Is breast swelling and pain after missing a period a sign of pregnancy?

Written by Du Rui Xia
Obstetrics
Updated on January 23, 2025
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The cessation of menstruation accompanied by breast pain could indicate pregnancy, but that’s not always the case. Similar symptoms to pregnancy, such as breast tenderness and delayed periods, can occur just before a woman's menstrual cycle. However, these symptoms can be influenced by factors such as fatigue, staying up late, medications, etc., leading to just a delay in menstruation. Before menstruation begins, the breasts are affected by hormones, causing ductal proliferation and edema, resulting in pain. However, this pain differs from the pain experienced during pregnancy. Pregnancy test strips can be used to check. It is generally recommended to conduct the test after a week’s delay of the menstrual period.

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Written by Zhang Shu Kun
Traditional Chinese Medicine
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Why do breasts swell and hurt after soaking feet in mugwort?

When experiencing breast pain and swelling while using mugwort for foot soaks, it is primarily considered that mugwort promotes overall blood circulation, which may lead to painful hardness upon touching, mainly suspected to be caused by mastitis or a tumor. It is advised to promptly visit a reputable hospital to investigate the specific cause and rule out inflammation or tumors in the breast. This can effectively prevent worsening of the symptoms. Additionally, rest is important as mugwort foot soaks can be beneficial for bodily health, but if symptoms occur, it is essential to immediately stop the treatment.

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Written by Du Rui Xia
Obstetrics
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Do breasts become sore before pregnancy?

Before pregnancy, women can also experience breast pain and swelling. This happens because, before pregnancy, the female body begins to secrete hormones during ovulation, increasing their levels, which then stimulates the mammary glands, causing breast proliferation and congestion of the mammary glands. Therefore, during pregnancy, this breast pain and swelling phenomenon can worsen. However, experiencing breast pain and swelling does not necessarily indicate pregnancy; it could also be a phenomenon occurring after ovulation and before menstruation. Before pregnancy, due to the influence of the ovulation period, some women may experience swelling of the breasts and proliferation of the mammary glands, or pain caused by lumps in the mammary glands. In such cases, further observation is needed for a few more days, and after having intercourse for half a month, or if menstruation is delayed, a pregnancy test using an early pregnancy test strip is suggested.

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Written by Lin Yang
Breast Surgery
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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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Written by Zhang Chun Yun
Obstetrics and Gynecology
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Is breast pain before menstruation related to breast cysts?

Women experiencing breast pain before menstruation are advised to undergo a systematic examination at a hospital. If you suspect that you have a breast cyst, it is still advisable to undergo relevant tests to eliminate the possibility of this condition. If breast cysts are ruled out, the pre-menstrual breast pain might be due to premenstrual syndrome (PMS). Premenstrual syndrome in women often manifests as headaches, breast pain, abdominal bloating, limb edema, irritability, anxiety, depression, and emotional instability, among other symptoms. If diagnosed with PMS, psychological reassurance and counseling can be provided to help the woman relax. Additionally, a suitable diet, nutrition, and appropriate physical exercise should be considered. If necessary, medication might be taken under a doctor's prescription. For further queries, please consult a doctor at a hospital.

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Written by Wu Shi Ting
Breast Health Department
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What causes postmenopausal breast pain?

Breast pain after menopause is generally temporary and a normal physiological response. It is mainly due to a decrease in the speed of endogenous estrogen secretion, and the breast tissue has not adapted to this change, resulting in localized pain. These symptoms will gradually disappear after menopause is completely stopped, so there is no need to be overly nervous, just make sure to get regular check-ups. However, if breast pain occurs years after menopause, it is necessary to be vigilant as it may indicate a disease. Since postmenopausal elderly women are at a higher risk of developing breast cancer, it is advised that patients with postmenopausal breast pain seek timely medical examinations at a hospital.