Is Breast Pain a Sign of Cancer?
It’s common to worry when you feel breast pain, after all, many women associate any breast discomfort with breast cancer. But here’s some reassurance: most breast pain isn’t linked to cancer. In fact, it’s usually caused by hormonal changes, cysts, or benign breast conditions.
Understanding when pain is normal and when it’s worth checking out can help you feel more confident about your breast health.
Key Pointers
- Breast pain is rarely the first sign of cancer.
- Common causes include hormonal changes, cysts, or inflammation (mastitis).
- Cyclical pain is linked to the menstrual cycle, while non-cyclical pain may come from localised issues.
- Persistent, one-sided, or unexplained pain should still be checked by a breast doctor.
- Imaging tests like ultrasound or mammogram can help rule out serious causes.
What Does Breast Pain Feel Like?
Breast pain (known medically as mastalgia) can feel different for everyone. Some describe it as a dull ache, while others experience sharp, burning, or pulling sensations. The discomfort might affect one or both breasts and can sometimes spread to the armpit or upper chest.
Doctors generally divide breast pain into two main types:
- Cyclical pain: Related to hormonal fluctuations before your period. It usually affects both breasts and improves after menstruation.
- Non-cyclical pain: Not connected to your cycle. It may be linked to cysts, injuries, or inflammation of the breast tissue.
Can Breast Pain Be a Sign of Cancer?
In most cases, no.
Breast pain on its own is rarely caused by cancer. However, in a small number of cases, it can be associated with other symptoms such as:
- A hard, irregular lump in the breast
- Changes in breast shape or size
- Skin dimpling or redness
- Nipple discharge or inversion
If you notice any of these changes, it’s important to see a doctor. A mammogram or ultrasound can help determine the cause of your pain and rule out anything serious.
What Are the Common Non-Cancer Causes of Breast Pain?
Most breast pain has nothing to do with cancer. Here are some common reasons your breasts might hurt:
- Hormonal fluctuations – especially before your period or during menopause
- Fibrocystic breast changes – where the tissue becomes lumpy or tender
- Cysts – fluid-filled sacs that can cause localised pain
- Infections (mastitis) – often seen in breastfeeding women, but can occur in others too
- Muscle strain – sometimes chest wall pain feels like it’s coming from the breast
Understanding these causes can help you stay calm and know when the pain might resolve on its own.
When Should You See a Doctor?
While occasional tenderness is common, you should book an appointment if:
- Pain is persistent or localised to one area
- You feel a new lump that doesn’t go away
- There are skin changes like dimpling, redness, or thickening
- Pain comes with nipple discharge or swelling
- The discomfort interferes with daily life
Your doctor may recommend a breast ultrasound (if you’re younger) or a mammogram (if you’re over 40) to investigate further.
FAQs About Breast Pain and Cancer
1. Does breast cancer always cause pain?
No. Many breast cancers are painless in the early stages. Painful lumps are often benign, but should still be checked.
2. Should I get a mammogram if I only have pain and no lump?
If the pain is persistent or unusual, yes. A mammogram or ultrasound can rule out underlying causes.
3. Can stress or caffeine make breast pain worse?
Yes. High caffeine intake and stress can contribute to breast tenderness for some women. Reducing both may help.
4. Is breast pain normal during menopause?
Yes. Hormonal changes during perimenopause or menopause can cause temporary discomfort or sensitivity.
Book a Consultation at The Radhika Breast & General Surgery Clinic
If you’re worried about breast pain or other breast symptoms, Dr Radhika Lakshmanan and the team at The Radhika Breast & General Surgery Clinic are here to help.
We provide thorough evaluation, imaging tests, and tailored care to give you answers and peace of mind.
Book a consultation today to discuss your symptoms and get clarity on your breast health. Early evaluation brings reassurance, and when needed, timely treatment.


