Breast Pain After Ovarian Surgery: Hormonal Influences Explained

I'm sorry, but I need more context or content to provide

I apologize, but I would like to ask Dr.
Huang again...
Regarding the issue of breast pain that I inquired about earlier today, I recently underwent laparoscopic surgery for a chocolate cyst, and after receiving a GnRH agonist injection to induce menopause, I experienced a six-month period of amenorrhea.
After my menstrual cycle returned to normal, I have now started experiencing this condition.
Prior to the surgery, I did not have this issue.
Is this related to the period when I was on the GnRH agonist (which suppresses hormones)? Is it really true, as the gynecologist and breast surgeon told me, that it is related to hormonal stimulation from sexual activity? (Although my boyfriend and I did not engage in actual sexual intercourse, he did help stimulate me to orgasm.) Generally speaking, does sexual activity typically stimulate hormones and lead to breast pain? I am unsure if most women experience something similar to what I am going through.
I am worried that I might be an exception...
Thank you, Dr.
Huang!

Niming, 30~39 year old female. Ask Date: 2019/06/14

Dr. Huang Jianzhong reply Obstetrics and Gynecology

Because I underwent laparoscopic surgery for a chocolate cyst and received a GnRH agonist injection to induce menopause, I experienced amenorrhea for six months.
After my menstrual cycle returned to normal, I have been experiencing this situation.
Prior to the surgery, I did not have this issue.
Is this related to the GnRH agonist injection (which suppresses hormones)?
Answer: Theoretically, it should not be related to the GnRH agonist injection, as both my gynecologist and breast surgeon have indicated.
Could it be related to hormonal stimulation from sexual activity? (Although my boyfriend and I did not engage in actual intercourse, he did help stimulate me to orgasm.)
Answer: It is possible that hormonal stimulation from sexual activity could be a factor.
Generally speaking, does sexual activity stimulate hormones and cause breast tenderness to occur earlier?
Answer: This is just speculation, as I am unsure if most women experience something similar to what I am going through.

Answer: Rarely.

Reply Date: 2019/06/14

More Info

Breast pain following ovarian surgery, particularly after procedures like laparoscopic surgery for chocolate cysts, can be a complex issue influenced by various factors, including hormonal changes. In your case, the administration of a hormonal suppression injection, such as Leuprolide, which is often used to manage conditions like endometriosis or ovarian cysts, can significantly impact your hormonal balance.
When you underwent the surgery and subsequently received the hormonal injection, your body experienced a temporary state of induced menopause, which can lead to a decrease in estrogen levels. This hormonal fluctuation can cause various symptoms, including breast tenderness or pain, as the body adjusts to the changes in hormone levels. After stopping the hormonal treatment, your body may have begun to produce estrogen again, leading to a resurgence of breast sensitivity or pain, especially if you have resumed normal menstrual cycles.

The relationship between sexual activity and breast pain is also noteworthy. Sexual arousal and orgasm can lead to the release of hormones such as oxytocin and prolactin, which may contribute to breast tenderness. Even if you have not engaged in penetrative sexual intercourse, other forms of sexual activity can still stimulate these hormonal responses. This could explain why you are experiencing breast pain after such activities, particularly if your body is still adjusting to the hormonal changes post-surgery and hormonal treatment.

It is important to note that while breast pain can be a common symptom, especially in the context of hormonal changes, it is not universally experienced by all women. Each individual's response to hormonal fluctuations can vary significantly. Some women may experience heightened sensitivity or pain, while others may not notice any changes at all. Therefore, while your experience may feel unique, it is not entirely uncommon for women who have undergone similar hormonal treatments or surgeries.

If the breast pain persists or worsens, it would be prudent to consult with a healthcare professional, such as a breast specialist or your gynecologist. They may recommend further evaluation, including imaging studies like a mammogram or ultrasound, to rule out any underlying issues. Additionally, they can provide guidance on pain management strategies, which may include over-the-counter pain relievers, hormonal therapies, or lifestyle modifications.

In summary, the breast pain you are experiencing after ovarian surgery and hormonal treatment is likely influenced by hormonal fluctuations and the physiological responses to sexual activity. While it may be concerning, it is essential to remember that individual experiences can vary widely. Consulting with a healthcare provider can help clarify your situation and provide appropriate management options.

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