be associated with breast pain.

Most often this pain is described as a dull, heavy, or aching feeling that is commonly bilateral and localized in the outer part of the breast and can radiate to the underarm. Cyclical breast pain is worse at the time of a woman’s period and disappears when the period ends. Perimenopausal breast tenderness and swelling are reported in one in three women.

Noncyclical Breast Pain

This type of breast pain can occur intermittently or continuously. It is not related to the menstrual cycle and may occur in one or both breasts. Possible causes include cysts, infection or inflammation, ill-fitting bras, large breast size, benign tumors, medication, surgery, musculoskeletal pain, caffeine intake, smoking, a high-fat diet, hormone therapy, and gynecomastia in men.

Noncyclical breast pain is described as a tight, burning, stabbing, aching sensation that may be felt in one area of the breast or throughout. This type of breast pain is most common after menopause and usually resolves on its own. Focal pain without a palpable mass is almost always benign. Focal pain with a mass is usually benign but must be evaluated.

Appointments for Breast Pain Evaluation

To properly identify the cause of breast pain, the American College of Radiology recommends the following imaging tests for women with focal noncyclical breast pain without a mass: 

• Women under the age of 40 should have an ultrasound. 
• Women 40 years and older should have a diagnostic mammogram (if they have not had a mammogram within six months of the pain first starting) and an ultrasound. 

For cyclical breast pain, imaging is not necessary.

To make an appointment for an evaluation for breast pain: First speak to your primary care physician or gynecologist. A prescription is required for an ultrasound. If you have a prescription and need assistance scheduling, please call our Imaging Scheduling Center at 201-894-3640.