What's the matter with delayed menstruation and breast pain?

Written by Sun Shan Shan
Obstetrics and Gynecology
Updated on March 17, 2025
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Delayed menstruation and breast pain, if it occurs in women of childbearing age who are sexually active, this condition needs to be checked to see if there is a possibility of pregnancy. Menstruation is related to mood, diet, environmental stress, and psychological tension. If there is a problem in any of these areas, it can cause menstrual disorders. Of course, a delay in menstruation of about a week is within the normal range. If menstruation is delayed for more than a week and there has been sexual activity, a pregnancy test should be used to see if there is a possibility of pregnancy. If not pregnant and menstruation is delayed for more than a week, it is necessary to promptly go to the hospital for a gynecological ultrasound to check the condition of the endometrium, and if necessary, medication can be used to induce menstruation. If a pregnancy test is positive, then it is timely to go to the hospital for a pregnancy checkup.

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Breast swelling and pain, increased vaginal discharge, does it mean that menstruation is coming?

Breast swelling and pain, increased vaginal discharge, it might be that menstruation is coming. Breast swelling and pain are generally manifestations of mammary gland hyperplasia. The symptoms of mammary gland hyperplasia typically include cyclical breast swelling and pain, which often appear or worsen before menstruation and subside or disappear after menstruation. Some patients do not experience obvious cyclical changes; some may have swelling and needle-like pain in one or both breasts, which can extend to the shoulders, upper limbs, or chest and back areas. A few patients might have nipple discharge; the discharge can be yellow, brown, or bloody. The disease course can sometimes be long, but symptoms often disappear or lessen after menopause.

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What is the cause of breast swelling and pain before menstruation?

Menstruation has not yet arrived, but the breasts are already in pain—this is a common annoyance for many women. Many women experience swelling, hardening, and even pain in their breasts before the onset of menstruation. In severe cases, even slight vibrations or bumps can cause unbearable breast pain. What causes this? It all starts with a mysterious substance—hormones. Each menstrual cycle, levels of estrogen and progesterone rise, causing the mammary ducts and lobular duct endothelial cells to enlarge, and the ductal epithelial cells and stromal cells to become congested and swollen, leading to pain. Thus, different degrees of pain occur before menstruation.

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What is the cause of breast pain before menstruation?

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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Can breast engorgement and blocked milk ducts be treated with scraping therapy?

Breast pain and blocked milk ducts are not recommended for scraping therapy, as scraping can easily cause inflammation of the mammary glands and result in breast damage. Breast heaviness and blocked milk ducts are likely caused by the accumulation of milk in the ducts. It is advised to visit a regular hospital for a breast ultrasound to determine if the issue is caused by inflammation or lipid accumulation. If the condition is merely an accumulation, using a warm towel for heat compresses and massage can achieve the effect of unblocking the milk ducts. However, if the condition is caused by inflammation, and the symptoms are mild and the lesions are not severe, breastfeeding can still be continued. Nevertheless, the affected breast should not be used for breastfeeding. A breast pump can be used to extract the milk.

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How long will breast tenderness during pregnancy last?

Many early-stage pregnant mothers suffer from breast tenderness, leading to frequent inquiries about how long this discomfort will last. The duration of breast tenderness varies from person to person; no two cases are exactly the same. Generally, as the pregnancy progresses and enters the mid-term, the continuously rising hormone levels will stabilize, and the breast discomfort will significantly ease. Therefore, pregnant mothers should not worry too much. Relax, pay attention to your physical condition, and if the pain becomes unbearable, consider seeking help from a doctor at the hospital.