What causes postmenopausal breast pain?

Written by Wu Shi Ting
Breast Health Department
Updated on September 06, 2024
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Breast pain after menopause is generally temporary and a normal physiological response. It is mainly due to a decrease in the speed of endogenous estrogen secretion, and the breast tissue has not adapted to this change, resulting in localized pain. These symptoms will gradually disappear after menopause is completely stopped, so there is no need to be overly nervous, just make sure to get regular check-ups. However, if breast pain occurs years after menopause, it is necessary to be vigilant as it may indicate a disease. Since postmenopausal elderly women are at a higher risk of developing breast cancer, it is advised that patients with postmenopausal breast pain seek timely medical examinations at a hospital.

Other Voices

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Written by Lin Yang
Breast Surgery
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What's going on with breast swelling and pain and also arm soreness?

Breast swelling and pain, as well as arm soreness, are considered to be caused by mammary gland hyperplasia and accessory breast syndrome. Mammary gland hyperplasia often manifests as cyclical swelling and pain in the breasts, commonly occurring or worsening before menstruation and alleviating or disappearing after menstruation. While mild cases might not be noticed by patients, severe cases can impact daily life and work. However, some patients do not exhibit obvious cyclical changes, and symptoms can include unilateral or bilateral breast swelling and pain, resembling needle pricks, which can extend to the shoulder, upper limbs, or chest and back areas. A few patients might experience nipple discharge, which can be yellow-green, brown, or bloody. The condition can sometimes persist for a long time, with symptoms automatically disappearing or reducing after menopause. When breast swelling and pain occur, it is necessary to regularly recheck the breast with ultrasound and mammography.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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What to do about breast pain before menstruation?

Under normal circumstances, if there is also breast swelling and pain usually, it is essential to go to the hospital for an ultrasound to check if there is breast hyperplasia or any organic breast diseases. If organic diseases are excluded, premenstrual breast swelling and pain are generally considered clinically, and traditional Chinese medicine believes that the liver meridian accumulates in the breast. For example, patients who are prone to anger or have liver depression and qi stagnation may experience premenstrual breast swelling and pain. At this time, treatment can generally involve taking some liver-soothing and depression-relieving medicine, such as Xiao Yao Wan, Ru Ning tablets, and other medicines for symptomatic treatment. Occasional one or two instances are not a big problem, but if premenstrual breast swelling and pain occur frequently, it is definitely necessary to take medicine for symptomatic treatment, as this condition is generally related to liver meridian and liver depression qi stagnation.

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Can I apply magnesium sulfate for breast pain?

Breast distension pain generally does not require the administration of magnesium sulfate, as magnesium sulfate is typically used for cellulitis or inflammation and swelling and needs to be applied externally. Breast distension pain is usually related to breast hyperplasia, which is associated with elevated levels of estrogen in the body. Therefore, it is often treated with traditional Chinese medicine. Techniques such as soothing the liver and regulating the Qi, as well as coordinating the thoroughfare and conception vessels, can relieve pain. Endocrine treatments are also available, though ideally not used unless the pain is very significant during the premenopausal period, in which case it can be taken before the onset of menstruation. Vitamin therapy, including vitamins B, C, and E, can also be used; these improve liver function, regulate basal metabolism, and enhance the functioning of the autonomic nervous system, serving as adjunctive treatments for this condition.

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Written by Zhang Chun Yun
Obstetrics and Gynecology
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Will breast pain still occur if pregnant in the same month as premenstrual breast swelling and pain?

If women experience breast pain before menstruation, it is likely caused by premenstrual syndrome. Premenstrual syndrome in women is often caused by psychological stress and mental factors. It generally causes symptoms such as headaches, breast pain, limb edema, and abdominal bloating. At this time, it is advisable to give psychological suggestion under the guidance of a doctor. Generally, psychological comfort and guidance should be provided to help women relax. Additionally, a reasonable diet, increased nutrition, appropriate physical exercise, and quitting smoking are all good treatment methods for premenstrual syndrome, as it is caused by psychological and mental stress in women. Therefore, it is possible that a woman might still feel tense after becoming pregnant, which might result in chest pain. The specific situation depends on the individual conditions of the woman, as not all women necessarily experience chest pain. Therefore, it is necessary to analyze each case individually. If further questions arise, please consult a doctor at a hospital.

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What causes breast swelling, pain, and chills?

Generally, it is considered related to breast hyperplasia. We can diagnose it through breast ultrasound or mammography. Currently, breast hyperplasia is mainly thought to be related to an increase in estrogen levels caused by endocrine disorders. The external environment in which people live, work and living conditions, interpersonal relationships, and various other pressures causing neuro-psychological factors, can change the internal environment of the body, thereby affecting the function of the endocrine system, and then causing the secretion of one or several hormones to be abnormal. During the menstrual cycle, the receptors in the breast undergo cyclical changes due to changes in hormone levels. When the balance of hormone levels in the body is disrupted, with an increase in estrogen levels and a decrease in progesterone secretion, it may cause incomplete regression after breast hyperplasia, leading to the proliferation of breast tissue. Therefore, the functional state of the ovaries and the presence of disorders play a very important role in the development of the disease.