Fibrocystic Breasts

Overview

Most women at some time or another have painful or tender breasts — the most common breast condition among women. Mastalgia (painful breasts) rarely signals a serious problem, but for those who have it, this may be small comfort.

Among premenopausal women, most breast pain is caused by breast changes associated with fluctuations in hormonal levels linked to the menstrual cycle. Commonly known as fibrocystic breast changes, they can cause breasts to feel tender, sore and swollen. Lumps — fluid-filled sacs surrounded by fibrous tissue — or areas of thickening may also be felt and are called cysts. These changes peak about a week to 10 days before a menstrual period.

Specialists in breast health at Mayo Clinic work to find the most appropriate treatment for women who have fibrocystic breasts. Treatment programs are tailored to each individual and take into account the needs of the patient and family, while providing state-of-the-art care and access to new developments and appropriate clinical trials.

Diagnosis

For years, fibrocystic breast changes were diagnosed as fibrocystic breast disease. Because about half of all women have this condition, it is now recognized as a common condition.

Women who experience breast pain should see their physician. A clinical breast exam, imaging, and sometimes biopsy — the removal of tissue for examination under a microscope — may be needed. Patients may be asked to return for a second exam within two to six weeks, depending on where they are in their menstrual cycle, for comparison. A fine-needle biopsy may be used to distinguish fluid-filled cysts from fibroadenoma or cancer. Read more about diagnosis.

Treatment Options

Mayo Clinic physicians have extensive experience in helping women find relief from the symptoms of fibrocystic breasts. Read more about treatment.

• Treatment in Arizona
• Treatment in Florida
• Treatment in Minnesota

About Breast Pain

Breast pain affects most women at some point in their lives, but it can be managed to minimize discomfort and the negative impact on daily activities.

Read more at
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