Breast Changes Before Menstruation: What You Need to Know

Before menstruation, the nipples may feel sticky, and white bumps have just appeared on the nipples?

Before menstruation, I experience breast tenderness and my nipples become sticky, but there is no discharge.
Now, on the sixth day of my period, my nipples are still sticky after showering, but it goes away shortly after.
There are white bumps near my nipples that haven't matured, and I feel some hard lumps.
Could this be breast cancer or is it a normal phenomenon before menstruation? Also, what is the minimum age for developing breast cancer? I am concerned because my father had tonsil cancer that metastasized to nasopharyngeal cancer, and I don't want to add more trouble to my family.

n91062247, 10~19 year old female. Ask Date: 2016/11/06

Dr. Wu Jianting reply Breast and Thyroid

1.
Breast examinations should be conducted one week after the end of menstruation for greater accuracy.
If you still feel a lump, please seek medical evaluation.
2.
There have indeed been cases of breast cancer diagnosed around the age of 20 in Taiwan, but these are still rare occurrences.
Most cases are diagnosed around the time of menopause.
Please do not be overly alarmed.
Thank you for your inquiry.

Reply Date: 2016/11/06

More Info

Understanding breast changes before menstruation is crucial for women, especially when experiencing discomfort or unusual symptoms. The symptoms you describe, such as breast pain, sticky nipples, and the presence of white bumps, can often be attributed to hormonal fluctuations that occur in the menstrual cycle.

Hormonal Influence on Breast Changes
Before menstruation, the body undergoes significant hormonal changes, primarily involving estrogen and progesterone. These hormones prepare the body for a potential pregnancy. As estrogen levels rise, the breast tissue can swell and become tender, leading to the discomfort you experience. This condition is commonly referred to as cyclical mastalgia, which is characterized by breast pain that correlates with the menstrual cycle.
The sticky sensation you feel in your nipples may be related to hormonal changes as well. During the luteal phase of the menstrual cycle (the time between ovulation and the start of menstruation), hormonal fluctuations can lead to increased secretions from the mammary glands, which might explain the sticky feeling without any actual discharge.

White Bumps and Hard Lumps
The white bumps you mention near your nipples could be Montgomery glands, which are normal sebaceous glands that can become more prominent during hormonal changes. They serve to lubricate the nipple and are generally not a cause for concern. However, if you notice any hard lumps that persist or change in size, it is essential to consult a healthcare provider for further evaluation.

Breast Cancer Concerns
Regarding your concerns about breast cancer, it is important to note that while breast changes can be alarming, most breast pain and changes related to the menstrual cycle are benign. The average age for breast cancer diagnosis is around 62, but it can occur in younger women as well. Family history, such as your father's cancer history, can increase your risk, but it does not guarantee that you will develop breast cancer. Regular self-examinations and mammograms, as recommended by your healthcare provider, are essential for early detection.

When to Seek Medical Advice
If you experience persistent pain, noticeable changes in breast size or shape, or any new lumps that do not resolve after your menstrual cycle, it is advisable to seek medical attention. A healthcare professional can perform a clinical breast exam and may recommend imaging studies, such as a mammogram or ultrasound, to rule out any serious conditions.

Conclusion
In summary, the symptoms you are experiencing are likely related to the hormonal changes associated with your menstrual cycle. While it is natural to be concerned about breast health, most changes occurring in this context are benign. However, staying vigilant about any changes and maintaining regular check-ups with your healthcare provider is crucial for your peace of mind and overall health. If you have further concerns, especially given your family history, discussing them with a healthcare professional can provide you with tailored advice and reassurance.

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