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Young Teen College Girl Without Brassiere
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Numerous websites and publications dealing with fibrocystic disease and breast pain state that a well-fitting bra is recommended for treatment of these conditions.
For fibrocystic disease there are no studies to support these statements. A 2006 clinical practice guideline stated, "The use of a well-fitting bra that provides good support should be considered for the relief of cyclical and noncyclical mastalgia." The study rated the statement as being supported by level II-3 evidence and as a grade B recommendation. However, this rests solely on two short, uncontrolled studies.
Regarding breast pain, a 1976 study of 114 women in the United Kingdom complaining of breast pain were professionally fitted with a special, custom-fitted bra. Twenty-six percent of women who completed the study and wore the bra properly experienced pain relief, 49% improved somewhat, 21% received no relief, and 4% experienced more pain. There were a lot of dropouts from the study. In a 2000 Saudi Arabia study, 200 women were randomly allocated to receive either (danazole), a synthetic steroid ethisterone whose off-label uses include management fibrocystic breast disease and breast pain, or a sports bra. Fifty-eight percent of the danazole group improved compared to 85% in the sports bra group. No details of what the women wore before the study was given. Neither study used an untreated control or implemented double-blind controls. Breast pain has a very high placebo response (85%) so a response to any intervention can be expected. It is not clear whether the interventions described can be generalized to a large population.
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