Should You Get a Mammogram? Breast Pain and Testing Options

Are you undergoing a mammogram?

Recently, I have been experiencing pain in my chest and underarm area.
Due to long hours of standing and walking at work, I also experience lower abdominal pain during my menstrual and ovulation periods.
What kind of examinations should I undergo?

Meihui, 30~39 year old female. Ask Date: 2009/09/21

Dr. Zhao Ming reply Breast and Thyroid

1.
Chest and axillary pain related to breast surgery should first undergo physical examination and ultrasound examination.

2.
Lower abdominal pain during menstruation is related to gynecology and should be evaluated by an obstetrician-gynecologist.

Reply Date: 2009/09/21

More Info

When it comes to breast pain and the decision to undergo a mammogram, it is essential to understand the underlying causes of breast discomfort and the appropriate diagnostic options available. Breast pain, also known as mastalgia, can be categorized into cyclical and non-cyclical pain. Cyclical breast pain is often related to hormonal changes during the menstrual cycle, typically occurring before menstruation and subsiding afterward. Non-cyclical pain, on the other hand, can arise from various factors, including musculoskeletal issues, infections, or even anxiety.

Given your symptoms of breast and axillary pain, along with abdominal discomfort during your menstrual cycle and ovulation, it is advisable to consult with a healthcare provider. They will likely perform a thorough clinical evaluation, including a physical examination, to assess the nature of your breast pain. If the pain is cyclical and correlates with your menstrual cycle, it may be attributed to hormonal fluctuations. However, if the pain is persistent or associated with other concerning symptoms, further investigation may be warranted.

In terms of diagnostic testing, a mammogram is a common imaging test used to screen for breast cancer and other abnormalities. It is particularly recommended for women over the age of 40 or those with a family history of breast cancer. However, if you are experiencing significant pain, your healthcare provider may recommend additional imaging studies, such as an ultrasound, which can provide more detailed information about the breast tissue and help identify any cysts, lumps, or other abnormalities.

If you are under 40 and have no significant risk factors for breast cancer, your doctor may suggest monitoring your symptoms before proceeding with a mammogram. In younger women, breast tissue is denser, which can make mammograms less effective. Instead, an ultrasound may be the preferred initial imaging modality to evaluate any palpable lumps or areas of concern.

In your case, since you mentioned experiencing pain in the breast and axillary region, it is crucial to consider the possibility of musculoskeletal issues, especially if you have a job that requires prolonged standing or walking. Conditions such as costochondritis, which is inflammation of the cartilage connecting the ribs to the breastbone, can cause localized pain that may be mistaken for breast pain.

In summary, if you are experiencing persistent breast and axillary pain, it is essential to consult with a healthcare provider who can evaluate your symptoms and recommend appropriate diagnostic tests. A mammogram may be indicated based on your age, risk factors, and the nature of your symptoms. However, an ultrasound may also be a valuable tool in assessing breast pain, particularly in younger women. Always prioritize open communication with your healthcare provider to ensure that you receive the most appropriate care for your specific situation.

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