Is breast swelling and pain during menstruation normal?

Written by Fan Hong Qiao
Breast Health Department
Updated on September 24, 2024
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For many women, in addition to experiencing dysmenorrhea during their menstrual period, they often encounter various discomforts. Many young and middle-aged women experience breast pain before and after their period. Is this normal? Many women worry that this is a sign of a pathological change in their breasts. Generally speaking, this type of cyclical breast pain or stabbing pain that occurs as the menstrual cycle approaches and then eases or disappears after the onset of menstruation is mostly due to changes in hormones within the body, and it is a normal physiological condition that does not require treatment. However, if the pain is severe, it is necessary to seek medical attention promptly.

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Written by Lin Yang
Breast Surgery
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Can I drink dandelion for breast distension and pain?

Breast distention pain can be treated with dandelion, but the effect is not significant. This is because there is a clear relationship between breast distention pain and breast hyperplasia. Generally, we can treat it with traditional Chinese medicine. By soothing the liver and regulating Qi, and harmonizing Chong and Ren meridians, we can relieve the distention pain. Endocrine treatment can also be used, preferably avoided, but it can be administered before menstruation when the pain is very noticeable in the pre-menopausal period, because endocrine treatment can increase the risk of endometrial cancer, therefore regular pelvic ultrasound examinations are necessary. Vitamin therapy can also be used. Vitamins B, C, and E improve liver function, regulate sex hormone metabolism, and improve autonomic nervous function, and can be used as adjunctive medication for this condition. Vitamin E also has a pain-relieving effect.

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Written by Wang Zhi Chao
Breast Surgery
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How to treat breast pain during lactation?

Breast pain is divided into two types: one is related to menstruation, appearing before each menstrual period, and if the pain disappears when menstruation begins, it tends to be physiological and does not require any medication, only an adjustment of one's mindset to maintain a pleasant mood. If the pain is not related to the menstrual cycle, and persists regardless of the menstrual state, it is advisable to visit a regular hospital to rule out other diseases. After being diagnosed with breast hyperplasia, one may take appropriate medications to treat the hyperplasia and maintain a pleasant mood for self-regulation.

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Written by Lin Yang
Breast Surgery
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Is bilateral breast pain breast cancer?

Bilateral breast pain generally is not considered breast cancer, but rather breast hyperplasia. Diagnosis can be confirmed through breast ultrasound and mammography. The ultrasound of breast hyperplasia typically shows uneven low echo areas; if cysts are present, they appear as anechoic areas. Mammography may display a ground-glass or cotton wool-like shadow. However, it is important to be cautious of the possibility that breast hyperplasia and breast cancer may coexist. On one hand, patients with significant hyperplasia should be closely followed up, advised to return to the hospital every two to three months for follow-up examinations. On the other hand, patients with significant proliferative lumps or unclear boundaries in thickened breast areas are recommended to undergo a biopsy of the suspicious lesions to prevent misdiagnosis.

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Written by Wu Shi Ting
Breast Health Department
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What causes breast pain before menstruation?

In clinical practice, I often hear complaints from female friends that they experience breast tenderness before menstruation. What exactly is the cause of this? Mild breast tenderness may be due to hormonal changes in the body, which is a normal physiological condition. Of course, it could also be caused by diseases, such as the most common fibrocystic breast change, which is associated with cyclical breast pain during the menstrual cycle. There are also other diseases that can cause cyclical breast pain, and it is important to pay attention to them. Especially in cases of severe pain, or when even light touch causes significant discomfort, we recommend visiting a hospital for relevant examinations as soon as possible.

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Written by Lin Yang
Breast Surgery
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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.