Is Right Breast Pain Before Menstruation Normal? When to See a Surgeon

Chest pain?

Is it normal to feel pain in the right breast before my menstrual period? Do I need to see a breast surgeon? Thank you.

Nín hǎo, 30~39 year old female. Ask Date: 2016/08/06

Dr. Wu Yuting reply Surgery

1.
Breast pain before menstruation is a normal phenomenon.
However, if you are concerned, you can consult Dr.
Wu Yu-Ting at the Breast Surgery Department of Xinying Hospital.

Reply Date: 2016/08/06

More Info

Experiencing breast pain, particularly in the right breast, before menstruation is a common symptom that many women encounter. This condition is often referred to as cyclical mastalgia, which is linked to hormonal fluctuations that occur during the menstrual cycle. Typically, breast pain can start a few days to a week before menstruation and usually subsides once menstruation begins.
The pain you are experiencing may be due to the hormonal changes associated with the menstrual cycle, particularly the increase in estrogen and progesterone levels. These hormones can cause the breast tissue to swell and become tender, leading to discomfort. This is considered a normal physiological response and is not usually a cause for concern.

However, there are instances when breast pain may warrant further investigation. If the pain is severe, persistent, or accompanied by other symptoms such as a noticeable lump, changes in the skin of the breast, or discharge from the nipple, it is advisable to consult a healthcare professional. In your case, since you mentioned that the pain is localized to the right breast and occurs in a cyclical manner, it may still be within the realm of normal premenstrual symptoms.
Given your history of breast surgery for a benign condition (a papilloma), it is understandable to be vigilant about any changes in your breast health. Regular check-ups and screenings, such as breast ultrasounds or mammograms, are essential for monitoring breast health, especially after any surgical intervention. If you have had a recent ultrasound that showed no abnormalities, this is reassuring, but if you notice any new symptoms or changes, it is wise to follow up with your healthcare provider.

In terms of when to see a surgeon or a specialist, consider the following guidelines:
1. If the pain persists beyond your menstrual cycle or worsens significantly.

2. If you feel any new lumps or changes in the breast tissue.

3. If you experience any unusual discharge from the nipple.

4. If the pain is accompanied by other symptoms such as fever, redness, or swelling in the breast.

In conclusion, while right breast pain before menstruation can be normal, it is essential to listen to your body and seek medical advice if you have any concerns. Regular monitoring and communication with your healthcare provider can help ensure your breast health remains a priority. If you feel uncertain or anxious about your symptoms, do not hesitate to reach out to a breast specialist for a thorough evaluation and peace of mind.

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