What is the cause of breast pain before menstruation?

Written by Wu Shi Ting
Breast Health Department
Updated on September 19, 2024
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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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Written by Li Li Jie
Obstetrics and Gynecology
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What is the reason for breast pain during menstruation?

Menstrual breast pain is considered to be caused by two factors. First, the patient experiences breast pain during menstruation due to the stimulation of estrogen and progesterone secretion before the onset of menstruation. The pain symptoms may be more pronounced before menstruation and can be alleviated after menstruation. Second, if the patient's symptoms are severe, it is generally necessary to consider whether the pain is caused by mammary gland hyperplasia. Mammary gland hyperplasia can be caused by long-term staying up late, depression, and excessive stress. It is recommended that the patient undergoes a breast ultrasound to check for conditions like mammary ductal hyperplasia or fibroadenomas, and then receive targeted treatment.

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Written by Wu Shi Ting
Breast Health Department
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What is the cause of breast swelling and pain before menstruation?

Menstruation has not yet arrived, but the breasts are already in pain—this is a common annoyance for many women. Many women experience swelling, hardening, and even pain in their breasts before the onset of menstruation. In severe cases, even slight vibrations or bumps can cause unbearable breast pain. What causes this? It all starts with a mysterious substance—hormones. Each menstrual cycle, levels of estrogen and progesterone rise, causing the mammary ducts and lobular duct endothelial cells to enlarge, and the ductal epithelial cells and stromal cells to become congested and swollen, leading to pain. Thus, different degrees of pain occur before menstruation.

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Written by Wang Xiu Mei
Obstetrics
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Is breast swelling and pain one week before menstruation a sign of pregnancy?

Breast swelling and pain a week before menstruation may be related to menstruation due to increased estrogen during the latter half of the menstrual cycle, leading to breast or nipple swelling and pain. If these symptoms occur outside of the menstrual period, it may indicate a breast condition such as fibrocystic breast disease, mastitis, or nipple infection. In such cases, it is necessary to visit a hospital for breast examinations like breast ultrasound or mammography to diagnose the condition. Generally, symptoms may relieve or disappear after menstruation, but breast pain can also be caused by local inflammation of the breast, and inflammation of the nipple can also cause swelling and discomfort. If symptoms are significant and accompanied by pain, it is advisable to seek medical attention promptly to avoid delaying the condition, and self-medicating should be avoided. On the other hand, during the early stages of pregnancy, a significant rise in hormones can also cause breast swelling and pain. Therefore, if there is a question about an impending menstrual cycle, it is advisable to undergo necessary tests to determine, and if there has been sexual intercourse for half a month, pregnancy can be confirmed through a blood test.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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Is breast tenderness a sign that menstruation is coming?

Normally, if breast pain occurs before each menstrual period, it is generally considered that menstruation is approaching. However, some patients may also experience breast pain in the early stages of pregnancy. This type of pain usually occurs when the menstrual period does not arrive as expected, and at this time, the breast pain might be due to pregnancy. In such cases, it is advisable to visit a hospital for early pregnancy tests to obtain a clear diagnosis. If the test results indicate that pregnancy is not the cause of the breast pain, then it is likely that menstruation is approaching. Some patients may experience breast pain due to liver qi stagnation before their period, which is considered a pathological state and generally requires medication for symptomatic treatment. If pregnancy tests are negative and breast pain occurs, it is highly likely that menstruation is imminent.

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Written by Du Rui Xia
Obstetrics
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Is there a quick way to relieve unbearable breast pain after a miscarriage?

After undergoing induction of labor at an advanced stage of pregnancy, there will also be secretion of milk from the breasts. When experiencing unbearable breast pain and swelling, it is necessary to use lactation-suppressing medications for treatment, such as drinking barley malt water, or undergoing treatment with medication under the guidance of a doctor. Additionally, you can eat some foods that have lactation-suppressing effects, such as hawthorn and leeks. You can also apply mirabilite by wrapping it in a cloth bag and then applying heat to the localized area of the breast to alleviate swelling and pain. If the condition is severe, it is still necessary to go to the hospital for treatment under the guidance of a doctor.