What causes breast swelling, pain, and chills?

Written by Lin Yang
Breast Surgery
Updated on February 07, 2025
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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.

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Written by Wu Shi Ting
Breast Health Department
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Can pregnancy cause breast pain?

Pregnant women are very likely to experience breast pain, which is one of the earliest signs of pregnancy. Symptoms like breast tenderness, sensitivity, and a stinging sensation usually appear within 3-4 weeks of pregnancy, sometimes even before a pregnancy test can be taken. This is primarily because, to better support the growth of the fetus, the body produces more estrogen, stimulating the growth of mammary glands and causing breast pain. Of course, as the pregnancy progresses and hormone levels gradually stabilize, breast pain will be alleviated. Pregnant women should not be overly concerned. However, it is also important to remind pregnant women that while this breast pain might increase discomfort during pregnancy, it is usually bearable. If the breast pain becomes unbearable, it is still essential to visit a hospital for a check-up.

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

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 Wu Shi Ting
Breast Health Department
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How long will breast tenderness during pregnancy last?

Many early-stage pregnant mothers suffer from breast tenderness, leading to frequent inquiries about how long this discomfort will last. The duration of breast tenderness varies from person to person; no two cases are exactly the same. Generally, as the pregnancy progresses and enters the mid-term, the continuously rising hormone levels will stabilize, and the breast discomfort will significantly ease. Therefore, pregnant mothers should not worry too much. Relax, pay attention to your physical condition, and if the pain becomes unbearable, consider seeking help from a doctor at the hospital.

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Written by Jia Rui
Obstetrics and Gynecology
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Breast swelling and pain occur a few days before menstruation.

Breast pain and swelling commonly occur 3 to 5 days before menstruation. As everyone's physical condition varies, the severity and duration of breast pain can differ. Clinically, most women experience this discomfort. Generally, the symptoms gradually disappear after the onset of menstruation. This is related to hormonal imbalances involving estrogen before menstruation, or due to the withdrawal of estrogen. If the symptoms are mild, treatment is usually not necessary. It's often sufficient to rest adequately, avoid excessive fatigue, and maintain a good mood and outlook.