Breast Pain and Development in Women's Health - Obstetrics and Gynecology

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Chest issues


Is it normal to experience pain when pressing on the outer sides of the chest? I have a large round mass in both sides of my chest that has been there since puberty; is this normal?

Xiao Yu Er, 20~29 year old female. Ask Date: 2017/02/11

Dr. Huang Yiwen reply Obstetrics and Gynecology


Hello, Miss Xiaoyuer: I recommend that you consult a breast surgeon regarding your breast issues.

Reply Date: 2017/02/11

More Info


Breast pain, also known as mastalgia, is a common concern among women and can be influenced by various factors, including hormonal changes, lifestyle, and underlying medical conditions. Understanding the nature of breast pain and its implications in women's health is crucial for addressing concerns and seeking appropriate medical care.

Firstly, it is essential to recognize that breast pain can be categorized into two types: cyclical and non-cyclical. Cyclical breast pain is often related to the menstrual cycle, typically occurring in the days leading up to menstruation due to hormonal fluctuations. This type of pain is usually bilateral (affecting both breasts) and can manifest as tenderness, swelling, or a heavy sensation. Non-cyclical breast pain, on the other hand, may not have a clear link to the menstrual cycle and can be localized to one area of the breast. This type of pain may be caused by factors such as trauma, infections, or benign breast conditions.

In your case, experiencing pain upon pressing the outer areas of both breasts could be a normal response to hormonal changes, especially if it coincides with your menstrual cycle. However, if the pain is persistent, severe, or accompanied by other symptoms such as lumps, discharge, or changes in breast appearance, it is advisable to seek medical evaluation. A healthcare provider can perform a thorough examination and may recommend imaging studies, such as a mammogram or ultrasound, to rule out any underlying issues.

Regarding the presence of a large, round mass in your breasts since development, it is essential to consider that many women have benign breast conditions such as fibrocystic changes or fibroadenomas, which can present as lumps. These conditions are generally non-cancerous and may not require treatment unless they cause significant discomfort or concern. Regular monitoring and follow-up with a healthcare provider can help ensure that any changes in the breast tissue are appropriately evaluated.

If you are experiencing significant discomfort or have concerns about the size or nature of the mass, it is crucial to consult with a healthcare professional who specializes in breast health. They can provide personalized advice based on your medical history, physical examination, and any necessary imaging studies.

In addition to seeking medical advice, there are several self-care strategies that may help alleviate breast pain. Wearing a well-fitted bra that provides adequate support can reduce discomfort, especially during physical activities. Additionally, reducing caffeine intake, managing stress, and maintaining a healthy diet may also contribute to minimizing breast pain.

In summary, while breast pain can be a normal phenomenon related to hormonal changes, it is essential to monitor your symptoms and seek medical advice if you have concerns. Regular check-ups and open communication with your healthcare provider can help ensure your breast health is maintained and any potential issues are addressed promptly.

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