What is the cause of breast swelling and pain?

Written by Lin Yang
Breast Surgery
Updated on October 24, 2024
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Breast pain is generally related to breast hyperplasia, and it can be diagnosed through the use of breast ultrasound or mammography. Currently, breast hyperplasia is believed to be associated with disruptions in the endocrine system leading to elevated levels of estrogen. Factors such as the external environment, work and living conditions, interpersonal relations, and various other stresses that cause neuropsychiatric impacts can alter the internal environment of the body. This, in turn, affects the function of the endocrine system, leading to abnormal secretion of one or more hormones. During the menstrual cycle, the receptors in the breast tissue undergo cyclical changes due to the fluctuation of hormone levels. An imbalance where estrogen levels are high and progesterone secretion is reduced can result in incomplete regression of breast hyperplasia after the growth phase, causing breast tissue hyperplasia. Additionally, differences in the quality and quantity of estrogen receptors in the breast tissue may contribute to uneven growth levels across different parts of the breast.

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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 Lin Yang
Breast Surgery
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Can breast distension and pain be treated with moxibustion?

Breast distension pain can be treated with moxibustion, but the results might not always be satisfactory as breast distension pain is related to mammary gland hyperplasia, which is believed to be connected to increased estrogen levels caused by endocrine disorders. Generally, we use traditional Chinese medicine for treatment, which relieves pain through methods that soothe the liver and regulate Qi, and harmonize the thoroughfare and conception vessels. Endocrine treatment is also an option but is used as sparingly as possible. However, it can be administered before menstrual onset in cases where pain is significantly pronounced in the pre-menopausal phase. Regular pelvic ultrasound re-examinations must be conducted during endocrine treatment due to the increased risk of endometrial cancer that this treatment might entail. Treatment with vitamins such as vitamin B, vitamin C, and vitamin E can also be used, as they aid in improving liver function, regulating sex hormone metabolism, and enhancing autonomic nervous system functions, serving as adjunctive medication for this condition. (Medication should be taken under the guidance of a physician.)

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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.

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Written by Lin Yang
Breast Surgery
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What is causing breast swelling, pain, and discharge of pus?

Breast pain and hyperplasia are related, while purulent discharge might be caused by inflammation within the ducts. Usually, this can be diagnosed through ductoscopy. If it is inflammation, the lesions can be identified under ductoscopy, and then can be treated through washing with metronidazole and gentamicin, achieving a cure. However, there is a scenario where the issue is due to previously forcefully suppressing milk expulsion, leading to a large amount of milk residue in the ducts, causing purulent discharge. In this case, local heat application followed by massage and milk expulsion performed by a professional lactation masseuse can cure the condition. Regular follow-up with ultrasound and mammography of the breast is needed in the future. (Medications should be used under the guidance of a physician.)

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Written by Du Rui Xia
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.