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 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 Lin Yang
Breast Surgery
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Can you drink dandelion water for breast pain and swelling?

Breast swelling and pain can be treated with dandelion water, but the treatment effect for breast swelling and pain is not good. The swelling and pain in the breasts are often related to hormonal imbalances that lead to increased levels of estrogen. Typically, we use traditional Chinese medicine to treat this condition. By regulating liver functions and harmonizing the Chong and Ren meridians, we can alleviate pain and treat breast hyperplasia. Endocrine treatments are also available, though not typically preferred. However, they can be used before menstruation in pre-menopausal women with significant pain, and regular pelvic ultrasound monitoring is needed when using endocrine therapy. Vitamins can be used for treatment, including vitamin B, vitamin C, and vitamin E, which improve liver function, regulate basal metabolism, and enhance autonomic nervous system functions, acting as adjunct therapies for this condition. In recent years, vitamins have also been recognized for their pain-relieving effects. If breast swelling and pain occur, it is necessary to visit a legitimate hospital for breast ultrasound and regular mammographic examinations.

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Written by Lin Yang
Breast Surgery
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What should you not eat if you have breast pain?

Breast swelling and pain are mostly considered to be related to breast hyperplasia, and can be diagnosed through breast ultrasound or mammography. Therefore, patients with breast hyperplasia need to eat less food containing estrogen, as supplementing exogenous estrogen has been confirmed to increase the incidence of breast cancer, and it is also advised to reduce the intake of fatty and high-calorie diets. Most epidemiological studies confirm that weight gain is associated with breast cancer, especially weight gain after menopause should be paired with reduced alcohol consumption. Reports indicate that drinking may increase hormone levels in the body, leading to an increased risk of breast cancer in women. It is suggested to consume more foods rich in fiber and vitamins. Although the mechanism is not yet clear, fiber has been confirmed to have an inhibitory effect on both breast cancer and colorectal cancer, and research suggests that vitamin A also has a protective role in breast cells.

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Written by Zhang Chun Yun
Obstetrics and Gynecology
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Can Chinese medicine be used to treat breast pain before menstruation?

Breast pain before menstruation is an issue. It is recommended that you visit a hospital for a comprehensive examination to rule out organic changes related to female breast conditions such as mastitis, mammary ductal hyperplasia, and fibrocystic breast disease, among others. After excluding these conditions, it might be considered premenstrual syndrome. The final diagnosis and examination results from a doctor should be definitive. You could also opt for traditional Chinese medicine; take your medical results to a TCM department. Please have a Chinese medicine practitioner assess your pulse, constitution, tongue coating, medical reports, and specific symptoms, and prescribe appropriate Chinese herbal medicines for your treatment. However, be aware that dietary restrictions are necessary when taking Chinese medicine; avoid spicy food, greasy food, and alcohol. If you have further questions, please consult a doctor at the hospital.

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Written by Lin Yang
Breast Surgery
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Breast swelling and occasional stabbing pain, what's wrong?

Breast swelling and occasional stabbing pain are considered to be caused by fibrocystic breast changes. The symptoms of fibrocystic breast changes include cyclic swelling and pain in the breasts, often appearing or worsening before menstruation and reducing or disappearing after menstruation. It may manifest as swelling and pain in one or both breasts, or prickling and painful sensations, and can extend to the shoulders, upper arms, or thoracic regions. Few patients may experience nipple discharge. During physical examination, nodular lumps of varying sizes, which are firm but not hard, can be felt in one or both breasts. Sometimes these lumps are tender, and their boundaries with the surrounding breast tissue are indistinct, but they are not adherent to the skin or pectoral muscles. Regular follow-up with breast ultrasound is advisable.