Abstract
Mastalgia is a common breast complaint in women, particularly those of reproductive age, often leading to significant physical and psychological distress. Therefore, it is of interest to evaluate 100 female patients with mastalgia over an 18-month period, assessing them through clinical examination, ultrasonography (USG), fine needle aspiration cytology (FNAC) and mammography. The most frequent diagnoses were fibroadenosis (36%) and fibroadenoma (30%). Surgical management provided greater relief (90.5%) compared to medical therapy (80.9%), with Evening Primrose Oil being the most effective medical treatment. Thus, early diagnosis and appropriate therapy, including reassurance, are critical to effective management.