Mastalgia

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Written by Wang Xiu Mei
Obstetrics
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What causes breast pain after pregnancy?

In early pregnancy, hormonal changes occur in women's bodies, with increased levels of estrogen and progesterone leading to breast tenderness. This usually eases over time and is a normal physiological condition. Regular prenatal check-ups should be within normal ranges. If the discomfort is severe, it could indicate an abnormal condition, and it is advisable to seek medical attention promptly. It is recommended to rest well, relax, maintain a cheerful mood, and ensure adequate sleep. Dietarily, avoid raw, cold, spicy, and stimulating food. Refrain from smoking, excessive drinking, and other unhealthy habits. Opt for a light yet nutritionally balanced diet, consume fresh fruits and vegetables, and eat smaller, more frequent meals. During the first three months of pregnancy, it is still necessary to supplement with folic acid to prevent neural tube defects in the fetus.

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Written by Zhang Hui
Obstetrics and Gynecology
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Do women experience breast pain during ovulation?

Women experience symptoms of breast swelling and pain during ovulation due to hormonal levels in the body, which is a normal physiological phenomenon and should not be overly concerning. Generally, these symptoms will disappear after ovulation. If the symptoms of breast swelling and pain are severe, it is advisable to promptly visit a reputable local hospital for relevant examinations to determine the specific cause. Under the guidance of a clinician, treatment should be given according to the symptoms. It is recommended that women should rest during ovulation, avoid strenuous exercise, maintain genital hygiene, and wear loose, breathable underwear.

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Written by Zhao Li Li
Obstetrics
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What should I do if my breasts are swollen and painful and I can't pump milk out?

If breast pain has already occurred, it is still necessary to actively treat the symptoms. Normally, if the milk cannot be completely extracted after stimulation, it is possible that a blockage in the milk ducts may be occurring. It is generally recommended to apply local heat and massage to the breasts before pumping. These treatments can effectively promote local blood circulation and help the milk ducts to clear, facilitating the complete extraction of milk. If there is continuous non-discharge of milk causing local breast swelling, it's necessary to consider the possibility of mastitis and seek medical advice promptly to receive appropriate treatment.

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Written by Jia Rui
Obstetrics and Gynecology
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Breast swelling and pain occur a few days before menstruation.

Breast pain and swelling commonly occur 3 to 5 days before menstruation. As everyone's physical condition varies, the severity and duration of breast pain can differ. Clinically, most women experience this discomfort. Generally, the symptoms gradually disappear after the onset of menstruation. This is related to hormonal imbalances involving estrogen before menstruation, or due to the withdrawal of estrogen. If the symptoms are mild, treatment is usually not necessary. It's often sufficient to rest adequately, avoid excessive fatigue, and maintain a good mood and outlook.

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Written by Lin Yang
Breast Surgery
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What's going on with breast swelling, pain, and frequent urination?

Breast engorgement and frequent urination may be caused by mammary gland hyperplasia, and we can diagnose it through breast ultrasonography or mammography. Mammary gland hyperplasia is currently believed to be related to endocrine disorders causing increased levels of estrogen. It primarily manifests as cyclical breast pain, often occurring or worsening before menstruation, and diminishing or disappearing after menstruation. Mild cases may not be significant to the patient, but severe cases can affect daily life and work. However, some patients do not show obvious cyclical changes, and symptoms may include one or both sides of the breasts feeling engorged or a tingling itch, possibly extending to the shoulder, upper limbs, or thoracic and back areas. A minority of patients may experience nipple discharge, which can be yellow or brown. The condition can last for a long time, but symptoms will automatically disappear or lessen after menopause.

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Written by Wang Xiu Mei
Obstetrics
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Do breasts become sore during pregnancy?

During pregnancy, one may experience breast pain, particularly in the early stages. The hormonal changes in a woman's body, including an increase in estrogen and progesterone levels, can lead to this discomfort. This pain generally eases over time and is a normal physiological condition. As long as the prenatal check-ups are within the normal range, it should be fine. However, if the discomfort is severe, it could be indicative of an abnormal condition that requires prompt medical examination. In the early stages of pregnancy, it is advisable to rest adequately, relax, and keep in good spirits. One should avoid getting cold and focus on staying warm. Dietary considerations include avoiding raw, cold, spicy, or pungent foods, and refraining from smoking or excessive drinking. Opt for light and nutritionally balanced meals instead, and increase the intake of fresh fruits and vegetables. It is also necessary to continue taking folic acid during the first three months of pregnancy to prevent neural tube defects in the fetus.

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Written by Lin Yang
Breast Surgery
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Should I use cold or hot compress for breast pain?

For breast tenderness, we generally choose hot compresses to reduce pain. For the occurrence of mammary gland hyperplasia, it is recommended to use medication for symptomatic treatment, which may include traditional Chinese medicine. This treatment involves soothing the liver and regulating qi, and balancing the thoroughfare and conception vessels to alleviate pain. Endocrine treatments are also an option, but they are ideally avoided if possible. However, for significant pain during the pre-menopausal period, medication can be taken before the onset of menstruation. Vitamin treatments with vitamins B, C, and E, which help improve liver function, regulate hormone metabolism, and enhance autonomic nerve functions, can be used as adjunctive medications for this condition. Vitamin E also has pain-relieving properties. For individuals with a family history of breast cancer, localized lesions in part of the breast, noticeable lumps after menstruation or dense shadows or microcalcifications on a mammographic film, a biopsy or a Mammotome rotational excision procedure should be performed, and surgical treatment may be necessary if required.

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Written by Wang Xiu Mei
Obstetrics
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Is breast swelling and pain one week before menstruation a sign of pregnancy?

Breast swelling and pain a week before menstruation may be related to menstruation due to increased estrogen during the latter half of the menstrual cycle, leading to breast or nipple swelling and pain. If these symptoms occur outside of the menstrual period, it may indicate a breast condition such as fibrocystic breast disease, mastitis, or nipple infection. In such cases, it is necessary to visit a hospital for breast examinations like breast ultrasound or mammography to diagnose the condition. Generally, symptoms may relieve or disappear after menstruation, but breast pain can also be caused by local inflammation of the breast, and inflammation of the nipple can also cause swelling and discomfort. If symptoms are significant and accompanied by pain, it is advisable to seek medical attention promptly to avoid delaying the condition, and self-medicating should be avoided. On the other hand, during the early stages of pregnancy, a significant rise in hormones can also cause breast swelling and pain. Therefore, if there is a question about an impending menstrual cycle, it is advisable to undergo necessary tests to determine, and if there has been sexual intercourse for half a month, pregnancy can be confirmed through a blood test.

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Written by Du Rui Xia
Obstetrics
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Will the breasts still swell and hurt if there is a miscarriage in early pregnancy?

In early pregnancy, if the fetus stops developing, some of the early pregnancy symptoms in the pregnant woman will gradually ease, but the easing process will not happen immediately. For example, breast tenderness can persist for a period of time, usually easing after a week as levels of human chorionic gonadotropin, estrogen, and progesterone decrease, resulting in relief from breast pain. In early pregnancy, if embryo arrest occurs, it is advisable to take treatment measures promptly to address the non-developing gestational sac. Options include surgical abortion or medical abortion.

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Written by Ding Ying Bo
Obstetrics and Gynecology
1min 24sec home-news-image

Brown vaginal discharge and breast pain, is it pregnancy?

Brown vaginal discharge and breast tenderness, if occurring after a delayed period, especially when effective contraceptives have not been used, may indicate early signs of pregnancy. This is because a low level of progesterone after conception can lead to a threatened miscarriage, manifesting as brown discharge. Moreover, following conception, a rapid rise in estrogen and progesterone levels in the body can stimulate the breasts, causing tenderness and pain. However, brown discharge and breast tenderness can also occur just before menstruation begins, as the endometrium thickens and hormonal fluctuations can lead to shedding. Thus, the presence of brown discharge and premenstrual breast tenderness, coupled with a noticeable increase in progesterone levels, can also stimulate the mammary ducts, resulting in breast pain. Therefore, it is difficult to determine based on symptoms alone whether the manifestations are due to a delay in menstruation or early pregnancy. A hospital laboratory test is necessary to confirm, generally advocating for an HCG test as it is the most accurate for confirming pregnancy and can determine with near 100% certainty, with little room for error.