Breast pain and breast injuries experienced by female athletes

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Mastalgia associated with the menstrual cycle and exercise-induced breast pain should be acknowledged as potential impediments to the sporting performance of elite female athletes. Although breast pain is problematic for many active women, no published research has investigated breast pain experienced by elite female athletes. This study aimed to examine the extent to which mastalgia and exercise-induced breast pain affected the sporting performance of elite female athletes during training and competition. A custom-designed online survey with questions related to sport participation, as well as the frequency, severity and perceived performance effects of mastalgia and exercise-induced breast pain, was distributed to sporting organisations, coaches, medical staff and teams/clubs throughout Australia. Five hundred forty female athletes competing nationally or internationally across 49 different sports participated in the survey. Thirty-three percent of athletes reported that their mastalgia worsened during activity and 44% reported experiencing exercise-induced breast pain during training or competition. Both types of breast pain were also reported to negatively affect sporting performance (20% and 32%, respectively). Mastalgia associated with the menstrual cycle and exercise-induced breast pain should be acknowledged as potential impediments to the sporting performance of elite female athletes. Awareness around the negative effects of breast pain and the development and implementation of breast pain management strategies is essential for

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