Mastalgia

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Written by Wang Xiu Mei
Obstetrics
1min 23sec home-news-image

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.

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Written by Zhang Chun Yun
Obstetrics and Gynecology
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Is breast pain before menstruation the ovulation period?

Generally, breast pain before menstruation in women is more likely caused by premenstrual syndrome rather than ovulation, as ovulation occurs approximately 14 days before the onset of menstruation, which is still some time before the period starts, so typically, women do not experience breast pain due to ovulation. It is advised that women experiencing breast pain before menstruation should visit a hospital for a systematic examination under the guidance of a doctor to rule out any organic changes in the breast tissues. If it is confirmed to be caused by premenstrual syndrome, it is important to provide psychological comfort and suggestions under the advice of a doctor, helping women smoothly get through the premenstrual period. If you have further questions, please consult a doctor at the hospital.

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Written by Zhang Chun Yun
Obstetrics and Gynecology
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Is breast pain before menstruation related to breast cysts?

Women experiencing breast pain before menstruation are advised to undergo a systematic examination at a hospital. If you suspect that you have a breast cyst, it is still advisable to undergo relevant tests to eliminate the possibility of this condition. If breast cysts are ruled out, the pre-menstrual breast pain might be due to premenstrual syndrome (PMS). Premenstrual syndrome in women often manifests as headaches, breast pain, abdominal bloating, limb edema, irritability, anxiety, depression, and emotional instability, among other symptoms. If diagnosed with PMS, psychological reassurance and counseling can be provided to help the woman relax. Additionally, a suitable diet, nutrition, and appropriate physical exercise should be considered. If necessary, medication might be taken under a doctor's prescription. For further queries, please consult a doctor at a hospital.

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Written by Lin Yang
Breast Surgery
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Can frequent breast pain be treated by patting?

Breast pain and swelling often occur, and slapping them is ineffective because the pain and swelling are related to fibrocystic breast change, which is often linked to hormonal imbalances causing increased levels of estrogen. Therefore, for symptoms that are quite severe, we can use traditional Chinese medicine, which alleviates pain through methods that soothe the liver and regulate qi, as well as harmonize the thoroughfare and conception vessels. Endocrine treatments are also an option, preferably avoided, but can be used before menstruation in cases of severe pain during the pre-menopausal period. Vitamin therapy can also be used; vitamins B, C, and E help improve liver function, regulate metabolic processes related to sex hormones, and enhance autonomic function, serving as adjunct therapies for this condition. Vitamin E also helps alleviate pain. (Medication should be administered under the guidance of a physician.)

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Written by Du Rui Xia
Obstetrics
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Will having sex with breast pain lead to pregnancy?

Women may experience breast tenderness before and after menstruation, or during ovulation. However, merely relying on breast tenderness to determine the likelihood of pregnancy during intercourse has no scientific basis. One should consider their menstrual cycle to see if it coincides with the ovulation period, which is typically about 14 days before the onset of the next menstrual cycle. The ovulation date, the five days before it, the four days after it, plus the day of ovulation itself, make up a total of ten days known as the ovulation period. Intercourse during this time is more likely to lead to pregnancy.

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Written by Zhang Chun Yun
Obstetrics and Gynecology
1min 30sec home-news-image

Will breast pain still occur if pregnant in the same month as premenstrual breast swelling and pain?

If women experience breast pain before menstruation, it is likely caused by premenstrual syndrome. Premenstrual syndrome in women is often caused by psychological stress and mental factors. It generally causes symptoms such as headaches, breast pain, limb edema, and abdominal bloating. At this time, it is advisable to give psychological suggestion under the guidance of a doctor. Generally, psychological comfort and guidance should be provided to help women relax. Additionally, a reasonable diet, increased nutrition, appropriate physical exercise, and quitting smoking are all good treatment methods for premenstrual syndrome, as it is caused by psychological and mental stress in women. Therefore, it is possible that a woman might still feel tense after becoming pregnant, which might result in chest pain. The specific situation depends on the individual conditions of the woman, as not all women necessarily experience chest pain. Therefore, it is necessary to analyze each case individually. If further questions arise, please consult a doctor at a hospital.

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Written by Zhang Lu
Obstetrics
1min home-news-image

Does an ectopic pregnancy cause early breast tenderness?

Ectopic pregnancy is a pathological condition in the early stages of pregnancy. Although it is a pathological state, it is still considered a pregnancy, so common early pregnancy reactions still occur in patients with ectopic pregnancies, including mild breast tenderness in the early stages. The reason for this tenderness is because after pregnancy, the levels of estrogen and progesterone in a woman's body increase. These hormones stimulate the mammary glands, causing slight proliferation and manifested as breast tenderness. Even in cases of ectopic pregnancy, the levels of estrogen and progesterone in a woman's body will rise, thus causing breast tenderness. However, in ectopic pregnancies, the increase in estrogen and progesterone is not particularly high, so the stimulation to the mammary glands is not as strong as in a normal intrauterine pregnancy. Thus, there is breast tenderness in the early pregnancy, but it is lower than in normal intrauterine pregnancies.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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What causes breast pain after menopause?

After menstruation stops, if there are symptoms of breast pain and swelling, one should first consider whether it is related to pregnancy, as hormonal changes during pregnancy often lead to such symptoms. Some people experience breast pain and swelling due to ovulation, which is a typical symptom for many before menstruation. Occasionally, ovulation may be delayed, thus delaying the symptoms of breast pain and swelling. Others might experience these symptoms in relation to factors such as excessive staying up late, high stress, or considerable pressure. It is common to undergo hormonal tests and breast ultrasound examinations in such cases.