Breast Issues: When to Seek Medical Advice

Breast issues

Hello Doctor: About five months ago, I had a breast ultrasound, and the doctor mentioned that the lump was due to concentrated breast tissue.
I am scheduled for a follow-up appointment in a year.
However, about 14 days before my period this month, I started experiencing discomfort in my breasts, and they are noticeably painful to the touch.
I understand that it is normal to have swelling and pain a few days before menstruation, but I have been uncomfortable since 14 days prior to my period.
Is this considered normal? Additionally, regarding the follow-up appointment in a year, can I assume that I do not need to worry during this year? Thank you for taking the time to respond :)

Olivia, 30~39 year old female. Ask Date: 2017/05/26

Dr. Wu Jianting reply Breast and Thyroid

Due to hormonal changes in the body before and after menstruation, swelling and pain may occur.
The duration, location, and intensity of the pain can vary from person to person and may not be the same every month, making it difficult to predict.
It is important to check for any lumps, as this is a significant concern.
Please perform self-examinations monthly, and if you find any lumps, seek consultation at a clinic.
Thank you for your inquiry.

Reply Date: 2017/05/26

More Info

Breast issues, including pain and discomfort, can be concerning and often lead individuals to seek medical advice. Based on your description, it seems you have been experiencing breast pain for about 14 days prior to your menstrual cycle, which is not typical for most women, as breast tenderness usually occurs closer to the onset of menstruation. While hormonal fluctuations during the menstrual cycle can cause breast tenderness, persistent pain that begins well in advance of your period warrants further investigation.

Breast pain, or mastalgia, can have various causes, including hormonal changes, fibrocystic breast changes, infections, or even more serious conditions such as tumors. Given that you had a breast ultrasound five months ago that indicated the presence of concentrated glandular tissue rather than any alarming masses, it is reassuring. However, the onset of new symptoms, such as prolonged pain, should not be ignored. It is essential to monitor any changes in your breast tissue, including the nature of the pain, the presence of lumps, or changes in the appearance of your breasts.

In your case, the fact that the discomfort has persisted for an extended period and is not typical for your menstrual cycle suggests that it would be prudent to consult a healthcare professional, particularly a breast specialist or a gynecologist. They may recommend further imaging studies, such as a follow-up ultrasound or mammogram, to ensure that there are no underlying issues that need to be addressed. It is also important to discuss any other symptoms you may be experiencing, such as changes in nipple discharge, skin changes, or any family history of breast cancer, as these factors can influence the need for further evaluation.

Regarding your question about whether you can be reassured for the year until your next scheduled appointment, it is essential to understand that while your previous ultrasound was normal, any new or persistent symptoms should be evaluated sooner rather than later. Regular monitoring and open communication with your healthcare provider are key to managing breast health effectively. If you notice any changes or if the pain worsens, do not hesitate to seek medical advice.

In addition, you mentioned the availability of specialized women's clinics or gynecological services in your area. These clinics often provide a more comprehensive approach to women's health issues, including breast health, and may offer a more comfortable environment for discussing sensitive topics. If you are located in central Taiwan and are looking for such services, consider reaching out to local hospitals or clinics that may have dedicated women's health programs. They can provide you with the necessary support and guidance tailored to your needs.

In summary, while some breast pain can be attributed to hormonal changes, persistent or unusual symptoms should be evaluated by a healthcare professional. Regular check-ups and open communication with your doctor are vital for maintaining breast health and addressing any concerns that may arise. It is always better to err on the side of caution when it comes to your health.

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