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A 28-year-old woman presented with a 6-year history of bilateral breast pain that increases before menstruation and resolves during pregnancy and lactation. This cyclical pattern of breast pain is consistent with cyclical mastalgia, which is caused by hormonal fluctuations. Cyclical mastalgia is typically treated with over-the-counter NSAIDs or supplements like evening primrose oil, with reassurance that the condition is benign in nature. Further imaging would only be pursued if the breast pain was non-cyclical or accompanied by other concerning findings on physical exam.
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