The Effect of Sex Counseling on Sexual Satisfaction in Women with Cyclic breast pain

INTERVENTION: Intervention 1: Intervention group: First, questionnaires will be completed by patients. This then will be followed by four one to one in‐person counselling sessions. Sessions take place on a weekly basis and each lasts for 90 minutes. According to the PLISSIT model, sessions are summarised as follows: Session 1: Patient administration. During this session, the history of breast pain and sexual discomforts of the patient will be recorded.Session 2: Patient will receive a brief anatomical and physiological summary of limbs and breast.Session 3: Explicit recommendations. At this session, consultation on specific concerns such as fundamental sexual related concepts and training on specific sexual attitudes and practices and various forms of sexual stimulation will be provided. Mental health screening will also be conducted at this session.Session 4: Referral for comprehensive treatment: After a careful evaluation of the patient's performance during the previous meetings, the patient will be referred if it was concluded that she requires more specialist psychosexual counselling in areas such as male sexual dysfunctions and psychological disorders.Patients will be asked to fill the questionnaires after the intervention completion and also three months after the final counselling session. Intervention 2: Control group: First, patients are asked to complete the questionnaire. Patients in this group will receive the current standard treatment for Mastalgia. The investigator will not provide the routine treatment. After completing counselling sessions for the intervention group, the control group will be asked to complete the questionnaire simultaneously.If the PLISSIT method outperforms the current standard treatment, after finishing the study, for ethical considerations, patients in the control group will also be introduced to the psychosexual counselling sessions by the investigator. CONDITION: Cyclic Mastalgia, Sexual Satisfaction. ; Mastodynia PRIMARY OUTCOME: Sexual satisfaction. Timepoint: Before the intervention ‐ one month after the intervention ‐ three months after the intervention. Method of measurement: Larson Sexual Satisfaction Questionnaire. SECONDARY OUTCOME: Sex Distress. Timepoint: Before the intervention‐ one month after the intervention ‐ three months after the intervention. Method of measurement: Sexual Distress Dissolved Questionnaire. INCLUSION CRITERIA: Breast pain of four or above based on the visual analogue scale pain which lasts more than five days according to the Cardiff Breast Clinic. At least 20 years old Having regular menstrual periods Being Married and having regular sex No menopause