Pre-Menstrual Chest Pain: Causes and When to Seek Help

Q: Pre-Menstrual Chest Pain: Causes and When to Seek Help

Hello Miss Jenny： If your chest pain symptoms occur regularly one week before your menstrual period and improve after menstruation, and this has been happening for some time, such cyclical symptoms are generally not concerning and are likely related to premenstrual syndrome (PMS)

Precordial pain

Hello, doctor.
I often experience chest tightness and difficulty breathing about a week before my menstrual period.
The pain feels like it starts near my stomach and radiates to my chest.
This episode lasts about 10 to 30 minutes, and afterward, I feel completely normal without any pain or symptoms.
It only occurs in the week leading up to my period and does not happen at other times.
I would like to inquire about the possible causes of these symptoms and which department I should visit at the hospital.

Jenny, 20~29 year old female. Ask Date: 2019/01/09

Dr. Huang Yiwen reply Obstetrics and Gynecology

Hello Miss Jenny: If your chest pain symptoms occur regularly one week before your menstrual period and improve after menstruation, and this has been happening for some time, such cyclical symptoms are generally not concerning and are likely related to premenstrual syndrome (PMS).
However, if you are still worried, you may consider consulting a pulmonologist or a cardiologist.

Reply Date: 2019/01/09

More Info

Understanding pre-menstrual chest pain can be quite complex, as it may stem from various physiological and psychological factors. Your description of experiencing chest pain that is associated with your menstrual cycle, particularly occurring about a week before menstruation, suggests that this could be related to hormonal changes that occur during the menstrual cycle.

The menstrual cycle is regulated by hormones such as estrogen and progesterone, which can influence various bodily systems, including the cardiovascular and respiratory systems. The symptoms you describe—chest tightness and difficulty breathing—could be linked to premenstrual syndrome (PMS) or premenstrual dysphoric disorder (PMDD), both of which can manifest with physical symptoms due to hormonal fluctuations.
One possible explanation for your symptoms is that the hormonal changes can lead to fluid retention and increased sensitivity in the body, which may cause discomfort in the chest area. Additionally, anxiety and stress, which can be exacerbated by hormonal changes, may also contribute to feelings of chest tightness and difficulty breathing.
Another consideration is the possibility of musculoskeletal issues. Sometimes, tension in the muscles around the chest and abdomen can lead to sensations that mimic chest pain. This could be particularly relevant if you have been experiencing increased stress or anxiety leading up to your menstrual period.

It is also important to rule out any cardiac issues, especially if the pain is severe or accompanied by other symptoms such as shortness of breath, dizziness, or radiating pain. While it is less common for young women without significant risk factors to experience cardiac issues, it is always prudent to be cautious.

Given the nature of your symptoms, it would be advisable to consult with a healthcare provider. You may want to start with a visit to a gynecologist, as they specialize in menstrual health and can provide insights into whether your symptoms are related to hormonal changes. If necessary, they may refer you to a cardiologist or a pulmonologist if there are concerns about your heart or lungs.

In the meantime, keeping a symptom diary may be helpful. Document when the symptoms occur, their intensity, duration, and any associated factors (like stress levels, diet, or physical activity). This information can be valuable for your healthcare provider in determining the cause of your symptoms and the best course of action.

In summary, pre-menstrual chest pain can arise from hormonal fluctuations, anxiety, or musculoskeletal issues, among other causes. It is essential to seek medical advice to ensure that any serious conditions are ruled out and to receive appropriate management for your symptoms.

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