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 Zhang Chun Yun
Obstetrics and Gynecology
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What's going on with my breast swelling and pain since I haven't had my period for 38 days?

Menstrual delay for 38 days and breast pain are likely signs of pregnancy. Since your period is 38 days late, it is recommended to visit a hospital for confirmation of pregnancy. You can have blood tests and an ultrasound performed. If you are pregnant and decide not to keep the child, you can take this time to carefully consider and discuss with your family before making a decision to terminate the pregnancy. If you decide to continue the pregnancy, early symptoms like breast pain may be accompanied by other signs, such as excessive sleepiness, nausea, and vomiting. It is important to rest appropriately, avoid strenuous exercise, and eat a balanced diet. For specific guidance, please consult a doctor at the hospital and follow the medical advice provided.

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Written by Lin Yang
Breast Surgery
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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.

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Written by Lin Yang
Breast Surgery
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Is breast pain related to taking folic acid?

Breast pain and swelling are generally not related to folic acid intake, as such pain and swelling are usually associated with breast hyperplasia, which is often related to endocrine disorders leading to increased levels of estrogen. The breast is a target organ for many endocrine glands, and its physiological activities are influenced by hormones secreted by the pituitary gland, ovaries, and adrenal cortex. The pituitary gland can directly affect the breast through prolactin. At the same time, estrogen and progesterone produced by the ovaries and adrenal cortex indirectly affect the breast. During pregnancy, breast cancer is influenced by estrogen and progesterone produced by the placenta. During pregnancy and lactation, the breast noticeably proliferates, with ductal elongation and alveolar secretion of milk. After breastfeeding, breast tissue returns to a relatively quiescent state.

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Written by Fan Hong Qiao
Breast Health Department
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How to regulate premenstrual breast swelling and pain

Before menstruation, estrogen levels rise and the breast tissue becomes congested and swollen, leading to breast pain. At this time, it is recommended for women to maintain a light diet, keep in a pleasant mood, avoid irritability, have regular routines, avoid excessive fatigue, and engage in moderate exercise, among other practices. After menstruation begins, hormone levels decrease, and this type of pain naturally eases without needing much attention. However, if the pain is severe and affects normal life, or if the pain lasts beyond the menstrual period, it is advised to visit a breast surgery specialist 3 to 5 days after the end of the period for an examination.

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Written by Wu Shi Ting
Breast Health Department
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Breast swelling, pain, and lumps, what is going on?

There are several types of conditions where lumps can be found in the breast. Breast tissue itself is essentially a hard substance that can normally be grasped or pinched by hand. Therefore, sometimes the lumps you feel in the breast are just normal areas of breast tissue protrusion, which generally disappear after menstruation or after subsiding. You do not need to worry too much about breast lumps that appear during this special period. Another more common type of breast lump is fibroadenoma of the breast, which typically occurs in women of childbearing age between 20 and 39 years old. Another condition is cystic hyperplasia of the breast. This is more common in middle-aged women, often with several hard nodules of varying sizes on both breasts, with unclear borders, which can cause pain, especially more noticeable before menstruation. When it might be a breast disease, it is advisable for patients to visit a hospital and consult a doctor on how to proceed.