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

54sec

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The difference between breast prickling pain and swelling pain.

Breast tingling and soreness are no different; they are both manifestations of breast hyperplasia. The main symptoms of breast hyperplasia include cyclic swelling and pain in the breast, which often appear or worsen before menstruation and diminish or disappear after menstruation. Mild cases may not be noticed by the patient, while severe cases can affect daily life and work. However, some patients do not exhibit obvious cyclical changes, and some may experience soreness in one or both breasts, or needle-like pain, which can extend to the shoulders, upper limbs, or chest and back area. A few patients may have nipple discharge, with the color of the discharge ranging from yellow, brown, or bloody. The duration of the condition can sometimes be lengthy, but symptoms typically alleviate or disappear automatically after menopause.

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Written by Lin Yang

Breast Surgery

1min 2sec

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Can I drink dandelion for breast distension and pain?

Breast distention pain can be treated with dandelion, but the effect is not significant. This is because there is a clear relationship between breast distention pain and breast hyperplasia. Generally, we can treat it with traditional Chinese medicine. By soothing the liver and regulating Qi, and harmonizing Chong and Ren meridians, we can relieve the distention pain. Endocrine treatment can also be used, preferably avoided, but it can be administered before menstruation when the pain is very noticeable in the pre-menopausal period, because endocrine treatment can increase the risk of endometrial cancer, therefore regular pelvic ultrasound examinations are necessary. Vitamin therapy can also be used. Vitamins B, C, and E improve liver function, regulate sex hormone metabolism, and improve autonomic nervous function, and can be used as adjunctive medication for this condition. Vitamin E also has a pain-relieving effect.

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Written by Lin Yang

Breast Surgery

1min 13sec

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Can an ice pack be applied for breast swelling and pain?

Breast pain is generally not treated with cold compresses using ice packs; instead, hot compresses can be considered. Breast pain caused by fibrocystic changes can be treated with traditional Chinese medicine. Methods such as soothing the liver and regulating the Qi, and harmonizing the thoroughfare and conception vessels can relieve pain. Endocrine therapy is also an option, though preferably minimized. It can be taken before menstruation in cases of significant pre-menopausal pain. Vitamin treatment, including vitamins B, C, and E, can improve liver function, regulate basal metabolic rate, and enhance autonomic nerve functionality, and thus can be used as auxiliary medication for this condition. In recent years, vitamin E is also considered to have pain-relieving effects. For those with a family history of breast cancer, or when the lesion is confined to a part of the breast and a noticeable lump persists after the menstrual period, a biopsy via fine-needle aspiration or MammoTome rotational biopsy may be conducted, and surgical treatment may be necessary if required.

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Written by Lin Yang

Breast Surgery

1min 12sec

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Should I use cold or hot compress for breast pain?

For breast tenderness, we generally choose hot compresses to reduce pain. For the occurrence of mammary gland hyperplasia, it is recommended to use medication for symptomatic treatment, which may include traditional Chinese medicine. This treatment involves soothing the liver and regulating qi, and balancing the thoroughfare and conception vessels to alleviate pain. Endocrine treatments are also an option, but they are ideally avoided if possible. However, for significant pain during the pre-menopausal period, medication can be taken before the onset of menstruation. Vitamin treatments with vitamins B, C, and E, which help improve liver function, regulate hormone metabolism, and enhance autonomic nerve functions, can be used as adjunctive medications for this condition. Vitamin E also has pain-relieving properties. For individuals with a family history of breast cancer, localized lesions in part of the breast, noticeable lumps after menstruation or dense shadows or microcalcifications on a mammographic film, a biopsy or a Mammotome rotational excision procedure should be performed, and surgical treatment may be necessary if required.

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Written by Du Rui Xia

Obstetrics

47sec

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Is it normal to have breast pain in the late stages of pregnancy?

In the later stages of pregnancy, it is normal for pregnant women to experience breast pain. This occurs because, in the late stages of pregnancy, levels of estrogen and progesterone increase. Under the combined influence of these hormones, the mammary glands become congested and swollen, further proliferate, and the mammary ducts expand, leading to breast pain. This condition prepares the body for breastfeeding after childbirth. When breast pain occurs, one can use a hot towel to apply heat to the breasts to alleviate the pain. Additionally, it is important to choose comfortable bras daily, avoiding those that are too tight or small, as they can cause compression on the breasts.