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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can tenderness In The Breast Be Treated?

I usually get tenderness of my breast sometimes not all the time a week before my cycle. after my last cycle I have been having really bad tenderness of breast every day I cant lay on them It hurts even to wear a bra I don t know what this could be or if I should see my medical doctor a go to the breast clinic I have a mamagram coming up
Thu, 6 Apr 2017
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General & Family Physician,  's  Response
Dear Patient,
I totally understand your concerns regarding your breast pain.
You have a typical case of Premenstrual syndrome (PMS).

The core symptoms of premenstrual syndrome (PMS) include affective symptoms such as depression, irritability, and anxiety, and somatic symptoms such as breast pain, bloating and swelling, and headache.

The treatment plan is the following :
We recommend selective serotonin reuptake inhibitors (SSRIs) as first-line therapy for women with premenstrual symptoms. We typically start with fluoxetine or sertraline as these are the most extensively studied.
If you don't want to start on SSRIs and contraception is preferred then oral contraceptive pills containing drosperinone is also effective and should be administered continuously.

regarding mammography i will recommend it if there is any suspected lesion on breast exam or if you are above the age of 40. other than that i won't ask you to do it.
Best Regards
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How Can tenderness In The Breast Be Treated?

Dear Patient, I totally understand your concerns regarding your breast pain. You have a typical case of Premenstrual syndrome (PMS). The core symptoms of premenstrual syndrome (PMS) include affective symptoms such as depression, irritability, and anxiety, and somatic symptoms such as breast pain, bloating and swelling, and headache. The treatment plan is the following : We recommend selective serotonin reuptake inhibitors (SSRIs) as first-line therapy for women with premenstrual symptoms. We typically start with fluoxetine or sertraline as these are the most extensively studied. If you don t want to start on SSRIs and contraception is preferred then oral contraceptive pills containing drosperinone is also effective and should be administered continuously. regarding mammography i will recommend it if there is any suspected lesion on breast exam or if you are above the age of 40. other than that i won t ask you to do it. Best Regards