Is breast pain 8 days before menstruation an early sign of pregnancy?

Written by Zhao Xiao Dong
Obstetrics and Gynecology
Updated on March 15, 2025
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Breast pain and swelling eight days before menstruation is mostly not a sign of early pregnancy, but a normal physiological phenomenon. The period before menstruation is the luteal phase of the menstrual cycle. After ovulation, the ovary forms the corpus luteum, which secretes estrogen and progesterone to maintain the uterine lining. Estrogen stimulates the growth of ductal cells and alveolar cells in the mammary glands, and increases the permeability of local blood vessels, leading to breast enlargement and sometimes pain. This is generally a normal physiological phenomenon and usually returns to normal after menstruation. However, it is also necessary to rule out the possibility of mammary hyperplasia, breast nodules, or even breast tumors.

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Written by Wang Xiu Mei
Obstetrics
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Is breast swelling and pain one week before menstruation a sign of pregnancy?

Breast swelling and pain a week before menstruation may be related to menstruation due to increased estrogen during the latter half of the menstrual cycle, leading to breast or nipple swelling and pain. If these symptoms occur outside of the menstrual period, it may indicate a breast condition such as fibrocystic breast disease, mastitis, or nipple infection. In such cases, it is necessary to visit a hospital for breast examinations like breast ultrasound or mammography to diagnose the condition. Generally, symptoms may relieve or disappear after menstruation, but breast pain can also be caused by local inflammation of the breast, and inflammation of the nipple can also cause swelling and discomfort. If symptoms are significant and accompanied by pain, it is advisable to seek medical attention promptly to avoid delaying the condition, and self-medicating should be avoided. On the other hand, during the early stages of pregnancy, a significant rise in hormones can also cause breast swelling and pain. Therefore, if there is a question about an impending menstrual cycle, it is advisable to undergo necessary tests to determine, and if there has been sexual intercourse for half a month, pregnancy can be confirmed through a blood test.

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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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What's going on with breast swelling and pain and also arm soreness?

Breast swelling and pain, as well as arm soreness, are considered to be caused by mammary gland hyperplasia and accessory breast syndrome. Mammary gland hyperplasia often manifests as cyclical swelling and pain in the breasts, commonly occurring or worsening before menstruation and alleviating or disappearing after menstruation. While mild cases might not be noticed by patients, severe cases can impact daily life and work. However, some patients do not exhibit obvious cyclical changes, and symptoms can include unilateral or bilateral breast swelling and pain, resembling needle pricks, which can extend to the shoulder, upper limbs, or chest and back areas. A few patients might experience nipple discharge, which can be yellow-green, brown, or bloody. The condition can sometimes persist for a long time, with symptoms automatically disappearing or reducing after menopause. When breast swelling and pain occur, it is necessary to regularly recheck the breast with ultrasound and mammography.

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What causes breast pain after menopause?

After menstruation stops, if there are symptoms of breast pain and swelling, one should first consider whether it is related to pregnancy, as hormonal changes during pregnancy often lead to such symptoms. Some people experience breast pain and swelling due to ovulation, which is a typical symptom for many before menstruation. Occasionally, ovulation may be delayed, thus delaying the symptoms of breast pain and swelling. Others might experience these symptoms in relation to factors such as excessive staying up late, high stress, or considerable pressure. It is common to undergo hormonal tests and breast ultrasound examinations in such cases.

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How to treat mastitis and breast pain

For breast pain caused by mastitis during milk engorgement, we can use hot compresses and massage to fully expel the milk. Locally, a 25% magnesium sulfate poultice can be applied for 20 minutes, three times a day. After breastfeeding, cold compresses can be used to reduce the pain caused by milk engorgement. In cases of mastitis, it is important to keep the nipple clean, frequently washing with soap and warm water. Before and after breastfeeding, the nipples can also be washed with 3% boric acid solution. For inverted nipples, gently squeeze out the nipple before cleaning. However, it is not advisable to wipe with ethanol, as ethanol can make the skin of the nipple and areola brittle, leading to fissures. Develop good breastfeeding habits, feed at regular intervals, ensure the milk is fully drawn each time, and if not, manually express or use a breast pump to remove the milk.