Can pseudopregnancy cause breast pain?

Written by Du Rui Xia
Obstetrics
Updated on April 22, 2025
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During pseudopregnancy, women may also experience symptoms of breast tenderness. As women may experience delayed menstruation, along with nausea, vomiting, and abdominal bloating, it is necessary to consider the possibility of pregnancy. If it is a pseudopregnancy, then it is due to the rise in hormone levels around the time menstruation is due, coupled with psychological factors in women, which can also cause false breast tenderness. When patients experience this condition, there is no need for excessive worry. They should rest adequately, enhance their nutrition, eat a light diet, keep warm, avoid overexertion, stay away from cold, and not stay up late. They can go to the hospital for a blood test to measure human chorionic gonadotropin (hCG) to determine whether they are pregnant.

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Does vomiting and breast swelling indicate pregnancy?

In the early stages of pregnancy, common symptoms such as nausea, vomiting, fatigue, and dizziness, known as early pregnancy reactions, typically appear around six weeks after missed menstruation. Around eight weeks of missed menstruation, due to the increase in estrogen and progesterone, one might experience breast tenderness, but these are not the main criteria for diagnosing pregnancy. The first clinical symptom of pregnancy is missed menstruation. For women of childbearing age with regular menstrual cycles, a noticeable delay in menstruation of ten days should initially prompt a consideration of pregnancy. This can be confirmed through elevated levels of blood HCG, followed by an ultrasound that reveals a visible gestational sac in the uterus to confirm the diagnosis.

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Breast Surgery
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What's causing breast swelling, pain, and dizziness?

Breast swelling and pain, dizziness, it may be caused by breast hyperplasia, which can be diagnosed through breast ultrasound or mammography. Breast hyperplasia is mainly related to endocrine disorders in the body, leading to increased levels of estrogen. When the hormone ratio in the body is unbalanced, estrogen levels increase and progesterone secretion decreases, it can lead to incomplete regression after breast hyperplasia, causing breast tissue proliferation. Therefore, the functional state of the ovaries and whether there is disorder play a very important role in the development of the disease. Additionally, it might be related to differences in the quantity and quality of estrogen receptors in the breast tissue, causing uneven levels of breast proliferation and leading to breast swelling.

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Written by Wu Shi Ting
Breast Health Department
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Breast swelling, pain, and lumps, what is going on?

There are several types of conditions where lumps can be found in the breast. Breast tissue itself is essentially a hard substance that can normally be grasped or pinched by hand. Therefore, sometimes the lumps you feel in the breast are just normal areas of breast tissue protrusion, which generally disappear after menstruation or after subsiding. You do not need to worry too much about breast lumps that appear during this special period. Another more common type of breast lump is fibroadenoma of the breast, which typically occurs in women of childbearing age between 20 and 39 years old. Another condition is cystic hyperplasia of the breast. This is more common in middle-aged women, often with several hard nodules of varying sizes on both breasts, with unclear borders, which can cause pain, especially more noticeable before menstruation. When it might be a breast disease, it is advisable for patients to visit a hospital and consult a doctor on how to proceed.

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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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Breast pain and bleeding after intercourse, what could be the reason?

Breast pain and nipple bleeding during intercourse are considered types of nipple discharge, possibly caused by intraductal papilloma or chronic inflammation of the ducts. Diagnosis can be made through mammography or ductoscopy. Generally, we choose ductoscopy, which allows direct observation on a computer screen whether the cause is inflammation or intraductal papilloma. If the issue is solely inflammation, it can be treated by flushing through ductoscopy. If intraductal papilloma is suspected, ductoscopy can be used to collect a tissue sample for pathology to determine whether it is due to intraductal papilloma or cancer within the ducts.