Is breast swelling and pain during menstruation normal?

Written by Fan Hong Qiao
Breast Health Department
Updated on September 24, 2024
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For many women, in addition to experiencing dysmenorrhea during their menstrual period, they often encounter various discomforts. Many young and middle-aged women experience breast pain before and after their period. Is this normal? Many women worry that this is a sign of a pathological change in their breasts. Generally speaking, this type of cyclical breast pain or stabbing pain that occurs as the menstrual cycle approaches and then eases or disappears after the onset of menstruation is mostly due to changes in hormones within the body, and it is a normal physiological condition that does not require treatment. However, if the pain is severe, it is necessary to seek medical attention promptly.

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Written by Wu Shi Ting
Breast Health Department
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Is breast swelling and pain a sign of pregnancy?

After pregnancy, due to the influence of estrogen and progesterone, most women experience breast tenderness. However, not all breast tenderness is caused by pregnancy. There are many causes of breast tenderness. For example, some women experience mild cyclic breast tenderness with menstrual cycle changes, which is often physiological. There are also some diseases, such as common breast hyperplasia, that can cause breast tenderness. Of course, some benign or malignant tumors in the breast can also cause tenderness. Therefore, it is recommended that patients with breast tenderness seek timely medical examination at a hospital.

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Written by Fan Hong Qiao
Breast Health Department
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Can breast swelling and pain be breast cancer?

The causes of breast pain are primarily divided into physiological and pathological breast pain. Physiological breast pain is often caused by changes in the body's hormones, wearing inappropriate underwear, too tight bras, miscarriage, or hormonal changes before menstruation. This type of breast pain has a certain regularity and recurs cyclically; careful observation can usually identify the cause and solution on its own. Pathological breast pain refers to pain caused by breast diseases. The nature of the pain is diverse and irregular, constituting non-cyclical pain. Diseases that can cause this type of breast pain include mastitis, fibrocystic breast changes, breast trauma, or breast cancer. However, early-stage breast cancer generally does not cause noticeable pain; pain associated with breast cancer typically occurs in the later stages when the cancer affects nerves. Therefore, if you experience breast pain, do not rush to conclusions. Whether it is physiological, pathological, or induced by other diseases requires a doctor's diagnosis.

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Written by Zhao Su Min
Obstetrics
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What should I do if I have breast engorgement and lumps during postpartum confinement?

Postpartum breast engorgement and pain with lumps may indicate milk stasis within the breast. It is recommended to let the child suckle more. If the engorgement and pain persist due to a significant amount of residual milk, you can manually express the milk or use an electric breast pump to remove it to prevent the accumulation of milk, which can lead to mastitis. If the pain is severe and accompanied by fever, it is advised to stop breastfeeding from that side and seek medical attention promptly. If necessary, oral anti-inflammatory medication may be administered. During the postpartum period, care should be taken to avoid putting pressure on the breasts.

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Written by Wu Shi Ting
Breast Health Department
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What causes breast pain before menstruation?

In clinical practice, I often hear complaints from female friends that they experience breast tenderness before menstruation. What exactly is the cause of this? Mild breast tenderness may be due to hormonal changes in the body, which is a normal physiological condition. Of course, it could also be caused by diseases, such as the most common fibrocystic breast change, which is associated with cyclical breast pain during the menstrual cycle. There are also other diseases that can cause cyclical breast pain, and it is important to pay attention to them. Especially in cases of severe pain, or when even light touch causes significant discomfort, we recommend visiting a hospital for relevant examinations as soon as possible.

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Written by Zhao Yang
Breast Surgery
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What should I do if my breasts are swollen, painful, and not producing milk?

Breast engorgement and blocked milk flow can be attributed to the accumulation of milk. The simplest method to alleviate this is by clearing the milk ducts. You can either allow the baby to nurse more frequently or use a breast pump to assist. The most effective solution is to seek help from a lactation consultant or a professional medical practitioner to clear the ducts through milk expression. Both manual expression and nursing the baby are the best methods to relieve engorgement pain.