What is the cause of breast pain before menstruation?

Written by Wu Shi Ting
Breast Health Department
Updated on September 28, 2024
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Many female friends experience breast pain during the premenstrual period, what exactly is this? Mild breast pain 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 changes, which cause cyclical breast pain along with the menstrual cycle. Of course, other diseases can also cause cyclical breast pain, which needs our attention. Especially severe pain, or pain upon slight touch, we recommend going to the hospital for relevant examinations as soon as possible.

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Written by Lin Yang
Breast Surgery
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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 Zhang Lu
Obstetrics
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Does an ectopic pregnancy cause breast tenderness in the early stages?

Ectopic pregnancy, as the name implies, refers to the implantation of the gestational sac outside the uterine cavity, with common implantation sites including the fallopian tubes, ovaries, and the pelvic abdomen. Although an ectopic pregnancy is a pathological condition, it still falls within the category of pregnancy. Therefore, the common early pregnancy symptoms, such as those seen in early pregnancy, still occur in ectopic pregnancies. Whether it's an intrauterine pregnancy or an ectopic pregnancy, breast pain during early pregnancy is common in most cases, primarily due to increased levels of estrogen and progesterone in women during early pregnancy. This leads to stimulation of the mammary glands and the proliferation of some mammary ducts, resulting in breast pain, which is normal. However, since the hormone levels in women with ectopic pregnancies are relatively lower, the sensation of breast pain is less than that in normal intrauterine pregnancies.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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How long after breast pain does menstruation come?

Everyone experiences different symptoms before menstruation. Some people experience breast swelling and soon after, their period begins, while for others, breast swelling can last for about two weeks or more before menstruation occurs. This varies from person to person because breast swelling is related to many factors. For example, some start experiencing it after ovulation, while for others, it might be related to staying up late and recent high stress levels. Some individuals may have mammary gland hyperplasia and should regularly have breast examinations, such as breast palpation and breast ultrasound, among other tests. Not every symptom indicates that menstruation will occur; some could be early signs of pregnancy. If the period is delayed, it is still necessary to check.

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Breast Surgery
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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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Obstetrics
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Will having sex with breast pain lead to pregnancy?

Women may experience breast tenderness before and after menstruation, or during ovulation. However, merely relying on breast tenderness to determine the likelihood of pregnancy during intercourse has no scientific basis. One should consider their menstrual cycle to see if it coincides with the ovulation period, which is typically about 14 days before the onset of the next menstrual cycle. The ovulation date, the five days before it, the four days after it, plus the day of ovulation itself, make up a total of ten days known as the ovulation period. Intercourse during this time is more likely to lead to pregnancy.