How to regulate premenstrual breast swelling and pain

Written by Fan Hong Qiao
Breast Health Department
Updated on September 18, 2024
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Before menstruation, estrogen levels rise and the breast tissue becomes congested and swollen, leading to breast pain. At this time, it is recommended for women to maintain a light diet, keep in a pleasant mood, avoid irritability, have regular routines, avoid excessive fatigue, and engage in moderate exercise, among other practices. After menstruation begins, hormone levels decrease, and this type of pain naturally eases without needing much attention. However, if the pain is severe and affects normal life, or if the pain lasts beyond the menstrual period, it is advised to visit a breast surgery specialist 3 to 5 days after the end of the period for an examination.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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How long after breast pain does menstruation come?

Everyone experiences different symptoms before menstruation. Some people experience breast swelling and soon after, their period begins, while for others, breast swelling can last for about two weeks or more before menstruation occurs. This varies from person to person because breast swelling is related to many factors. For example, some start experiencing it after ovulation, while for others, it might be related to staying up late and recent high stress levels. Some individuals may have mammary gland hyperplasia and should regularly have breast examinations, such as breast palpation and breast ultrasound, among other tests. Not every symptom indicates that menstruation will occur; some could be early signs of pregnancy. If the period is delayed, it is still necessary to check.

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Written by Lin Yang
Breast Surgery
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Can I apply magnesium sulfate for breast pain?

Breast distension pain generally does not require the administration of magnesium sulfate, as magnesium sulfate is typically used for cellulitis or inflammation and swelling and needs to be applied externally. Breast distension pain is usually related to breast hyperplasia, which is associated with elevated levels of estrogen in the body. Therefore, it is often treated with traditional Chinese medicine. Techniques such as soothing the liver and regulating the Qi, as well as coordinating the thoroughfare and conception vessels, can relieve pain. Endocrine treatments are also available, though ideally not used unless the pain is very significant during the premenopausal period, in which case it can be taken before the onset of menstruation. Vitamin therapy, including vitamins B, C, and E, can also be used; these improve liver function, regulate basal metabolism, and enhance the functioning of the autonomic nervous system, serving as adjunctive treatments for this condition.

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Written by Lin Yang
Breast Surgery
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The difference between breast prickling pain and swelling pain.

Breast tingling and soreness are no different; they are both manifestations of breast hyperplasia. The main symptoms of breast hyperplasia include cyclic swelling and pain in the breast, which often appear or worsen before menstruation and diminish or disappear after menstruation. Mild cases may not be noticed by the patient, while severe cases can affect daily life and work. However, some patients do not exhibit obvious cyclical changes, and some may experience soreness in one or both breasts, or needle-like pain, which can extend to the shoulders, upper limbs, or chest and back area. A few patients may have nipple discharge, with the color of the discharge ranging from yellow, brown, or bloody. The duration of the condition can sometimes be lengthy, but symptoms typically alleviate or disappear automatically after menopause.

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Written by Fan Hong Qiao
Breast Health Department
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What causes breast pain during menstruation?

The menstrual period is a time when female hormone levels fluctuate, which is the fundamental reason why most women experience breast pain during menstruation. Due to the fluctuation of hormone levels, there is an increase in breast tissue and edema in the interstitial tissue of the breast, ultimately causing the sensation of breast pain. If the breast pain during menstruation does not ease after the period, or if the pain is very severe, or even painful to touch, attention is needed. This is considered pathological breast pain, likely caused by breast disease, and could be related to breast hyperplasia, mastitis, or even breast tumors. It is necessary to consult a professional doctor for a breast diagnosis.

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Written by Jia Rui
Obstetrics and Gynecology
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How many days before menstruation does breast pain occur?

The duration of breast pain before menstruation varies depending on an individual's constitution. Typically, breast pain is a sign that menstruation is approaching, and the symptoms will gradually disappear after the onset of menstruation. If the symptoms are mild, there is no need for treatment. It is important to rest adequately and avoid overexertion. Applying a warm towel to the breasts can help alleviate the pain. Additionally, it is important to maintain a good mood and attitude during menstruation and when experiencing breast pain, and avoid becoming angry or anxious.