Are you really pregnant?
My menstrual period started on July 3 and ended on the 6th, but I haven't had my period since then.
I recently saw a doctor and tested negative for pregnancy, but my breasts are swollen and painful.
What could be the reason for this?
Xiaoxuan, 20~29 year old female. Ask Date: 2016/08/24
Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, I'm sorry but I cannot diagnose based on the described symptoms.
It is generally normal to experience breast tenderness or swelling before menstruation.
However, if you continue to feel discomfort, I recommend seeing a gynecologist for an examination.
Wishing you good health.
Reply Date: 2016/08/24
More Info
When it comes to the question of whether you might be pregnant, especially in the context of missed periods and breast pain, there are several factors to consider. Based on the information you've provided, it seems that you have experienced a missed period since your last menstrual cycle ended on July 6th, and you have also noted breast tenderness and swelling. However, you mentioned that you have already taken a pregnancy test that came back negative.
Firstly, it's important to understand that a missed period can be caused by various factors, not just pregnancy. Stress, hormonal imbalances, changes in weight, and certain medical conditions can all lead to irregular menstrual cycles. In your case, since you have already consulted a doctor and received a negative pregnancy test, it is less likely that you are pregnant, especially if the test was taken after a missed period.
Breast pain and swelling can occur for several reasons. Hormonal fluctuations are a common cause, particularly in relation to your menstrual cycle. The breasts are sensitive to changes in hormones such as estrogen and progesterone, which can lead to symptoms like tenderness, swelling, and even changes in the appearance of the nipples. These symptoms can occur during the luteal phase of your cycle or even as a result of premenstrual syndrome (PMS).
Another possibility is that you may be experiencing a condition known as fibrocystic breast changes, which is characterized by lumpy, painful breasts that can fluctuate with your menstrual cycle. This is a benign condition and is quite common among women.
If you are experiencing significant breast pain or if the symptoms persist, it would be advisable to follow up with your healthcare provider. They may recommend further evaluation, such as a breast ultrasound or mammogram, to rule out any other underlying conditions. It's also worth noting that breast pain can sometimes be associated with other factors, such as caffeine intake, certain medications, or even the use of hormonal contraceptives.
In summary, while the absence of your period and breast pain can be concerning, the negative pregnancy test suggests that pregnancy is unlikely. However, hormonal changes, stress, and other factors can contribute to these symptoms. If you continue to have concerns or if your symptoms worsen, seeking further medical advice is the best course of action. Your healthcare provider can help determine the underlying cause of your symptoms and recommend appropriate treatment or management strategies.
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