Hello, Meri left breast suzi hui aur pain hone k karan doctor k pass gye unohne kha normal h phir thode dino baad aur dard hui phir doctor k pass gye unihne checkup kiya aur kaha normal h aur kha ultrasound krwalo kahi rasoli wagerh na ho to meine ultrasound krwaya report normal hai usme likha hua tha no focal lesion or mass .fibroglandular tissue of breast is normal and show normal vascularity. Kya mujhe mammogram ki jarurat h kya .pain left breast mein kabhi kahi ho jayega kabhi kahi. Please help me.

Don't worry it shud be just some hormonal changes causing the pain don't need to do any thing more take some vitamine.  

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Dr. Nikhilesh BorkarOncologist14yrs exp

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Most likely you are suffering from cyclical mastalgia which may or may not be accompanied by fibrocystic disease. It is cyclical pain due to hormonal stimulation of the breast tissue. It may resolve spontaneously with pregnancy. Reassurance and supportive sports bra (especially in large breasts) have shown to be effective in most women. Usually Vitamin E 400 mg 2-3 capsule daily or/ and Evening Primrose Oil 3000 mg daily Containing 240-360 mg GLA which comes to 4-6 capsules per day is the initial amount prescribed for 2-3 months. If response is good then the dose may be decreased for 3 more months and then stopped. The symptoms may never recur. But relapses are also known. If there is no response to above, then we usually shift to Danazole, Bromocriptine or SERM (tamoxifen or ormeloxifen) Bromocriptine is costly and causes nausea, vomiting and headache. Danazole has troublesome androgenic side effects. Tamoxifen is known to cause DVT or cataract but usually for long term or higher dose of 20 mg, which is given in breast cancer. We recommend 10 mg daily for 3 months. Ormeloxifen is the indian drug previously called centchroman or Saheli. It is usually given as 30 mg daily or alternate day schedule. Some patients may develop ovarian cysts on daily schedule. It works well with non cyclical as well as cyclical mastalgia. If you need further clarification, feel free to contact me directly.  

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