Is it normal to have one breast hurt and the other not before menstruation?
Generally, whether it is normal to experience pain in one breast but not the other before menstruation depends on a comprehensive assessment of the specific nature of the pain, accompanying symptoms, and individual differences. If there is severe discomfort or abnormal manifestations, prompt medical consultation is recommended. Detailed analysis is as follows:

If one breast hurts while the other does not before menstruation, and the pain is mild, characterized by slight swelling or tenderness that occurs only upon pressing, with no lumps, nipple discharge, or other abnormalities, and if symptoms resolve spontaneously after menstruation, this is usually considered normal. This phenomenon is often related to fluctuations in hormone levels; differing sensitivity of each breast to hormonal changes may lead to unilateral pain, which typically requires no special treatment.
However, if the pain is severe and progressively worsening, accompanied by breast lumps, nipple discharge, skin dimpling, or if the pain persists even after menstruation ends, this is considered abnormal. It could be caused by conditions such as mammary gland hyperplasia, breast nodules, or even breast cancer. Timely diagnosis is essential to avoid delaying treatment.
When experiencing one-sided breast pain, it's important to wear loose and comfortable bras to avoid excessive pressure on the breasts. Maintain emotional stability, reduce anxiety and stress, and avoid staying up late or overexertion. If symptoms are unusual or do not improve, seek medical attention promptly. Diagnostic tests such as breast ultrasound or mammography can help determine the underlying cause, and further management should follow medical advice.