Breast tenderness before and after menstruation

Apr 12, 2023 Source: Cainiu Health
Dr. Qi Liqiang
Introduction
Breast pain and swelling before and after menstruation may be caused by hormonal imbalances, premenstrual syndrome, mastitis, mammary hyperplasia, or breast nodules, and management should be based on the specific condition. Besides these common causes, it could also be due to breast cancer. It is recommended that patients keep warm before menstruation, avoid heavy physical labor, and seek timely medical attention if any physical discomfort occurs.

Breast tenderness before and after menstruation may be caused by hormonal imbalances, premenstrual syndrome, mastitis, mammary gland hyperplasia, or breast nodules. Improvement should be based on specific circumstances. Detailed analysis is as follows:

1. Hormonal Imbalance

This symptom is a normal physiological phenomenon, usually related to female hormonal fluctuations. During this period, breasts may experience congestion and edema, and the aforementioned symptoms may occur even without physical contact. There's no need for excessive concern, as this is considered normal.

2. Premenstrual Syndrome (PMS)

If patients have endocrine disorders or experience irritability and depression during menstruation, these factors can trigger the symptom. Some individuals may also have experienced breast tenderness during childhood. Treatment may include medications such as bromocriptine mesylate, fluoxetine hydrochloride capsules, or levothyroxine sodium tablets, taken under medical guidance.

3. Mastitis

This condition is caused by milk stasis, which allows bacterial invasion. Clinical manifestations include breast pain, local redness, and swelling. As inflammation progresses, systemic symptoms such as high fever and rapid pulse may develop. Patients may take medications such as amoxicillin capsules or cefixime tablets as directed by a physician.

4. Mammary Gland Hyperplasia

This condition is primarily caused by endocrine disorders and mainly presents with the aforementioned symptoms, often accompanied by lumps within the breast tissue. Treatment may include medications such as methyltestosterone tablets, medroxyprogesterone acetate dispersible tablets, or tamoxifen citrate tablets, used under a doctor’s supervision.

5. Breast Nodules

Breast tenderness around the menstrual period may commonly result from breast nodules. Treatment options may include Xiaoyao Pills, Rupixiao Tablets, or Hongjin Xiaojie Capsules, taken under medical guidance.

In addition to the common causes listed above, breast cancer could also be a potential cause. It is recommended that patients maintain warmth during the premenstrual period, avoid heavy physical labor, and seek timely medical attention if any bodily discomfort occurs.


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