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

Written by Du Rui Xia
Obstetrics
Updated on January 23, 2025
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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.

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Written by Zhao Xiao Dong
Obstetrics and Gynecology
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Is breast pain 8 days before menstruation an early sign of pregnancy?

Breast pain and swelling eight days before menstruation is mostly not a sign of early pregnancy, but a normal physiological phenomenon. The period before menstruation is the luteal phase of the menstrual cycle. After ovulation, the ovary forms the corpus luteum, which secretes estrogen and progesterone to maintain the uterine lining. Estrogen stimulates the growth of ductal cells and alveolar cells in the mammary glands, and increases the permeability of local blood vessels, leading to breast enlargement and sometimes pain. This is generally a normal physiological phenomenon and usually returns to normal after menstruation. However, it is also necessary to rule out the possibility of mammary hyperplasia, breast nodules, or even breast tumors.

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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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Written by Zhang Yin Xing
Obstetrics
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Frequent urination and breast pain, is this pregnancy?

Frequent urination and breast pain are not necessarily symptoms of pregnancy. During pregnancy, the forward tilting of the uterus presses on the bladder, which can cause frequent urination. Breast pain generally occurs around the eighth week of pregnancy due to an increase in estrogen and progesterone, promoting the growth of mammary ducts and tissue. However, these are not exclusive symptoms of pregnancy. To confirm pregnancy, detection through blood and urine HCG tests, as well as ultrasound scans can be used. For blood HCG levels, they can be detected as elevated about ten days after intercourse, and urine HCG can be detected about 14 days after intercourse using a pregnancy test. Around six weeks after missing a period, an ultrasound can determine if there is any pregnancy tissue in the uterus.

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Written by Zhao Su Min
Obstetrics
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What should I do if I have breast engorgement and lumps during postpartum confinement?

Postpartum breast engorgement and pain with lumps may indicate milk stasis within the breast. It is recommended to let the child suckle more. If the engorgement and pain persist due to a significant amount of residual milk, you can manually express the milk or use an electric breast pump to remove it to prevent the accumulation of milk, which can lead to mastitis. If the pain is severe and accompanied by fever, it is advised to stop breastfeeding from that side and seek medical attention promptly. If necessary, oral anti-inflammatory medication may be administered. During the postpartum period, care should be taken to avoid putting pressure on the breasts.

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Written by Wu Shi Ting
Breast Health Department
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What causes breast pain?

We note that breast pain is commonly seen in fibrocystic breast condition. We suggest that you develop good habits in your work and daily life, avoid spicy and irritating food, as well as habits of smoking and drinking, avoid staying up late and overworking, maintain a positive mood and optimistic attitude, and seek timely examination and treatment in a specialized department of a formal hospital. If the breast pain is not caused by fibrocystic changes but other serious lesions, it is even more crucial to promptly and early receive appropriate medical treatment from a doctor.