Health A to Z
Breast pain, also called mastalgia, affects most women at some point.
The pain may be felt as heaviness or soreness, or a stabbing or burning sensation. It can be felt in any part of the breast and may spread to nearby areas too.
Many women worry that breast pain may be a sign of a serious condition such as breast cancer, but pain by itself is rarely a sign of cancer.
This page summarises some of the possible causes of breast pain and offers advice on when to see your GP.
Causes of breast pain include:
Click on these links for more information about these causes.
Breast pain is commonly caused by changes in hormone levels that occur during the menstrual cycle. This is known as cyclical breast pain.
Hormone changes may be the cause of your pain if:
Wearing a supportive bra during the day, at night and while exercising can help reduce the pain, as can over-the-counter painkillers such as paracetamol or ibuprofen, and gels that you rub into your skin such as ibuprofen or diclofenac.
See your GP if the pain is difficult to control. They may refer you to a specialist who can prescribe medication to control your hormone levels, such as danazol, tamoxifen or goserelin.
Sore, tender breasts are sometimes an early sign of pregnancy.
This may be the cause of your pain if you also have other signs of pregnancy, such as:
You can do a home pregnancy test if you think there's a chance you might be pregnant.
There are many types of breast lump, some of which may be painful
Most breast lumps are harmless, but they should be checked by a GP just in case they're a sign of something serious, such as cancer.
Treatment depends on the type of lump you have. Some lumps may not need any treatment. Read more about treatments for breast lumps.
In addition to breast pain, mastitis can cause:
Breast abscesses are painful, swollen lumps that may also:
See your GP if you think you have a breast abscess. You may need antibiotics to treat the infection and a minor procedure to drain the pus with a needle. Read more about how breast abscesses are treated.
Breast pain can be caused by an injury to nearby muscles, joints or bones. Sometimes pain can spread along the nerves in your chest so that it feels like it's in your breast.
For example, breast pain can be caused by:
An injury may be the cause of your pain if it's only felt in one spot and it gets worse when you move around.
Wearing a supportive bra and taking painkillers can help relieve the pain while the injury heals. Occasionally, injections of steroid medication and local anaesthetic may be needed if the pain persists.
If you're breastfeeding, your pain may be the result of:
Speak to your midwife or health visitor if you think your pain could be related to breastfeeding. They can check your feeding technique and recommend ways to reduce the pain.
Read more about breast pain and breastfeeding.
Occasionally, breast pain can be a side effect of a medication.
Medicines that can cause breast pain include some types of:
Check the leaflet that comes with any medication you're taking to see if breast pain or tenderness is listed as a possible side effect.
Contact your GP if the pain is particularly troublesome, as you may need to switch medicine.
Pain by itself is rarely a sign of breast cancer.
It's more likely to be a sign of cancer if you also have other symptoms of breast cancer, such as:
See your GP if you're worried you could have breast cancer. They will examine your breasts and may refer you for further tests. Read more about how breast cancer is diagnosed.
It's a good idea to see your GP for advice if:
Your GP will examine your breasts and ask about your symptoms to try to determine what's causing your pain.
Being referred for further tests can be scary, but this is routinely done and it doesn't necessarily mean your GP thinks you have breast cancer. Most women who have these tests don't have cancer.