Breast Pain: When to Seek Surgical Consultation - Surgery

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Regarding breast pain?


Hello Doctor, I have been experiencing intermittent breast pain for about six months, which is not limited to premenstrual discomfort; sometimes the pain persists even after my period ends.
The pain occurs infrequently, about four to five times a day.
I have already researched this issue, and it seems that I should see a general surgeon specializing in breast surgery.
However, I found that many hospitals (such as Tainan Hospital, Tainan City Hospital, Cheng Kung University Hospital, Chi Mei Medical Center, New Tower Hospital, Guo General Hospital, etc.) only have male doctors.
I would like to ask: 1.
Can I go to a nearby obstetrics and gynecology clinic for a breast ultrasound examination with these symptoms? 2.
Are there clinics that provide breast surgery services? If so, could you recommend a few female doctors? 3.
Are there any female general surgeons or breast surgeons in Tainan? Thank you, Doctor.

Allice, 20~29 year old female. Ask Date: 2006/03/27

Dr. Li Guoding reply Surgery


Dear Dr.
Li Guo-Ding of the Surgical Department at Tainan Hospital, Department of Health, Executive Yuan:
Hello,
1.
Breast pain associated with the menstrual cycle is a normal phenomenon, and you may consider undergoing a breast ultrasound examination at the obstetrics and gynecology outpatient clinic.
2.
Currently, there are no female surgeons in the surgical department in Tainan.
Wishing you good health and all the best from the Surgical Department of Tainan Hospital!

Reply Date: 2006/03/27

More Info


Breast pain, or mastalgia, can be a common concern for many individuals, and understanding when to seek medical advice is crucial for proper management and peace of mind. Your symptoms, which include intermittent breast pain occurring outside of your menstrual cycle, warrant further evaluation. Here’s a comprehensive response to your questions and additional insights based on medical knowledge.

1. Seeking Evaluation for Symptoms: Given that you have experienced breast pain for about six months, it is advisable to consult a healthcare provider. While breast pain can often be benign and related to hormonal fluctuations, persistent or recurrent pain that is not linked to your menstrual cycle should be evaluated. A breast ultrasound can help assess any underlying issues, such as cysts, fibrocystic changes, or other abnormalities. You can certainly visit a gynecologist or a nearby obstetrics and gynecology clinic for a breast ultrasound. Gynecologists are trained to evaluate breast conditions and can provide appropriate referrals if necessary.

2. Finding Breast Surgery Services: Many hospitals and clinics offer breast surgery services, but it can be challenging to find female surgeons, especially in certain regions. It is worth checking with local hospitals or specialized breast centers to see if they have female breast surgeons on staff. Additionally, some clinics may have female practitioners who focus on breast health. You can inquire at your local health facilities or search online for breast health specialists in your area. If you have access to patient forums or support groups, they can also be a valuable resource for recommendations.

3. Recommendations for Female Surgeons: While I cannot provide specific names of female surgeons in Tainan, I recommend reaching out to the hospitals you mentioned (such as Tainan Hospital, Tainan City Hospital, or Cheng Kung University Hospital) and asking if they have female breast surgeons available. You can also check their websites or call their departments directly to inquire about the availability of female specialists.


Additional Insights on Breast Pain
Breast pain can be classified into two categories: cyclic and non-cyclic. Cyclic breast pain is often related to hormonal changes during the menstrual cycle, while non-cyclic pain may arise from various causes, including:
- Fibrocystic Changes: This condition involves the development of cysts and fibrous tissue in the breast, leading to tenderness and discomfort.

- Infections or Inflammation: Conditions such as mastitis or abscesses can cause localized pain and swelling.

- Trauma or Injury: Previous surgeries or injuries to the breast can lead to chronic pain.

- Hormonal Imbalances: Fluctuations in estrogen and progesterone levels can contribute to breast tenderness.


When to Seek Immediate Medical Attention
You should seek immediate medical attention if you experience any of the following:
- Sudden or severe breast pain that is different from your usual symptoms.

- A noticeable lump or mass in the breast.

- Changes in the shape or contour of the breast.

- Nipple discharge that is bloody or occurs spontaneously.

- Signs of infection, such as redness, swelling, or fever.


Conclusion
In summary, while breast pain can often be benign, your symptoms warrant further evaluation to rule out any serious conditions. Consulting a gynecologist for a breast ultrasound is a good first step. Additionally, exploring local resources for female breast surgeons can help you find the right specialist for your needs. Remember, early evaluation and intervention can lead to better outcomes and alleviate anxiety regarding your breast health.

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