What causes breast pain during menstruation?

Written by Fan Hong Qiao

Breast Health Department

Updated on September 09, 2024

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The menstrual period is a time when female hormone levels fluctuate, which is the fundamental reason why most women experience breast pain during menstruation. Due to the fluctuation of hormone levels, there is an increase in breast tissue and edema in the interstitial tissue of the breast, ultimately causing the sensation of breast pain. If the breast pain during menstruation does not ease after the period, or if the pain is very severe, or even painful to touch, attention is needed. This is considered pathological breast pain, likely caused by breast disease, and could be related to breast hyperplasia, mastitis, or even breast tumors. It is necessary to consult a professional doctor for a breast diagnosis.

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Breast swelling and occasional stabbing pain, what's wrong?

Breast swelling and occasional stabbing pain are considered to be caused by fibrocystic breast changes. The symptoms of fibrocystic breast changes include cyclic swelling and pain in the breasts, often appearing or worsening before menstruation and reducing or disappearing after menstruation. It may manifest as swelling and pain in one or both breasts, or prickling and painful sensations, and can extend to the shoulders, upper arms, or thoracic regions. Few patients may experience nipple discharge. During physical examination, nodular lumps of varying sizes, which are firm but not hard, can be felt in one or both breasts. Sometimes these lumps are tender, and their boundaries with the surrounding breast tissue are indistinct, but they are not adherent to the skin or pectoral muscles. Regular follow-up with breast ultrasound is advisable.

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Can frequent breast pain be treated by patting?

Breast pain and swelling often occur, and slapping them is ineffective because the pain and swelling are related to fibrocystic breast change, which is often linked to hormonal imbalances causing increased levels of estrogen. Therefore, for symptoms that are quite severe, we can use traditional Chinese medicine, which alleviates pain through methods that soothe the liver and regulate qi, as well as harmonize the thoroughfare and conception vessels. Endocrine treatments are also an option, preferably avoided, but can be used before menstruation in cases of severe pain during the pre-menopausal period. Vitamin therapy can also be used; vitamins B, C, and E help improve liver function, regulate metabolic processes related to sex hormones, and enhance autonomic function, serving as adjunct therapies for this condition. Vitamin E also helps alleviate pain. (Medication should be administered under the guidance of a physician.)

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Breast Surgery

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Can breast distension and pain be treated with moxibustion?

Breast distension pain can be treated with moxibustion, but the results might not always be satisfactory as breast distension pain is related to mammary gland hyperplasia, which is believed to be connected to increased estrogen levels caused by endocrine disorders. Generally, we use traditional Chinese medicine for treatment, which relieves pain through methods that soothe the liver and regulate Qi, and harmonize the thoroughfare and conception vessels. Endocrine treatment is also an option but is used as sparingly as possible. However, it can be administered before menstrual onset in cases where pain is significantly pronounced in the pre-menopausal phase. Regular pelvic ultrasound re-examinations must be conducted during endocrine treatment due to the increased risk of endometrial cancer that this treatment might entail. Treatment with vitamins such as vitamin B, vitamin C, and vitamin E can also be used, as they aid in improving liver function, regulating sex hormone metabolism, and enhancing autonomic nervous system functions, serving as adjunctive medication for this condition. (Medication should be taken under the guidance of a physician.)

home-news-image

Written by Fan Hong Qiao

Breast Health Department

44sec

home-news-image

What causes breast pain during menstruation?

The menstrual period is a time when female hormone levels fluctuate, which is the fundamental reason why most women experience breast pain during menstruation. Due to the fluctuation of hormone levels, there is an increase in breast tissue and edema in the interstitial tissue of the breast, ultimately causing the sensation of breast pain. If the breast pain during menstruation does not ease after the period, or if the pain is very severe, or even painful to touch, attention is needed. This is considered pathological breast pain, likely caused by breast disease, and could be related to breast hyperplasia, mastitis, or even breast tumors. It is necessary to consult a professional doctor for a breast diagnosis.

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Is breast swelling and pain after missing a period a sign of pregnancy?

The cessation of menstruation accompanied by breast pain could indicate pregnancy, but that’s not always the case. Similar symptoms to pregnancy, such as breast tenderness and delayed periods, can occur just before a woman's menstrual cycle. However, these symptoms can be influenced by factors such as fatigue, staying up late, medications, etc., leading to just a delay in menstruation. Before menstruation begins, the breasts are affected by hormones, causing ductal proliferation and edema, resulting in pain. However, this pain differs from the pain experienced during pregnancy. Pregnancy test strips can be used to check. It is generally recommended to conduct the test after a week’s delay of the menstrual period.