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Mastalgia: a 3 year Australian study

N R Wetzig1

  • 1University of Queensland Department of Surgery, Princess Alexandra Hospital, Brisbane, Australia.

The Australian and New Zealand Journal of Surgery
|May 1, 1994
PubMed
Summary
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This study on mastalgia (breast pain) in 170 Australian women found danazol effective. A systematic approach to breast pain management achieved significant relief for most patients.

Area of Science:

  • Medical Research
  • Clinical Study
  • Women's Health

Background:

  • Mastalgia is a prevalent condition lacking extensive Australian data.
  • Understanding mastalgia patient demographics and contributing factors is crucial.

Purpose of the Study:

  • To outline the aims and management protocol of a dedicated mastalgia clinic.
  • To analyze patient characteristics and treatment outcomes for breast pain.

Main Methods:

  • Retrospective analysis of 170 patients attending a mastalgia clinic over three years.
  • Utilized daily pain record charts to assess cyclical breast pain.
  • Documented patient history including parity, breastfeeding, and physical activity.

Main Results:

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  • The average patient age was 42 years, with 87% being multiparous.
  • Cyclical breast pain affected 59% of patients; unilateral pain occurred in 38%.
  • Low-dose danazol achieved a 67% complete response rate with minimal side effects, outperforming Vitamin B6 and Evening Primrose Oil.

Conclusions:

  • Lack of breastfeeding and low physical exercise were associated with mastalgia.
  • A systematic clinical approach to mastalgia management is effective in achieving pain relief.
  • Danazol demonstrated superior efficacy compared to commonly used natural products for mastalgia.