What is the cause of breast pain before menstruation?

Written by Wu Shi Ting

Breast Health Department

Updated on September 28, 2024

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Many female friends experience breast pain during the premenstrual period, what exactly is this? Mild breast pain 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 changes, which cause cyclical breast pain along with the menstrual cycle. Of course, other diseases can also cause cyclical breast pain, which needs our attention. Especially severe pain, or pain upon slight touch, we recommend going to the hospital for relevant examinations as soon as possible.

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Written by Lin Yang

Breast Surgery

1min 16sec

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Are nipple pain and breast tenderness the same thing?

Nipple pain and breast swelling are the same issues, both caused by mammary gland hyperplasia. Mammary gland hyperplasia mainly manifests as cyclic swelling and pain of the mammary glands, typically occurring or worsening before menstruation and diminishing or disappearing after menstruation. The mild cases get unnoticed by patients, while severe ones can impact daily life and work. However, some patients do not show obvious cyclical changes. It may present as swelling and pain in one or both breasts, similar to needle pricks, possibly extending to the shoulders, upper limbs, or thoracic-back area. A minority of patients may experience nipple discharge, and the condition can last for a long time, but symptoms usually disappear or diminish after menopause. During physical examinations, nodular lumps of varying sizes, which are tough but not hard, can sometimes be felt in one or both breasts. These lumps sometimes move when touched, and their boundaries with the surrounding breast tissue are not clear. However, they are not adherent to the skin or pectoral muscles. Sometimes it appears as a thickened area with unclear boundaries. The lumps often swell before menstruation and shrink afterward.

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Written by Zhang Yin Xing

Obstetrics

50sec

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Frequent urination and breast pain, is this pregnancy?

Frequent urination and breast pain are not necessarily symptoms of pregnancy. During pregnancy, the forward tilting of the uterus presses on the bladder, which can cause frequent urination. Breast pain generally occurs around the eighth week of pregnancy due to an increase in estrogen and progesterone, promoting the growth of mammary ducts and tissue. However, these are not exclusive symptoms of pregnancy. To confirm pregnancy, detection through blood and urine HCG tests, as well as ultrasound scans can be used. For blood HCG levels, they can be detected as elevated about ten days after intercourse, and urine HCG can be detected about 14 days after intercourse using a pregnancy test. Around six weeks after missing a period, an ultrasound can determine if there is any pregnancy tissue in the uterus.

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Written by Lin Yang

Breast Surgery

1min 8sec

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Is massage useful for breast distension pain?

Breast pain massage can be effective, but the effect is not very clear. Breast pain is generally related to breast hyperplasia, which is often linked to increased levels of estrogen due to endocrine disorders. Under normal circumstances, for symptoms that are quite obvious, we can use traditional Chinese medicine for treatment, which alleviates the pain through methods such as soothing the liver and regulating Qi, as well as harmonizing vital energy. Vitamin treatment can also be used. Vitamins B, C, and E improve liver function, regulate sex hormone metabolism, and enhance autonomic nervous function, serving as auxiliary medications for this condition. Vitamin E also has a pain-relieving effect. Endocrine treatment can also be used, although it is generally best avoided if possible. However, for patients in the pre-menopausal period who experience significant pain, it can be taken before the onset of menstruation.

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Written by Huo Ze Jun

Traditional Chinese Medicine

1min 24sec

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What position should be scraped for breast distension pain?

Breast pain should first undergo a clear diagnosis to determine the cause. If it is simply caused by breast hyperplasia, gua sha can be used for treatment. The location of the breasts is generally on the stomach meridian or the liver and gallbladder meridians. For specific treatment acupoint selection, you can choose the Jianjing acupoint, which is located between the Dazhui acupoint and the shoulder peak, i.e., between the high point behind the neck and the shoulders. Pressing this area will produce a distinct sore and swollen feeling, and gua sha can be used to treat this area. Additionally, gua sha can be performed on the opposite side or the corresponding back side, where the pain points of the breasts are located at the corresponding positions on the back side, which has a good analgesic effect. Furthermore, distant points can be chosen. If the person tends to be irritable or impatient, gua sha can be performed between the first and second toes at the Taichong acupoint. Also, gua sha can be performed at the Danzhong acupoint located between the two breasts. Another point is the Waiguan acupoint, located between the transverse wrist crease and the elbow crease on the dorsal side of the forearm, about two inches from the wrist transverse crease. This point also has a good analgesic effect for breast pain caused by breast hyperplasia.

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Written by Fan Hong Qiao

Breast Health Department

44sec

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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.