Abnormal Menstrual Symptoms and Breast Pain Concerns

Q: Abnormal Menstrual Symptoms and Breast Pain Concerns

Hello： Based on your description, you likely have anovulatory menstruation and no luteal phase. <br>As a result of stimulation from female hormones, you may experience breast tenderness and a sour odor in the genital area, which could be due to prolonged menstrual bleeding and th

My menstrual blood is unusual, and my breasts are painful?

My menstrual flow starts to decrease gradually on the fourth day of my period, and the color turns brown, resembling dried blood.
This situation has persisted for about 3 to 4 years.
Additionally, I notice a sour smell from my genital area when I have my period.
Could there be an issue with my uterus or vagina, and should I see a doctor? Also, my breasts are painful when pressed; could this be a sign of breast cancer? (This is not due to premenstrual breast tenderness.)

Xiao Mei, 10~19 year old female. Ask Date: 2003/03/16

Dr. Li Guanghan reply Obstetrics and Gynecology

Hello: Based on your description, you likely have anovulatory menstruation and no luteal phase.
As a result of stimulation from female hormones, you may experience breast tenderness and a sour odor in the genital area, which could be due to prolonged menstrual bleeding and the use of sanitary pads.
It is advisable for you to visit a hospital for an ultrasound to rule out other causes, such as uterine fibroids or ovarian tumors.
Sincerely, Dr.
Cheng Jin-He, Obstetrics and Gynecology.

Reply Date: 2003/03/16

More Info

Understanding abnormal menstrual symptoms and breast pain can be concerning, especially when symptoms persist over several years. Based on your description, it seems you are experiencing a few distinct issues: changes in your menstrual flow and color, an unusual odor during menstruation, and breast pain that occurs independently of your menstrual cycle.

Firstly, regarding your menstrual symptoms, it is not uncommon for menstrual flow to vary in color and consistency. The presence of brownish blood typically indicates older blood that has taken longer to exit the uterus. This can happen at the end of your period, but if this has been consistent for several years, it may warrant further investigation. The odor you describe as "sour" during menstruation could be due to a variety of factors, including hormonal changes, the presence of bacterial vaginosis, or other infections. It is essential to consult a healthcare provider to rule out any underlying conditions such as infections or hormonal imbalances.

As for the breast pain you are experiencing, it is important to note that breast pain (mastalgia) can have many causes, and it is not always indicative of breast cancer. Hormonal fluctuations, particularly those related to the menstrual cycle, can cause breast tenderness and discomfort. However, if you are experiencing pain that is persistent, localized, or accompanied by other symptoms such as lumps, changes in breast shape, or discharge from the nipples, it is crucial to seek medical advice.
Breast cancer is relatively rare in younger individuals, and most breast pain is benign. Conditions such as fibrocystic breast changes, which are common and often related to hormonal fluctuations, can cause similar symptoms. Your previous ultrasound findings, which indicated benign changes, are reassuring, but if your symptoms have changed or worsened, a follow-up evaluation may be necessary.

In summary, while some of your symptoms may be related to normal hormonal changes, the persistence and nature of your menstrual and breast symptoms suggest that a consultation with a healthcare provider is advisable. They can perform a thorough evaluation, including a physical examination and possibly imaging studies or lab tests, to determine the underlying causes of your symptoms and recommend appropriate treatment or management strategies. Early intervention can help address any potential issues and provide peace of mind regarding your health.

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