Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
, 22 (2), 71-6

Cyclical Mastalgia: Prevalence and Associated Health and Behavioral Factors

Affiliations

Cyclical Mastalgia: Prevalence and Associated Health and Behavioral Factors

D N Ader et al. J Psychosom Obstet Gynaecol.

Abstract

Perimenstrual breast pain (cyclical mastalgia) is a common problem that can be sufficiently severe to interfere with usual activities, and has been associated with elevated mammography usage in young women. This study was undertaken to replicate clinic-based research on cyclical mastalgia, and to examine the association between this disorder and health-related behaviors and perceived stress. Using random digit dialing throughout Virginia, 874 women aged 18-44 were interviewed. Sixty-eight per cent of women experienced cyclical breast symptoms; 22% experienced moderate to extreme discomfort (classified as cyclical mastalgia). Hormonal contraceptive usage was associated with significantly less mastalgia and premenstrual syndrome (PMS). Smoking, caffeine consumption and perceived stress were associated with mastalgia (odds ratios = 1.52, 1.53 and 1.7, respectively). Young women (under 35 years) with mastalgia were more likely to have had a mammogram (20.2%) than those without mastalgia (9.9%). Most women with this disorder (77.5%) did not have PMS. The prevalence of cyclical mastalgia and its association with mammography replicate clinic-based findings. Associations with smoking and stress had not previously been reported. Prospective research is needed to determine the biopsychosocial factors contributing to this disorder.

Similar articles

  • Cyclical Mastalgia: Premenstrual Syndrome or Recurrent Pain Disorder?
    DN Ader et al. J Psychosom Obstet Gynaecol 20 (4), 198-202. PMID 10656154.
    Approximately 8-10% of premenopausal women experience moderate to severe perimenstrual breast pain or cyclical mastalgia, monthly. This mastalgia can occur regularly for …
  • Cyclical Mastalgia: Prevalence and Impact in an Outpatient Breast Clinic Sample
    DN Ader et al. J Am Coll Surg 185 (5), 466-70. PMID 9358091.
    Reported prevalences of mastalgia obtained in this sample are higher than those reported in British studies; possible reasons for these differences are discussed. Cyclica …
  • Prevalence and Impact of Cyclic Mastalgia in a United States Clinic-Based Sample
    DN Ader et al. Am J Obstet Gynecol 177 (1), 126-32. PMID 9240595.
    Cyclic mastalgia is a common problem, sometimes severe enough to interfere with usual activities, and it is associated with high use of mammography among young women. Lar …
  • Clinical Management of Breast Pain: A Review
    AV Millet et al. Obstet Gynecol Surv 57 (7), 451-61. PMID 12172222. - Review
    Breast pain (mastalgia) is a common cause of anxiety among women and frequently leads to a primary care clinic for consultation. Fortunately, mild premenstrual breast dis …
  • Mastalgia: A Review of Management
    A Olawaiye et al. J Reprod Med 50 (12), 933-9. PMID 16444894. - Review
    Mastalgia affects up to two-thirds of women at some time during their reproductive lives. It is usually benign, but thefear of underlying breast cancer is why many women …
See all similar articles

Cited by 13 PubMed Central articles

See all "Cited by" articles

LinkOut - more resources

Feedback