How many days after conception do the breasts start to feel sore?

Written by Du Rui Xia
Obstetrics
Updated on April 26, 2025
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Generally, after seven weeks of pregnancy, patients will begin to experience breast tenderness and pain. At this time, patients will feel that their breasts are noticeably swollen and increase in size gradually. The nipples will start to darken and enlarge. Around the areola, sebaceous glands will appear, and deep brown nodules known as Montgomery's tubercles will also develop. The color of the areola will begin to darken, which is related to the significant increase in hormones, particularly estrogen and progesterone, in the body after pregnancy. It is recommended that women protect their breasts from being compressed and avoid excessive massaging after pregnancy.

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What causes breast pain during menstruation?

The menstrual period is a time when female hormone levels fluctuate, which is the fundamental reason why most women experience breast pain during menstruation. Due to the fluctuation of hormone levels, there is an increase in breast tissue and edema in the interstitial tissue of the breast, ultimately causing the sensation of breast pain. If the breast pain during menstruation does not ease after the period, or if the pain is very severe, or even painful to touch, attention is needed. This is considered pathological breast pain, likely caused by breast disease, and could be related to breast hyperplasia, mastitis, or even breast tumors. It is necessary to consult a professional doctor for a breast diagnosis.

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What is the reason for breast pain during menstruation?

Menstrual breast pain is considered to be caused by two factors. First, the patient experiences breast pain during menstruation due to the stimulation of estrogen and progesterone secretion before the onset of menstruation. The pain symptoms may be more pronounced before menstruation and can be alleviated after menstruation. Second, if the patient's symptoms are severe, it is generally necessary to consider whether the pain is caused by mammary gland hyperplasia. Mammary gland hyperplasia can be caused by long-term staying up late, depression, and excessive stress. It is recommended that the patient undergoes a breast ultrasound to check for conditions like mammary ductal hyperplasia or fibroadenomas, and then receive targeted treatment.

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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.

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Can pregnancy cause breast pain?

Pregnant women are very likely to experience breast pain, which is one of the earliest signs of pregnancy. Symptoms like breast tenderness, sensitivity, and a stinging sensation usually appear within 3-4 weeks of pregnancy, sometimes even before a pregnancy test can be taken. This is primarily because, to better support the growth of the fetus, the body produces more estrogen, stimulating the growth of mammary glands and causing breast pain. Of course, as the pregnancy progresses and hormone levels gradually stabilize, breast pain will be alleviated. Pregnant women should not be overly concerned. However, it is also important to remind pregnant women that while this breast pain might increase discomfort during pregnancy, it is usually bearable. If the breast pain becomes unbearable, it is still essential to visit a hospital for a check-up.

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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.