During a breast exam of a nulliparous female, what is the recommended next step if the findings are benign but slightly tender?

In the scenario of a breast examination in a nulliparous female where findings are benign but slightly tender, the recommended next step is to have her return after her period for rechecking. This approach is dependent on the recognition that breast tenderness can be cyclic and often correlates with hormonal fluctuations during the menstrual cycle.

By suggesting a follow-up examination after the menstrual period, the clinician allows for the possibility that the tenderness may resolve once hormone levels stabilize post-menstruation. This is particularly relevant for younger women, where hormonal changes can result in benign breast conditions characterized by tenderness or lumpiness, such as fibrocystic changes. A follow-up also serves to ensure that any persisting symptoms or changes can be reassessed in a more stable hormonal environment.

The other options may imply a more urgent or unnecessary intervention. Referral for further evaluation might be premature when the findings are benign. Scheduling a mammogram could also be excessive given that mammography is typically not the first-line imaging choice for younger women unless there are substantial concerns. Returning in 6 months for follow-up may be too lengthy a period, especially if tenderness is expected to improve with the menstrual cycle. Thus, re-evaluating after her period aligns best with the clinical understanding of breast