Mastalgia


Can you massage if there is breast pain before menstruation?
Many women experience breast tenderness before their menstrual period, which can be attributed to various factors. This may include changes in hormonal levels and emotional impacts leading to discomfort. At this time, is it possible to perform massages? If the breast tenderness before menstruation is mild and occasional, it can be alleviated through massage by addressing some clinical symptoms. Since the liver meridian primarily passes through the ribs near the breasts, massaging certain acupoints on the liver and gallbladder meridians can help soothe the liver and relieve depression, thereby easing breast pain. For example, massaging the Qimen and Dabao acupoints, and then the Danzhong acupoint can regulate the liver, facilitate the flow of qi, and relieve pain. However, if there is frequent and stabbing pain in the breasts before menstruation, or if there are palpable lumps, it is not advisable to use massage to address this tenderness. In such cases, it is crucial to consult a doctor at a hospital to check for any other pathological changes. If there are other conditions, timely treatment is necessary.


Do breasts become sore before pregnancy?
Before pregnancy, women can also experience breast pain and swelling. This happens because, before pregnancy, the female body begins to secrete hormones during ovulation, increasing their levels, which then stimulates the mammary glands, causing breast proliferation and congestion of the mammary glands. Therefore, during pregnancy, this breast pain and swelling phenomenon can worsen. However, experiencing breast pain and swelling does not necessarily indicate pregnancy; it could also be a phenomenon occurring after ovulation and before menstruation. Before pregnancy, due to the influence of the ovulation period, some women may experience swelling of the breasts and proliferation of the mammary glands, or pain caused by lumps in the mammary glands. In such cases, further observation is needed for a few more days, and after having intercourse for half a month, or if menstruation is delayed, a pregnancy test using an early pregnancy test strip is suggested.


Breast swelling and pain, increased vaginal discharge, does it mean that menstruation is coming?
Breast swelling and pain, increased vaginal discharge, it might be that menstruation is coming. Breast swelling and pain are generally manifestations of mammary gland hyperplasia. The symptoms of mammary gland hyperplasia typically include cyclical breast swelling and pain, which often appear or worsen before menstruation and subside or disappear after menstruation. Some patients do not experience obvious cyclical changes; some may have swelling and needle-like pain in one or both breasts, which can extend to the shoulders, upper limbs, or chest and back areas. A few patients might have nipple discharge; the discharge can be yellow, brown, or bloody. The disease course can sometimes be long, but symptoms often disappear or lessen after menopause.


How many days after conception do the breasts start to feel sore?
Generally, after seven weeks of pregnancy, patients will begin to experience breast tenderness and pain. At this time, patients will feel that their breasts are noticeably swollen and increase in size gradually. The nipples will start to darken and enlarge. Around the areola, sebaceous glands will appear, and deep brown nodules known as Montgomery's tubercles will also develop. The color of the areola will begin to darken, which is related to the significant increase in hormones, particularly estrogen and progesterone, in the body after pregnancy. It is recommended that women protect their breasts from being compressed and avoid excessive massaging after pregnancy.


Is breast swelling and pain before menstruation a sign of pregnancy?
Breast tenderness before menstruation is not necessarily a sign of pregnancy. Elevated levels of estrogen and progesterone before menstruation can also cause breast tenderness, as can the early stages of pregnancy. Therefore, if women of childbearing age experience a delay in menstruation and breast tenderness, they should promptly take a urine pregnancy test and, if necessary, have a blood HCG test to check for pregnancy. If pregnancy is not the case, they should wait to see if menstruation occurs. It is advisable to avoid getting cold, refrain from eating spicy and irritating foods, and maintain cleanliness of the external genitalia.


Breast pain and bleeding after intercourse, what could be the reason?
Breast pain and nipple bleeding during intercourse are considered types of nipple discharge, possibly caused by intraductal papilloma or chronic inflammation of the ducts. Diagnosis can be made through mammography or ductoscopy. Generally, we choose ductoscopy, which allows direct observation on a computer screen whether the cause is inflammation or intraductal papilloma. If the issue is solely inflammation, it can be treated by flushing through ductoscopy. If intraductal papilloma is suspected, ductoscopy can be used to collect a tissue sample for pathology to determine whether it is due to intraductal papilloma or cancer within the ducts.


Can pseudopregnancy cause breast pain?
During pseudopregnancy, women may also experience symptoms of breast tenderness. As women may experience delayed menstruation, along with nausea, vomiting, and abdominal bloating, it is necessary to consider the possibility of pregnancy. If it is a pseudopregnancy, then it is due to the rise in hormone levels around the time menstruation is due, coupled with psychological factors in women, which can also cause false breast tenderness. When patients experience this condition, there is no need for excessive worry. They should rest adequately, enhance their nutrition, eat a light diet, keep warm, avoid overexertion, stay away from cold, and not stay up late. They can go to the hospital for a blood test to measure human chorionic gonadotropin (hCG) to determine whether they are pregnant.


What's the matter with headache, nausea, and breast pain?
Headaches, nausea, and breast pain may be related to autonomic dysfunction and cardiac neurosis. It is important to rest well, ensure sufficient sleep, and further exclude cardiovascular diseases, myocardial ischemia, myocardial infarction, and insufficient cardiac blood supply, which can also cause headaches, nausea, breast pain, cerebral infarction, cerebral hemorrhage, insufficient cerebral arterial blood supply, and cerebral vascular stenosis. These conditions can also trigger migraines and ischemic hypoxic changes in cerebrovascular health, causing headaches, nausea, and breast pain. Blood pressure and blood sugar should be monitored, and blood pressure should be actively controlled to prevent hypertensive encephalopathy.


Can cupping therapy be used for breast distension and pain?
Breast pain can be treated with cupping, but it is ineffective because breast pain is related to fibrocystic breast changes, which are often caused by endocrine disorders leading to elevated levels of estrogen. Generally, we can treat it with traditional Chinese medicine, using methods to soothe the liver and regulate qi, and harmonize the thoroughfare and conception vessels to alleviate the pain. Endocrine treatment can also be used, though it is generally avoided if possible. However, for significant pain during the pre-menopausal period, therapy can be initiated before the menstrual period. Treatment with vitamins B, C, and E can improve liver function, regulate sex hormone metabolism, and enhance autonomic nervous system functions. These serve as supplementary medication for this condition. Vitamin E in particular also helps alleviate pain.


What's going on with breast swelling and pain and also arm soreness?
Breast swelling and pain, as well as arm soreness, are considered to be caused by mammary gland hyperplasia and accessory breast syndrome. Mammary gland hyperplasia often manifests as cyclical swelling and pain in the breasts, commonly occurring or worsening before menstruation and alleviating or disappearing after menstruation. While mild cases might not be noticed by patients, severe cases can impact daily life and work. However, some patients do not exhibit obvious cyclical changes, and symptoms can include unilateral or bilateral breast swelling and pain, resembling needle pricks, which can extend to the shoulder, upper limbs, or chest and back areas. A few patients might experience nipple discharge, which can be yellow-green, brown, or bloody. The condition can sometimes persist for a long time, with symptoms automatically disappearing or reducing after menopause. When breast swelling and pain occur, it is necessary to regularly recheck the breast with ultrasound and mammography.