Chest Pain and Lower Back Discomfort After Menstruation

Lower back pain and chest pain?

Hello Doctor: I had my menstrual period in May and June, lasting five days and seven days respectively.
However, three days after my June period ended, I started experiencing breast pain and lower back discomfort, along with some mild vaginal discharge.
This has been ongoing for about three days now.
Could this be a symptom of ovulation? I had safe sexual intercourse at the end of April and took emergency contraception.
I have had my period for two consecutive months, and I tested negative for pregnancy in mid-June.
Given these symptoms, can I completely rule out the possibility of being pregnant?

Niming, 10~19 year old female. Ask Date: 2019/07/11

Dr. Huang Jianzhong reply Obstetrics and Gynecology

In May and June, menstruation occurred, lasting five days and seven days respectively.
However, three days after the end of the June period, there has been breast pain and lower back discomfort, along with slight vaginal discharge, which has persisted for about three days.
Could this be a symptom of ovulation?
Answer: It is possible that there was safe sexual activity at the end of April, and emergency contraception was taken.
Menstruation has occurred for two consecutive months, and a pregnancy test taken in mid-June was negative.
Given these symptoms, can pregnancy be completely ruled out?
Answer: Yes.

Reply Date: 2019/07/11

More Info

Understanding chest pain and lower back discomfort after menstruation can be complex, especially considering the various physiological changes that occur in a woman's body during her menstrual cycle. Based on your description, it seems you are experiencing symptoms that could be related to hormonal fluctuations, ovulation, or other factors.

Firstly, it is important to note that chest pain and lower back discomfort can arise from a variety of causes. In the context of your menstrual cycle, these symptoms may be linked to hormonal changes. After menstruation, the body prepares for ovulation, which typically occurs around the middle of the cycle. Some women experience ovulation pain, also known as mittelschmerz, which can manifest as discomfort in the lower abdomen or back. However, chest pain is less commonly associated with ovulation and may warrant further investigation.

The presence of white discharge can also be a normal part of the menstrual cycle, especially as you approach ovulation. This discharge is typically clear or milky and may increase in volume. However, if the discharge has a strong odor or is accompanied by itching or irritation, it could indicate an infection that may require medical attention.

Regarding your concerns about pregnancy, the fact that you had a negative pregnancy test in mid-June is reassuring, especially since you mentioned having regular menstrual cycles in May and June. The use of emergency contraception (the "morning-after pill") can also affect your menstrual cycle, potentially leading to changes in timing or flow. However, since you have had two consecutive menstrual periods, the likelihood of pregnancy is significantly reduced.
That said, if you are experiencing persistent or severe chest pain, it is crucial to seek medical attention. While it may be related to hormonal changes, chest pain can also indicate other medical conditions, including musculoskeletal issues, anxiety, or even cardiac concerns, especially if accompanied by other symptoms such as shortness of breath, dizziness, or radiating pain.

In summary, while your symptoms may be related to hormonal changes associated with your menstrual cycle, it is essential to monitor them closely. If the chest pain or lower back discomfort persists or worsens, or if you develop additional symptoms, it is advisable to consult with a healthcare provider for a thorough evaluation. They may recommend further tests or examinations to rule out any underlying conditions and provide appropriate treatment or reassurance.
In conclusion, while your symptoms may not necessarily indicate a serious issue, it is always better to err on the side of caution when it comes to health concerns, particularly those involving chest pain. Regular follow-ups with your healthcare provider can help ensure that any potential issues are addressed promptly.

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