Breast Changes: Causes and When to Seek Medical Advice

Chest issues

My breasts have been swollen since my menstrual period and have not returned to normal for over two weeks, almost three weeks now.
They initially decreased a bit after my period ended, but then became swollen again, feeling somewhat hard and like fake breasts.
What could be the reason for this? I will be seeing a doctor on Monday, but I wanted to consult and understand the condition of my breasts beforehand.
I am currently being treated for a urinary tract infection.

Miss Hong, 20~29 year old female. Ask Date: 2018/08/16

Dr. Yuan Tianmin reply Breast and Thyroid

It is recommended to undergo an ultrasound examination at the hospital.

Reply Date: 2018/08/16

More Info

Breast changes can be a source of concern for many individuals, especially when they experience symptoms such as swelling, tenderness, or changes in texture. Based on your description, it seems that you are experiencing persistent breast swelling and hardness that has lasted for about two to three weeks following your menstrual period. This condition can be influenced by various factors, including hormonal fluctuations, fluid retention, and other physiological changes.

Hormonal Influence
The menstrual cycle is a significant factor in breast changes. Hormones such as estrogen and progesterone fluctuate throughout the cycle, leading to changes in breast tissue. During the luteal phase (the time between ovulation and the start of menstruation), estrogen levels rise, causing the breast ducts to enlarge and the glandular tissue to proliferate. This can lead to feelings of fullness or swelling in the breasts. After menstruation, these symptoms typically subside as hormone levels drop. However, if you are experiencing prolonged swelling, it may indicate that your body is still responding to hormonal changes or that there is another underlying issue.

Fluid Retention
Another possible reason for persistent breast swelling is fluid retention, which can occur due to various factors, including dietary changes (such as increased salt intake), hormonal imbalances, or even stress. This can lead to a feeling of heaviness or fullness in the breasts. If you have been experiencing other symptoms, such as bloating or weight changes, it may be worth discussing these with your healthcare provider.

Breast Tissue Changes
You mentioned that your breasts feel "hard" and have a texture that resembles "fake" breasts. This could be due to increased glandular tissue or fibrocystic changes, which are common and usually benign. Fibrocystic breast changes can cause lumps, tenderness, and a feeling of fullness, particularly before menstruation. These changes are often influenced by hormonal fluctuations and can vary from month to month.

When to Seek Medical Advice
While many breast changes are benign, it is essential to monitor your symptoms and seek medical advice when necessary. You mentioned that you have an appointment scheduled with your doctor, which is a good step. Here are some signs that warrant immediate medical attention:
1. Persistent Changes: If the swelling does not subside after your menstrual cycle or worsens over time.

2. Pain: If you experience severe pain that is not typical for you.

3. Lumps: If you notice any new lumps or changes in the texture of your breast tissue.

4. Skin Changes: Any changes in the skin over the breast, such as redness, dimpling, or changes in color.

5. Nipple Discharge: Any unusual discharge from the nipples, especially if it is bloody or occurs without squeezing.

Conclusion
In summary, breast swelling and changes can be attributed to hormonal fluctuations, fluid retention, and benign breast tissue changes. It is essential to keep track of your symptoms and communicate openly with your healthcare provider about any concerns. Your upcoming appointment will provide an opportunity for a thorough evaluation, including a physical examination and possibly imaging studies if deemed necessary. Remember that while many breast changes are normal, being proactive about your health is crucial. Your healthcare provider can offer personalized advice and treatment options based on your specific situation.

Similar Q&A

Understanding Breast Changes: Concerns for Young Women and When to Seek Help

I am a 19-year-old female and I have been having a concern lately. During my menstrual period, my right nipple has always been inverted, which I feel is not normal. Additionally, when my period comes, I notice a secretion of a milky substance. I have also observed hair growing ar...

Dr. Yang Mingqi reply Breast and Thyroid
Hello: For breast issues, you should see a breast surgeon. However, if you want to know why you have one or two hairs that are 3-4 centimeters long, there may not be a definitive answer. This is more commonly seen in males and is likely related to hormonal factors.

Sudden Softening of Breasts: Causes and Concerns Explained

Hello doctor, I am 26 years old. Since I started developing during childhood, I have had lumps in the middle of my breasts, which I believe are glandular tissue. However, I recently noticed that my breasts have become softer, and the lumps on both sides have disappeared. What cou...

Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Cc: Most changes are caused by endocrine fluctuations within the body. In addition to changes in the body itself, environmental hormones can also have an impact. As long as you perform self-examinations for any lumps each month and attend regular outpatient check-ups, you sh...

Understanding Breast Changes: What Could They Mean for Your Health?

Hello, I recently noticed that the left side of my chest has shown signs of enlargement. When I apply slight pressure, I feel some mild pain around the areola. Using my fingertips, it seems there is a small hard lump under the skin, about the size of a grain of rice. It does not ...

Dr. Yang Mingqi reply Breast and Thyroid
Hello: The probability of men developing breast cancer is approximately 1 in 150 compared to women, but it is not impossible. If you notice any abnormalities in your breast, please promptly visit a hospital to consult a breast surgeon. Given your symptoms, there may be a higher c...

Understanding Fibrocystic Breast Changes: What You Need to Know

A friend of mine discovered a hard lump during a breast examination at a health clinic, which was identified as a fibrocystic breast condition.

Dr. Shang Dongfu reply Surgery
Hello: Fibrocystic breast changes are common breast lumps in women. Generally, they do not require surgical treatment and can be monitored with annual follow-ups at a breast specialist's clinic.