Non-cyclic mastalgia: Sharp, burning pain. Localized breast pain is usually caused by a focal disorder that causes a mass , such as a breast cyst, or an infection (eg, mastitis , abscess). Being a main presenting symptom to breast clinics, breast pain is detected in almost 80% of women in a lifetime (1–3). Most women with this disorder (77. 4 ICD-10 code description Cyclical breast pain can range intensity during menstruation Primary outcomes 1. 10; and EPO plus vitamin E, p=0. Severe mastalgia was the dominant feature in 10 women with diffuse fibrocystic disease of the breast as judged by palpation and mammography and verified histologically. 6%) reported menstrual delay. Breast pain refers to moderate to severe pain in one or both breasts lasting over a five-day period and faded after menopause. It is often located in the upper outer quadrant of the breast. Mastalgia defines the pain arising in breast tissue. Mastalgia is pain arising in the breast tissue. Its use as a dietary supplement deserves further investigation in conditions where modifying estrogen metabolism may be of benefit. It is often located in the upper outer quadrant of the breast The ICD code N644 is used to code Breast pain. There are a number of causes including infection and benign (non-cancerous) breast lumps. When evaluating the intensity of the symptom, reassurance was effective in 85. History will often reveal the temporal association of cyclical mastalgia with the menstrual cycle, but the best way to assess whether pain is cyclical is to ask the patient to complete a breast pain chart (Fig. doi: 10. 3:. The 2024 edition of ICD-10-CM N60. Fibrocystic breast disease is now called fibrocystic breast changes or fibrocystic breasts because the. Ader and Craig D. 8%) were with non cyclic pain. There are 0 terms under the parent term 'Mastalgia' in the ICD-10-CM Alphabetical Index . 9 may differ. Non-cyclical mastalgia Non-cyclical breast pain is not related to the menstrual cycle. It can include pain in the metatarsal bones; metatarsophalangeal joint; and/or intermetatarsal joints (tarsal joints). It is considered that the risk of breast cancer among patients who present mastalgia as the only symptom is approximately 0. True mastalgia can be cyclic and exacerbate with menstrual cycles, or be non-cyclic and constant. The impact of this mastalgia on quality of life is often underestimated by the medical profess mastalgia is the commonest form of breast pain and has an obvious temporal relationship to the menstrual cycle, resolving at the menopause . Non-cyclical breast pain was subdivided into true non-cyclical mastalgia (35 patients) and musculoskeletal pain (37 patients), the latter including Tietze's syndrome and other causes of chest wall pain. 0 may differ. 200 mg-800 mg q 6 h. Umumnya mastalgia terjadi akibat pengaruh hormon yang mengatur siklus haid seseorang. Previous Term: Mast Cell. It is more common in younger women and often stops after menopause. Breast pain (mastalgia) can be described as tenderness, throbbing, sharp, stabbing, burning pain or tightness in the breast tissue. About 68% of women aged 18–44 years have complained about cyclic mastalgia . ; This is the American ICD-10-CM version of. ↓ See below for any exclusions, inclusions or special notations. They stated that cyclical mastalgia increased the risk of breast cancer. A study for relief of cyclical mastalgia (breast pain) included subjects for a two-menstrual-cycle placebo run-in period, and subjects with G30% average decrease in pain compared with baseline. Food and Drug Administration for treatment of severe activity-limiting mastalgia. It is considered to arise from disturbed hormonal. Flaxseed should be considered as a first-line treatment for cyclical mastalgia. Mastodynia also known as Mastalgia or breast pain is a common complaint in females. 4) and treated with evening primrose oil or paracetamol (Fig. 27% of multipl e fibroadenoma, 12. Cyclical and non-cyclical mastalgia show some differences in their characteristics with substantial overlap, and studies of breast pain should include both groups to better understand and characterize these differences, particularly with regard to a possible connection with breast cancer risk. Etiology of Mastalgia Localized breast pain is. And it is important to note, that more often than not, the breast pain is not associated with breast cancer. Breast pain, also known as mastalgia, is a common condition and affects up to 70% of women during their lifetime. Breast pain (mastalgia) is a very common disorder experienced by women, and it was recognized as a relevant medical issue even before its first description, reported in the scientific literature in 1829. Typically, it occurs in the second half of the monthly cycle, becoming worse in the days just before a period; orCyclical breast pain is related to the menstrual cycle. The early onset mastalgia in this study requires further exploration for determination of its risk factors. Ndhluni A. This is the American ICD-10-CM version of N64. 2021; 4 (1): p. Meskipun ditandai dengan rasa nyeri pada payudara, tetapi mastalgia tidak berkaitan dengan kanker payudara. As the most common breast symptom causing women to consult physicians, it may affect up to 70% of women in their lifetime [1,2]. Mastalgia refers to breast pain and is a common presenting complaint among female patients. Introduction. (II-3 B) 3. Approaches to managing mastalgia include minimizing estrogen to the lowest effective dose or using conjugated estrogens, cyclic progestin dosing, tibolone or the TSEC (when. Risk factors. They are randomly (through block randomization) allocated into the two study groups of vitamin D and placebo. 10. Is usually bilateral. M. The severity of pain associated with cyclical mastalgia can be substantial, similar in magnitude to chronicObjectives Tamoxifen is prescribed for chronic mastalgia at a dosage of one 10- or 20-mg tablet for 3–6 months. The most. Dapat memengaruhi kedua payudara. True non-cyclical mastalgia was commonly bilateral and located within the upper outer quadrant of the breast, whereas. In women with non-cyclical mastalgia, the overall pain severity was related to the size of the painful area, and the steadiness of the pain, and the affective components were more prominent than in women with cyclical mastalgia. In the new pain chart, the lady records pain severity in the form of visual linear analogue scale score on every day of menstrual cycle. 9%). SNOMED CT: Cyclical mastalgia (237453001) Professional guidelines. Most women require reassurance only and the. Endocrine status of cyclical mastalgia patients @article{Parlati1988HormonalPI, title={Hormonal profile in benign breast disease. (I A) 8. References in the ICD-10-CM Index to Diseases and Injuries applicable to the clinical term "mastalgia". Terasa lebih intens selama dua minggu menjelang awal periode menstruasi. Section snippets Background. varying during the menstrual cycle, or non-cyclical. This disease process is a wide spectrum of both fibrous and cystic changes in the breast. Careful examination can differentiate chest wall pain from true breast pain. 4 coding with all applicable Excludes 1 and Excludes 2 notes from the section level conveniently shown with each code. Cyclic breast pain resolves. Mastalgia is a condition that impacts many women and causes breast pain. Thirty-nine patients were randomized to Danazol arm and 42 in Centchroman arm. The Alphabetic Index consist of a list of diseases and injuries and their related ICD-10 diagnosis code (s). In the literature, HMG is also called mastopathy, fibroadenosis, fibrocystic breast disease, mastalgia. Mastalgia ICD-10 code N64. The 2024 edition of ICD-10-CM N64. 1). 9 - other international versions of ICD-10 M83. 7A became effective on October 1, 2023. Young women (under 35 years) with mastalgia were more likely to have had a mammogram (20. Jenis Mastalgia. Sel dengan jumlah asam lemak tidak seimbang memengaruhi kepekaan jaringan pada payudara. 4 - other international. Pourmoghadam N, et al. Cyclical breast pain is related to the menstrual cycle. Non-cyclical breast pain is not related to the menstrual cycle. bursitis due to use, overuse and pressure ( M70. Browse for your desired term or condition, or search for a specific disease / condition. 7 (range 0 to 4) in group Ia versus 1. Although largely ignored both scientifically and clinically in the United States, this condition merits further biopsychosocial investigation. The prevalence of cyclical mastalgia and its association with mammography replicate clinic-based findings. 05). J Psychosom Obstet Gynaecol. Twenty-nine women with cyclical mastalgia and 11 with non-cyclical pain were treated with bromocriptine, 5 mg daily, and placebo over six menstrual cycels. Results from two-sample t-test showed a nonsignificant decrease in cyclical mastalgia individually for the three treatment groups compared with the placebo group (EPO, p=0. Studies find that cyclic mastalgia typically occurs in women in their 30s or 40s; you're still in your 20s. Lumpiness and severe discomfort. Two thirds of screened patients in most series complain of breast pain, of which more than 50% is cyclical in nature. In previous studies which were conducted to evaluate the effect of flaxseed on cyclic mastalgia, a specific amount of flaxseed powder (25–30 g/d) was administered for patients [6, 19, 20]. However, one thing concerns me about your problem. e. 4 may differ. Mastalgia. Only a small proportion of patients seek medical advice from their general practice team • breast pain can be cyclical and non-cyclical and is most common between the ages of 30 and 50 years. 6% of the MPS group where the daily rate was 52. Breast pain (mastalgia) is common in women and occasionally occurs in men. The aims of the present study are to examine the effect of vitamin D supplementation on intensity of cyclical breast pain and prolactin level. Discussion. 0 became effective on October 1, 2023. 5%, respectively . Breast pain (also known as breast tenderness, mastodynia, mammalgia, and mastalgia from the Greek μαστός mastos, "breast" and ἄλγος algos, "pain") is a medical symptom. Danazol was the most effective drug, with bromocriptine and. 8% with fibrocystic. 8% with a moderate form, and in 52. % of lactation history, while family. Tamoxifen 10 mg daily or danazol 200 mg daily should be considered when. Tamoxifen at a dose of 10 mg / day for <6 months, continuous or limited to the luteal phase of the menstrual cycle, has shown an improvement in cyclic mastalgia in 70 to 90% and no clyclic mastalgia in 56% of cases 22. It is suggested that tamoxifen is highly efficaceous and cost effective for the management of severe cyclical mastalgia. Corpus ID: 36543941; Vitamin E and evening primrose oil for management of cyclical mastalgia: a randomized pilot study. This disease process is a. They're usually asymptomatic, but some people have swelling, tenderness, breast pain, or nipple discharge. 7A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 59 - other international versions of ICD-10 N64. 71 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 611. 4%, and 26. Nine of 14 patients (64 per cent) with non-cyclical mastalgia obtained a good clinical response to drug therapy (over half responding to danazol alone); 19 underwent spontaneous remission, but there was a prolonged mean time to pain resolution of 27 months. Asthma is a Mastalgia is considered the most common benign breast disorder in women during the fertile period by a prevalence rate of about 65% [1–3]. Lebih rentan terjadi pada wanita usia 20-30an. Objectives:To determine the prevalence and factors. Noncyclical breast pain is unrelated to the menstrual cycle and may occur in women (and men) who are not having menstrual periods. Mastitis without abscess. Pain and discomfort may range from minor to severely incapacitating. Cyclical or physiological breast pain is breast pain that is intermittent, recurrent, and related in time to the menstrual cycle. 2018;38(1):81. }, author={Deborah N. Beles, C. Non-cyclical mastalgia. About one third of women with breast pain have this type of pain. Breast pain during lactation or after weaning is. Treatment of cyclical mastalgia with a solution containing a Vitex agnus castus extract: results of a placebo-controlled double-blind study. Nyeri Payudara (Mastalgia) Nyeri payudara atau mastalgia adalah rasa sakit yang muncul di payudara. • ICD-9 code: 611. Studies have shown that those presenting with mastalgia are psychologically no different from women attending outpatients for other conditions. ( 16 ), 247 women with mastalgia were monitored for 16±5 years; 77 of these women still had mastalgia during the monitoring, fibrocystic disease was discovered in 61. In Vaziri and et al. It is not expensive and can be tried for two or three months to see if there is any benefit. The etiology of mastalgia is not understood clearly, but highly effective treatment with hormonal medications is suggestive of a hormonal basis, especially with respect to cyclic mastalgia. Background: Mastalgia or breast pain common benign breast disorder in women in her. However, diffuse bilateral pain is very common in women. Ultrasound, mammography,… Breast pain linked to the menstrual cycle is called cyclic breast pain or cyclic mastalgia. 5% with recurrent fibroadenoma, 13. Thus, we carry out this study to determine the efficacy of evening primrose oil (EPO) for mastalgia treatment in women. [5] Consider a diagnosis of cyclical breast pain when a woman with a normal breast exam describes pain that: Usually starts during the luteal phase of the cycle (within 2 weeks before menses), increases until menstruation begins, and improves after menses. Shriver}, journal={Journal of the American. 2 days of moderate-severe mastalgia monthly. The breasts may be described as "lumpy" or "doughy". This is the American ICD-10-CM version of N61. Because of that, it’s more common in 20-to-50-year-old women — and it’s particularly common in women who are on the younger end of that range. The study was designed as double-blind, placebo controlled in two parallel groups (each 50 patients). 0-cm visual analog scale and (2) pain duration of at least 7 days per month. Penyebab mastalgia memang sulit dipastikan. Berikut beberapa gejalanya: Gejala mastalgia siklik: Perasaan payudara yang lebih berat dan nyeri. Cyclic mastalgia is introduced as a part of the premenstrual syndrome and two thirds of mastalgia is of this type that often occurs in the luteal phase of menstrual cycle. In Vaziri and et al. ICD-10-CM Coding Rules. 4. 8% with fibrocystic. The selective estrogen-receptor modulator tamoxifen is most widely known and used for its role in the adjuvant treatment of breast cancer, but it has also been studied for the management of breast pain at a dose of 10 to 20 mg daily. 9%) reported epigastric pain and ten patients (19. Despite an absence of evidence suggesting that mastalgia alone is associated with breast cancer, it is still commonly referred to secondary care breast units — in one study it accounted. 22 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 5 ± 10. 7 years and group Ib was 38. Unfortunately, for some women the discomfort can begin around two weeks before her. Fibrocystic breasts have a lumpy, rope-like texture. N64. Danazol in mastalgia, 81 patients with mastalgia were studied. Breast cysts are part of a larger benign disease process known as fibrocystic disease of the breast. Hormones are believed to play a causal role, but causes aren't fully understood. Some degree of cyclical breast tenderness is normal in the menstrual cycle, and is usually associated with menstruation and/or premenstrual syndrome (PMS). Sangat jarang kasus mastalgia berhubungan dengan kanker. 2%) than those without mastalgia (9. Objective: To evaluate the efficacy of Danazol and Oil of Evening Primrose (OEP) in the treatment of Mastalgia, and to note their undesirable effects during the course of. occurs one to two weeks before menses and is relieved by the onset of the menstrual flow. Results: The mean age of mastalgia (n=256) and control (n=200) patients were 35. Mastalgia tidak selalu berbahaya. 26,27. A topical preparation of this drug has recently been approved. }, author={Sandhya Pruthi and Dietlind L. Furthermore, severity of mastalgia was assessed by using visual analog scaling that scored between 0 and 10 and higher scores indicated. 0 (of 45) for the entire. This type of pain usually occurs in both breasts. 4 - Mastodynia was found in ICD-10-CM 2023, trusted medicine information. This starter pack is exactly what every woman needs to bring her hormones back into balance!Cyclical mastalgia might last for more than 7 days in 11% of women . The ICD-10-CM Alphabetical Index is designed to allow medical coders to look up various medical terms and connect them with the appropriate ICD codes. Introduction. This is the American ICD-10-CM version of N64. J Obstet Gynaecol. Cyclical mastalgia most common type of breast pain, there is an important correlation with the menstrual cycle (Grullon s. The 2024 edition of ICD-10-CM N64. N64. Mansel RE, Dogliotti L. 5% and 38. improving cyclical mastalgia. Pain can range from minor discomfort to severely incapacitating. 9%). Cyclical mastalgia. o conduct a review of alternative therapy in the management of mastalgia. 12 Factors. Cyclical mastalgia is a common problem sometimes severe enough to interfere with normal activity levels, and it is related to excessive use of mammography among young women. 9. Non-cyclical breast pain Non-cyclical breast pain is not related to the menstrual cycle. The 2022 edition of ICD-10-CM N62 became effective on October 1, 2021. , Philadelphia;1945:183-99. Hughes. 8% and all of the patients with breast cancer in this group was postmenopausal. Noncyclical mastalgia [4] Unilateral or bilateral breast pain, usually located over the costal cartilage. Last revised in August 2021. Introduction. Young women (under 35 years) with mastalgia were more likely to have had a mammogram (20. Cyclical mastalgia consisted of a 2-month run-in phase for pain severity has been estimated by population-based surveys to screening and baseline assessments, a 4-month treat- affect from 22% to 41% of women [2, 4–6], with higher ment phase, and an optional 2-month follow-up phase. It is defined previously that breast pain is onset of Menstruation. This article examines pain syndromes, including headache, back pain, osteoarthritis. 3 Approximately. Breast pain, also called mastalgia, is a very common condition, especially among women aged 30 to 50. The berry of the chaste tree contains a number of active constituents: flavonoids (i. The usual dose of Danazol for treatment of mastalgia is 100–400 mg per day. [] found that more than half of the. Young women (<or = 35 years) were more than three times as likely to have had a mammogram (75%) if they regularly experienced cyclical mastalgia than if they did not (24%; p<0. 6 years, respectively. Definition. Figure 1 shows that the CFA model had two factors, F1 and F2, which summarize the 10 PMS items. N64. Or it may come from somewhere else, such as nearby muscles or joints, and may be felt in the breast. 4 ICD-10 code description Mastodynia Primary outcomes 1 Description severity of cyclic breast pain Timepoint at the begining of the study- at the end of first cycle of intervention- at the end of the second sycle of intervention Method of measurement visual analog scale 2 Description duration of the breast pain. Pain and discomfort may range from minor to severely incapacitating. 4 Mastodynia. It is most common. 22. About one third of women with mastalgia have this. 4 became effective on October 1, 2023. All women had (E2) and (P). Introduction. At the end of the study, cyclical mastalgia decreased significantly and a smaller degree of improvement (20%) persisted even 3 months after cessation of the treatment. N61. Cyclic Mastalgia ICD-10 code N64. Noncyclic breast pain. Given the nature and its response to the treatment, Mastalgia is divided. 13, 14 Although pain is often mild, up to 11% of women experience severe pain, and. Cyclical breast pain comes and goes regularly related to the menstrual cycle (monthly period). It was concluded that reassurance should be the first‐line treatment for women. N64. Mastalgia, mastodynia, or breast tenderness is a common problem experienced by most women. Hal tersebut normal terjadi dan tidak berbahaya. Side effects of Agnus Castus can be a headache, upset stomach and change in menstrual. To make a full assessment of the cause, all patients require a full history, examination and, sometimes, investigations. common than cyclical mastalgia and more common in women in their 40s. Symptoms of noncyclical breast pain. may be caused by fibrocystic breast changes; - tender, swollen, nodular breasts; Clinical presentation of cyclic mastalgia. Ibuprofen. In randomized trials conducted in Great Britain, 4 58 percent of women with cyclic mastalgia and 38 percent of those with noncyclic mastalgia responded to treatment with evening primrose oil (γ. M83. Sharp ME, Westerlind KC, Wilson SM, Johs SM (2005) Managing cyclical mastalgia with absorbable diindolylmethane: a. Noncyclic breast pain. Mastalgia is categorized into 3 main groups: cyclic, noncyclic and extramammary. This is the American ICD-10-CM version of M83. Benign breast disease in women is a very common finding and results in a diagnosis in approximately one million women annually in the United States (1). 2001 Jun;22(2):71-6. Introduction. Sometimes the pain comes from the breast tissue in one or both breasts without any physical cause. ICD-9-CM 611. It is superior to bromocriptine in treatment of cyclical mastalgia [ 14, 15 ]. This paper reviews the various non- pharmacological interventions for the management of the mastalgia and an update to the current management protocols. Cyclical Breast Pain: more frequently manifests in patients aged from the mid-twenties to 30 years old. 79%) patients of galactocele out of 10, were also operated. During a menstrual cycle the breasts swell and become lumpy and tender. Mastalgia is a common estrogenic adverse effect and can raise concerns regarding breast cancer. 4 Mastodynia. Sometimes the pain comes from the breast tissue in one or both breasts without any physical cause. Localized breast pain is usually caused by a focal disorder that causes a mass , such as a breast cyst, or an infection (eg, mastitis , abscess). N64. Definition. The two most common concerns of patients presenting with mastalgia are: the fear of breast. Breast pain that is associated with the menstrual cycle due to hormonal variation often associated with breast swelling, tenderness, and lumpiness and generally bilateral in nature. 4 ICD-10 code description Mastodynia Primary outcomes 1 Description severity of cyclic breast pain Timepoint at the begining of the study- at the end of first cycle of intervention- at the end of the second sycle of intervention Method of measurement visual analog scale 2 Description duration of the breast pain. 001). 8 ml of VASC) or placebo. Mean age at presentation was significantly greater in the musculoskeletal group (39·3 versus 33·9 years) with a shorter mean duration of pain. This type of breast pain lines up with your menstrual cycle. Mastalgia is a common condition in women of reproductive years. Effectiveness of Matricaria chamomilla (chamomile) extract on pain control of cyclic mastalgia: a double-blind randomised controlled trial. Studies have shown that cyclical breast pain goes away within three months of onset in about 3 in 10 cases. Or it may come from somewhere else, such as nearby muscles or joints, and may be felt in the breast. The diagnosis codes found in the Tabular List and Alphabetic Index have been adopted under HIPAA for all healthcare settings. 2%) than those without mastalgia (9. 1997;185(5):466-70. Mastalgia refers to pain related to the breast, and is the most common breast symptom among women. A study in Ireland showed (3): 3,331 reported mastalgia as the only symptom Penyebab mastalgia memang sulit dipastikan. Often bilateral, diffuse breast pain. 2. 9 became effective on October 1, 2023. Cyclical breast pain is one of two types of breast pain, commonly referred to as mastalgia. Noncyclical mastalgia: • is usually unilateral, localised to one part of the breast; commonly the inner part of the breast or behind the nipple • is described as having a burning, stabbing, or throbbing quality • is more likely than cyclical mastalgia to beMastalgia is a medical term used for breast pain, one of the most common complaints among women of 15 to 40 years of age (child-bearing age). cyclic mastalgia ICD-10 code N64. Pre-menstrual syndrome (PMS) refers to a set of menstrually related, chronic, cyclical, physical and emotional symptoms occurring in the luteal. Non-cyclical causes include things like diet and lifestyle, such as smoking, having larger breasts, or wearing poorly fitted bras. L. Mastodynia Billable Code. Gorkow, C. 11 became effective on October 1, 2023. Mastalgia is common ailment that affects about 70% of women and has negative impact on their quality of life. Because of that, it’s more common in 20-to-50-year-old women — and it’s particularly common. N64. Cyclical mastalgia ICD-10 code N64. Assessment of risk for the development of breast cancer is important and is useful in patient reassurance or to design risk. Nyeri ini umum dialami oleh wanita menjelang haid dan selama menstruasi. mastalgia both cyclic and acyclic as 47. It is found in the 2024 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2023 - Sep 30, 2024 . 4% of the patients suffered from. Introduction. 4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Pain can be throbbing, pulsating, pinching, or radiating in character that is experienced with some degree of tenderness. Noncyclic pain may come from the breast or may come from somewhere else, such as nearby muscles or joints, and may be felt in the breast. By definition, mastalgia is the breast tenderness before the menstruation cycle in the luteal phase []. 4 - other international versions of ICD-10 N64. Pain is usually at its worst 3 - 5 days before the first day of your period, and can vary from slight tenderness to more intense pain and aching. Treatment is based on patient symptoms and physical findings. If you have cyclical breast pain, your GP may reassure you that what you’re experiencing is a normal part of your monthly cycle. Information for mastalgia and mastodynia were checked with a questionnaire. It goes away after her period ends. Breast pain (mastalgia) is a common. However, premenstrual breast tenderness is a. It goes away after her period ends. It affects both breasts and the armpit areas. Ader, D. Whilst most patients experience mastalgia of mild or moderate severity and accept this as part of the normal changes that occur in. 59 became effective on October 1, 2023. Applicable To. N64. The pain in the breast may be due to pathologies related to the breast itself as well as surrounding. Intervention: Each of the Nigella sativa seed oil, diclofenac and placebo gels is separately applied 2 times daily to the site of breast pain in a group of 50 women with cyclic mastalgia. 1 may differ. Most breast cancers do not cause pain. This type of breast pain is. These problems have been resolved in the new breast pain chart. 1038/bjc. Most breast cancers do not cause pain. Nyeri payudara ini ternyata dibedakan menjadi dua menurut dari penyebabnya. J Am Coll Surg. cyclical mastalgia individually for the three treatment groups compared with the placebo group (EPO, p=0. Mastalgia can be separated into four main groups, cyclical mastalgia, non-cyclical mastalgia, chest wall pain, and non-chest wall pain [] (Table 4. Payudara terasa bengkak, padat, atau terasa ada benjolan. In majority of women, mastalgia is a manifestation of “aberration in normal development and involution” (ANDI). a study in Ireland showed (3): 3,331 reported mastalgia as the only symptom Thirty-two premenopausal women reporting recent mastalgia completed breast pain and menstrual symptom scales daily for 3-6 months. However, in up to 6 in 10 women where the pain has gone, it tends to develop. Abstract: Cyclic mastalgia is one of the most prevalent disorders among fertile women.