Breast pain is a very common symptom in women. In premenstrual women this is the most common symptom, even more common than headache symptoms or lower back pain symptoms (see Ref. 9, p. 1083). Breast pain is a non specific symptom and is most often due to fibrocystic breast disease (thanks to www.epharmapedia.com for this image). But other structural changes such as breast cysts, fluid retention and breast cancer could also give rise to breast tenderness.
An examination by the doctor and possible workup, if necessary, with a diagnostic mammogram would be indicated. Many of these women my have fluid retention secondary to other causes including metabolic syndrome (insulin resistance). The zone diet plan according to Ref. 2 would be useful and can often cure not only breast pains, but also joint aches and sluggishness in these cases.
However, there is a danger to jump to conclusions and it is good to keep in mind that a 20 year old woman has a frequency of breast cancer of 1 in 2500 (=0.04%) whereas a 60 year old woman has a frequency of 1 in 29 (= 3.43%), see Ref. 9 (p. 1083). Many of these patients, particularly in the older age group may have both breast pain and breast cancer. However, most of the time early stage breast cancer is painless. Follow this link for more regarding breast cancer information.
In many women with breast pain there is estrogen dominance (Ref. explained more under Ref. 28) where the ratio of estrogen to progesterone in the blood and tissues is less than 200 (normal is more than 200). This leads to cyst formation in the breasts, fibroid development in the uterus and menstrual bleeding abnormalities. With bioidentical progesterone cream this hormone ratio can be normalized. The physician needs to be cautious not to overlook any hidden cancer.
1. The Merck Manual, 7th edition, by M. H. Beers et al., Whitehouse Station, N.J., 1999. Chapter 235.
2. B. Sears: “Zone perfect meals in minutes”. Regan Books, Harper Collins, 1997.
3. Ryan: Kistner’s Gynecology & Women’s Health, 7th ed.,1999 Mosby, Inc.
4. The Merck Manual, 7th edition, by M. H. Beers et al., Whitehouse Station, N.J., 1999. Chapter 245.
5. AB Diekman et al. Am J Reprod Immunol 2000 Mar; 43(3): 134-143.
6. V Damianova et al. Akush Ginekol (Sofia) 1999; 38(2): 31-33.
7. Townsend: Sabiston Textbook of Surgery,16th ed.,2001, W. B. Saunders Company
8. Cotran: Robbins Pathologic Basis of Disease, 6th ed., 1999 W. B. Saunders Company
9. Rakel: Conn’s Current Therapy 2001, 53rd ed., W. B. Saunders Co.
10. Ruddy: Kelley’s Textbook of Rheumatology, 6th ed.,2001 W. B. Saunders Company
11. EC Janowsky et al. N Engl J Med Mar-2000; 342(11): 781-790.
12. Wilson: Williams Textbook of Endocrinology, 9th ed.,1998 W. B. Saunders Company
13. KS Pena et al. Am Fam Physician 2001; 63(9): 1763-1770.
14. LM Apantaku Am Fam Physician Aug 2000; 62(3): 596-602.
15. Noble: Textbook of Primary Care Medicine, 3rd ed., 2001 Mosby, Inc.
16. Goroll: Primary Care Medicine, 4th ed.,2000 Lippincott Williams & Wilkins
17. St. Paul’s Hosp. Contin. Educ. Conf. Nov. 2001,Vancouver/BC
18. Gabbe: Obstetrics – Normal and Problem Pregnancies, 3rd ed., 1996 Churchill Livingstone, Inc.
19. The Merck Manual, 7th edition, by M. H. Beers et al., Whitehouse Station, N.J., 1999. Chapter 251.
20. The Merck Manual, 7th edition, by M. H. Beers et al., Whitehouse Station, N.J., 1999. Chapter 250.
21. Ignaz P Semmelweiss: “Die Aetiologie, der Begriff und die Prophylaxis des Kindbettfiebers” (“Etiology, the Understanding and Prophylaxis of Childbed Fever”). Vienna (Austria), 1861.
22. Rosen: Emergency Medicine: Concepts and Clinical Practice, 4th ed., 1998 Mosby-Year Book, Inc.
23. Mandell: Principles and Practice of Infectious Diseases, 5th ed., 2000 Churchill Livingstone, Inc.
24. Horner NK et al. J Am Diet Assoc Nov-2000; 100(11): 1368-1380.
25. Ferri: Ferri’s Clinical Advisor: Instant Diagnosis and Treatment, 2004 ed., Copyright © 2004 Mosby, Inc.
26. Rakel: Conn’s Current Therapy 2004, 56th ed., Copyright © 2004 Elsevier
27. Suzanne Somers: “Breakthrough” Eight Steps to Wellness– Life-altering Secrets from Today’s Cutting-edge Doctors”, Crown Publishers, 2008
28. Dr. John R. Lee, David Zava and Virginia Hopkins: “What your doctor may not tell you about breast cancer – How hormone balance can help save your life”, Wellness Central, Hachette Book Group USA, 2005. On page 256 and 257 Dr. Lee describes how progesterone can be used as a cream to treat PMS.