Is breast swelling and pain a sign of pregnancy?

Written by Wu Shi Ting
Breast Health Department
Updated on September 15, 2024
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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 Wu Shi Ting
Breast Health Department
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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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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 Zhang Chun Yun
Obstetrics and Gynecology
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Is breast pain before menstruation related to breast cysts?

Women experiencing breast pain before menstruation are advised to undergo a systematic examination at a hospital. If you suspect that you have a breast cyst, it is still advisable to undergo relevant tests to eliminate the possibility of this condition. If breast cysts are ruled out, the pre-menstrual breast pain might be due to premenstrual syndrome (PMS). Premenstrual syndrome in women often manifests as headaches, breast pain, abdominal bloating, limb edema, irritability, anxiety, depression, and emotional instability, among other symptoms. If diagnosed with PMS, psychological reassurance and counseling can be provided to help the woman relax. Additionally, a suitable diet, nutrition, and appropriate physical exercise should be considered. If necessary, medication might be taken under a doctor's prescription. For further queries, please consult a doctor at a hospital.

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Breast Surgery
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What's going on with breast swelling, pain, and frequent urination?

Breast engorgement and frequent urination may be caused by mammary gland hyperplasia, and we can diagnose it through breast ultrasonography or mammography. Mammary gland hyperplasia is currently believed to be related to endocrine disorders causing increased levels of estrogen. It primarily manifests as cyclical breast pain, often occurring or worsening before menstruation, and diminishing or disappearing after menstruation. Mild cases may not be significant to the patient, but severe cases can affect daily life and work. However, some patients do not show obvious cyclical changes, and symptoms may include one or both sides of the breasts feeling engorged or a tingling itch, possibly extending to the shoulder, upper limbs, or thoracic and back areas. A minority of patients may experience nipple discharge, which can be yellow or brown. The condition can last for a long time, but symptoms will automatically disappear or lessen after menopause.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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What causes breast pain after menopause?

When experiencing delayed menstruation and symptoms of breast tenderness, the first consideration should be related to pregnancy. As long as there has been sexual activity, whether contraception was used or not, a pregnancy test should be conducted. However, not all cases of ceased menstruation and breast tenderness are related to pregnancy; some people may experience these symptoms before their period, which can only be differentiated by medical examination. If menstruation has stopped for two weeks and pregnancy is still ruled out upon re-examination, then intervention should be considered. An ultrasound should be performed. For some, symptoms of breast tenderness may be related to staying up late, excessive stress, the tightness of bras, or breast hyperplasia, among other factors.