During a woman’s lifetime, the chances of having pain in the breasts are 100 percent! Pain follows a woman at any given time and is a frequent occurrence. Most women are afraid of pain, unknown condition, but the more nervous the worse, a vicious circle. Breast pain patients seriously affect the life , showing premenstrual pain obvious, after menstruation to reduce, or simply and menstrual period is not obviously associated with the pain persists without obvious cycle. But this group of women has a common characteristic: frustration, unhappy emotional experience. The treatment is especially urgent in patients with severe pain because of excessive health concerns. So, the breast is an organ of emotional expression! I. Overview and origins of breast pain “Breast pain syndrome” is a common symptom of breast disease, which occasionally has a serious impact on the quality of life, and therefore there is a good reason to examine and treat it in detail. Origin: Breast pain is well established in the literature as the most common symptom of various breast pathologies. In 1850, Bikett proposed breast pain as “mastalgia” and in 1993, Cheatele and Caler used the term “hyperplasia of breast tissue to describe painful bilateral breast nodules”. Second, the etiology of breast pain research 1, water retention water retention caused by edema has been recognized as one of the causes of breast pain and premenstrual syndrome, some patients with pain in the premenstrual period of the breast can be palpable flaky lumps and thickened glands, the view that the edema in the breast is accepted by most doctors. And nuclear magnetic resonance can confirm the change of breast water. 2, psychoneurological factors mental tension and external environmental emotional stimulation, work pressure, emotional and marital life, learning pressure and external communication and interaction will not be able to unblock the situation, affecting the mood, in time, the mood affects the endocrine, endocrine is an important factor in causing breast pain. 3, endocrine abnormalities in the female hormone testing process found that there are three factors can only lead to the occurrence of pain nodules. a. Increased ovarian secretion of estrogen Estrogen is the basis of breast development, female breasts throughout their lives are under the action of estrogen-based hormones cyclic changes, regular role of the breast. Breasts under the action of this hormone, lobules and ducts increase before menstruation and decrease after menstruation. If the hormone responsible for the increase is higher, then the breast grows more. Hyperplasia and repair incomplete, long time, left behind is hyperplasia! b. Insufficient progesterone production Progesterone is likewise another important factor in breast development. The interaction of estrogen and progesterone maintains the hyperplasia and repair of the breast. Estrogen is responsible for physiological hyperplasia and progesterone is responsible for physiological repair. If the level of progesterone decreases, the breast hyperplasia repair is incomplete, the postmenstrual restoration of the normal state of the breast is not possible, and the painful nodules are thus produced. c. Hyperprolactinemia A small number of female patients may have extremely high prolactin values in female hormone tests. There are some unmarried young women with painful nodules who show the above signs, although evidence-based medicine has confirmed that prolactin is more significantly elevated in people with breast pain. d, caffeine Regular lifestyle habits, especially sleep, plays an important role in the regulation of female hormones, and scientific studies have shown that ingesting large amounts of caffeine overstimulates breast cells through a series of biochemical reactions, resulting in pain. In addition to the stimulating factor of caffeine, the process of sleep is precisely a process of hormone self-regulation and self-balancing, staying up late, irregular sleep, hormone imbalance, mammary glands are stimulated by hormone irregularity. Types of breast pain and performance 1, cyclical significant breast pain 2, non-cyclical breast pain 3, chest wall musculoskeletal pain 4, traumatic pain (after biopsy) 5, cholecystitis, angina pectoris 6, breast cancer pain For the study of pain, the Cardiff Breast Pain Protocol has investigated the nature of pain in women and. The description and study of the pain is divided into the following aspects: Periodicity: breast swelling and pain before menstruation, relieved after menstruation. Duration: pain lasts for days or even months, or paroxysms Distribution in the breast: most of the pain is located in the upper outer quadrant of the breast, some nipple pain Radiating pain: pain radiates to the ipsilateral axilla and shoulder, upper arm Aggravating factors: exacerbated by emotions, menstruation, exertion, exposure to cold Relieving factors: postmenstrual period, good sleep, good mood Day/night pattern: daytime distraction, nighttime pain, some pain patients not related to day and night Patients with pain not related to day and night Interference with quality of life: patients experience anxiety, emotional instability, or insomnia. IV. Principles of treatment of breast pain summarized from these studies: 1. Rule out breast cancer pain 2. Explanation and reassurance 3. Classification of breast pain 4. Cyclical pain 5. True non-cyclical pain 6. Musculoskeletal chest wall pain Trigger-point pain and non-infectious inflammation of the costal cartilage 7. Surgery is not usually considered V. Clinic plan for women with pain 1. Breast pain patients in some populations 2, Firstly consult a general practitioner 3. Secondly some of them need mammography consultation 4. For mild breast pain simple psychotherapy can be very effective, explaining the condition and comforting the patient. 5. Severe breast pain is categorized and treated according to cyclic pain, non-cyclic pain and chest wall muscle pain to solve the pain problem. Sixth, the time of breast pain relief and treatment time 1, the longer the time of the appearance of pain, the longer the time of pain relief. 2, the shorter the time of appearance of pain, the faster the time of pain relief. 3, near menopause women, the pain can be relieved by themselves. Summarize: Almost all women inevitably appear breast pain, when women can understand the causes of pain, recognize the nature of pain, for pain can be treated objectively, psychologically able to face openly, self-regulation, the pain is natural and obvious improvement.