{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T13:07:46Z","timestamp":1777468066440,"version":"3.51.4"},"reference-count":37,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2024,8,26]],"date-time":"2024-08-26T00:00:00Z","timestamp":1724630400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BD"],"published-print":{"date-parts":[[2024,8,26]]},"abstract":"<jats:p>BACKGROUND: The management of mastodynia plays a central role in improving women quality of life. Despite its high occurrence, specific therapeutic guidelines for mastalgia are still lacking. Available therapies include unspecific anti-inflammatories, even though they may often expose to undesirable effects and low compliance. OBJECTIVE: The aim of this study was to highlight the efficacy of the topical application of combined natural molecules including Boswellia serrata, Betaine and myo-Inositol in improving cyclic mastalgia. METHODS: In this retrospective pilot clinical study, patients with cyclic mastalgia applied a specific breast gel for three months. The severity of the pain was measured through the Visual Analogue Score (VAS) in the treated group compared to untreated one. Treated patients also filled in a questionnaire evaluating acceptance and safety of the breast gel. RESULTS: This pilot clinical study demonstrated for the first time the efficacy of the topical application of a breast gel based on Betaine, Boswellia serrata, and myo-Inositol in improving cyclic mastodynia. The completed questionnaires also revealed high levels of acceptance, as both safety and compliance. CONCLUSIONS: Besides confirming the positive effects of these natural molecules in the management of conditions affecting breast physiology \u2013 so far evaluated as oral supplementation \u2013 the obtained results pave the way for further studies supporting the use of such molecules as a tailored medical device in the management of breast pain, thus also opening toward a combined oral and topical approach.<\/jats:p>","DOI":"10.3233\/bd-240012","type":"journal-article","created":{"date-parts":[[2024,8,27]],"date-time":"2024-08-27T10:02:33Z","timestamp":1724752953000},"page":"243-249","source":"Crossref","is-referenced-by-count":0,"title":["Breast gel based on Boswellia serrata, Betaine and myo-Inositol improves cyclic mastodynia in fertile women: A retrospective clinical study"],"prefix":"10.1177","volume":"43","author":[{"given":"Moira","family":"Burratti","sequence":"first","affiliation":[{"name":"A.G.Un.Co. Obstetrics and Gynaecology Center, , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppina","family":"Morano","sequence":"additional","affiliation":[{"name":"A.G.Un.Co. Obstetrics and Gynaecology Center, , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chiara","family":"Pasquale","sequence":"additional","affiliation":[{"name":"A.G.Un.Co. Obstetrics and Gynaecology Center, , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Grazia","family":"Di Fonso","sequence":"additional","affiliation":[{"name":"A.G.Un.Co. Obstetrics and Gynaecology Center, , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Loredana","family":"Costabile","sequence":"additional","affiliation":[{"name":"A.G.Un.Co. Obstetrics and Gynaecology Center, , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","reference":[{"key":"10.3233\/BD-240012_ref3","unstructured":"Klimberg VS. Etiology and management of breast pain, in: Harris JR, Lippman M, Morrow M, Hellman S (eds), Diseases of the Breast. 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