Abstract
Answer D. Topical diclofenac
This woman is describing cyclical breast pain. Topical non-steroidal anti-inflammatory preparations should be considered first-line as they can be effective and have less side effects. There is not much evidence that changing contraceptive pills helps and there is limited evidence for the use of flaxseeds, vitamin B6 and diets low in fat and caffeine.
InnovAiT article: Breast pain. DOI: 10.1177/17557380231168654.