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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How to treat breast pain during lactation?

Breast pain is divided into two types: one is related to menstruation, appearing before each menstrual period, and if the pain disappears when menstruation begins, it tends to be physiological and does not require any medication, only an adjustment of one's mindset to maintain a pleasant mood. If the pain is not related to the menstrual cycle, and persists regardless of the menstrual state, it is advisable to visit a regular hospital to rule out other diseases. After being diagnosed with breast hyperplasia, one may take appropriate medications to treat the hyperplasia and maintain a pleasant mood for self-regulation.

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Are nipple pain and breast tenderness the same thing?

Nipple pain and breast swelling are the same issues, both caused by mammary gland hyperplasia. Mammary gland hyperplasia mainly manifests as cyclic swelling and pain of the mammary glands, typically occurring or worsening before menstruation and diminishing or disappearing after menstruation. The mild cases get unnoticed by patients, while severe ones can impact daily life and work. However, some patients do not show obvious cyclical changes. It may present as swelling and pain in one or both breasts, similar to needle pricks, possibly extending to the shoulders, upper limbs, or thoracic-back area. A minority of patients may experience nipple discharge, and the condition can last for a long time, but symptoms usually disappear or diminish after menopause. During physical examinations, nodular lumps of varying sizes, which are tough but not hard, can sometimes be felt in one or both breasts. These lumps sometimes move when touched, and their boundaries with the surrounding breast tissue are not clear. However, they are not adherent to the skin or pectoral muscles. Sometimes it appears as a thickened area with unclear boundaries. The lumps often swell before menstruation and shrink afterward.

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How long after breast pain does menstruation come?

Everyone experiences different symptoms before menstruation. Some people experience breast swelling and soon after, their period begins, while for others, breast swelling can last for about two weeks or more before menstruation occurs. This varies from person to person because breast swelling is related to many factors. For example, some start experiencing it after ovulation, while for others, it might be related to staying up late and recent high stress levels. Some individuals may have mammary gland hyperplasia and should regularly have breast examinations, such as breast palpation and breast ultrasound, among other tests. Not every symptom indicates that menstruation will occur; some could be early signs of pregnancy. If the period is delayed, it is still necessary to check.

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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.

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Can ice be applied for breast pain?

Breast pain can be treated with ice packs, but the effect is generally not good. Breast pain is generally considered to be related to mammary gland hyperplasia. We can treat it with traditional Chinese medicine. The pain can be alleviated by using methods to soothe the liver, regulate qi, and harmonize the Chong and Ren meridians. Endocrine treatment can also be used, preferably avoided, but can be considered prior to menstruation in cases where the pain is significantly severe in the premenopausal period. When undergoing endocrine treatment, it is necessary to regularly re-examine the pelvic ultrasound because endocrine therapy can increase the risk of endometrial cancer. Vitamin treatment can also be used. Vitamins B, C, E, etc., have functions such as improving liver function, regulating basal metabolism, and improving autonomic nervous functions, and can be used as an auxiliary treatment for this condition. Vitamin E also has pain-relieving effects. In cases with a family history of breast cancer, where the lesions are limited to a part of the breast, and if there is a noticeable lump after menstruation, a biopsy should be performed, and surgical treatment may be necessary if needed. (The use of medications should be under the guidance of a physician.)