What is the cause of breast pain before menstruation?

Written by Wu Shi Ting
Breast Health Department
Updated on September 19, 2024
00:00
00:00

Many women experience breast pain before each menstrual period, but what exactly is the cause? Mild breast pain may be due to changes in hormones within the body and is considered a normal physiological condition. Of course, it could also be caused by diseases, such as the commonly seen fibrocystic breast changes, which result in cyclical breast pain associated with the menstrual cycle. There are also other diseases that can cause cyclical breast pain, which should be taken seriously. Especially in cases of severe pain, where even slight touch causes significant discomfort, it is advised to seek timely medical examination at a hospital.

Other Voices

doctor image
home-news-image
Written by Lin Yang
Breast Surgery
46sec home-news-image

Breast engorgement but not much milk, what's the problem?

Breast pain with scanty milk supply may be due to milk stagnation in the ducts. It is recommended to visit a formal hospital's breast department for an ultrasound or routine blood test to determine if inflammation is present. If the blood count exceeds 10,000, it indicates that the milk was not fully drained during breastfeeding, causing it to accumulate in the lobules of the breast tissue, leading to bacterial mastitis. In this case, it is advised to stop breastfeeding and treat the inflammation symptomatically. Local warm moist compresses, as well as peri-inflammatory injections of isotonic saline, can be used to help reduce the inflammation. Antibiotics such as penicillin, cephalosporins or erythromycin may be chosen.

doctor image
home-news-image
Written by Lin Yang
Breast Surgery
51sec home-news-image

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.

doctor image
home-news-image
Written by Jia Rui
Obstetrics and Gynecology
36sec home-news-image

Why are breasts painful and swollen before menstruation?

Premenstrual breast pain is a common symptom among women and is considered a normal physiological response. It mainly occurs due to the increase in estrogen levels in the body seven to ten days before menstruation, leading to breast hyperplasia and enlargement, causing discomfort that makes the breasts sensitive to touch. There is no need for excessive concern as breast pain caused by hyperplasia is normal. Generally, the condition improves after menstruation and does not require special treatment. If the pain is severe, applying heat can help alleviate it.

doctor image
home-news-image
Written by Lin Yang
Breast Surgery
58sec home-news-image

How to treat mastitis and breast pain

For breast pain caused by mastitis during milk engorgement, we can use hot compresses and massage to fully expel the milk. Locally, a 25% magnesium sulfate poultice can be applied for 20 minutes, three times a day. After breastfeeding, cold compresses can be used to reduce the pain caused by milk engorgement. In cases of mastitis, it is important to keep the nipple clean, frequently washing with soap and warm water. Before and after breastfeeding, the nipples can also be washed with 3% boric acid solution. For inverted nipples, gently squeeze out the nipple before cleaning. However, it is not advisable to wipe with ethanol, as ethanol can make the skin of the nipple and areola brittle, leading to fissures. Develop good breastfeeding habits, feed at regular intervals, ensure the milk is fully drawn each time, and if not, manually express or use a breast pump to remove the milk.

doctor image
home-news-image
Written by Lin Yang
Breast Surgery
1min 16sec home-news-image

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.