Breast pain and bleeding after intercourse, what could be the reason?

Written by Lin Yang

Breast Surgery

Updated on April 24, 2025

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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.

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Written by Lin Yang

Breast Surgery

51sec

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Is breast swelling and stabbing pain cancer?

Breast swelling and stabbing pain are generally not manifestations of cancer, but typical symptoms of breast hyperplasia. During a physical examination, nodular lumps of varying sizes can be felt in the breast, which are tough but not hard, and sometimes tender to touch. Ultrasound examination shows no lumps and no flocculent patterns on the molybdenum target, which can be diagnosed as breast hyperplasia. However, it is important to be cautious as breast hyperplasia and breast cancer can coexist. On one hand, patients with significant hyperplasia should have strengthened follow-up examinations. On the other hand, for patients with significant hyperplastic lumps or unclear boundaries in the thickened areas of the breast, it is recommended to perform a biopsy on the suspicious lesions to prevent misdiagnosis.

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Written by Wang Xiu Mei

Obstetrics

1min 23sec

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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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Written by Wu Shi Ting

Breast Health Department

42sec

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What is the cause of breast pain before menstruation?

Many women experience breast pain before each menstrual period, but what exactly is the cause? Mild breast pain may be due to changes in hormones within the body and is considered a normal physiological condition. Of course, it could also be caused by diseases, such as the commonly seen fibrocystic breast changes, which result in cyclical breast pain associated with the menstrual cycle. There are also other diseases that can cause cyclical breast pain, which should be taken seriously. Especially in cases of severe pain, where even slight touch causes significant discomfort, it is advised to seek timely medical examination at a hospital.

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Written by Du Rui Xia

Obstetrics

42sec

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Will the breasts still swell and hurt if there is a miscarriage in early pregnancy?

In early pregnancy, if the fetus stops developing, some of the early pregnancy symptoms in the pregnant woman will gradually ease, but the easing process will not happen immediately. For example, breast tenderness can persist for a period of time, usually easing after a week as levels of human chorionic gonadotropin, estrogen, and progesterone decrease, resulting in relief from breast pain. In early pregnancy, if embryo arrest occurs, it is advisable to take treatment measures promptly to address the non-developing gestational sac. Options include surgical abortion or medical abortion.

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Written by Lin Yang

Breast Surgery

47sec

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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.