Breast Changes: What to Know About Your Symptoms at 17

Chest issues

I am 17 years old, and a few weeks ago I noticed that when lying flat, the area next to my right areola feels hard (not the area around the nipple).
However, there are no lumps or masses when I touch it.
It usually doesn't hurt unless I press hard, but I also feel pain in my left breast when pressed hard; the difference is that my right breast feels hard.
I started my period later than usual (I got my first period when I was in the transition from junior high to high school) and my menstrual cycle is irregular.
I also have a habit of sleeping on my side.
I would like to know if this could be a serious issue.

K, 10~19 year old female. Ask Date: 2021/08/08

Dr. Yuan Tianmin reply Breast and Thyroid

The areola has many gland openings, and sometimes they may feel firm to the touch; however, this is just a superficial condition and is normal, so there is no need to be concerned.

Reply Date: 2021/08/08

More Info

At 17, experiencing changes in your breasts can be concerning, but it's important to understand that many of these changes are normal and often related to hormonal fluctuations that occur during puberty. The symptoms you describe, such as the hardness near the areola and occasional tenderness when pressed, can be attributed to several factors.

Firstly, breast tissue is composed of glandular and fatty tissues, and during puberty, hormonal changes can lead to the development of fibrocystic breast changes. This condition is characterized by lumpy or rope-like breast tissue and can cause discomfort or tenderness, particularly before menstruation. The fact that you do not feel a distinct lump or mass is reassuring, as it suggests that what you are experiencing may not be a cyst or tumor.

The irregularity of your menstrual cycle is also quite common during adolescence. Many young women experience irregular periods as their bodies adjust to the hormonal changes that come with puberty. This can lead to variations in breast tenderness and changes in breast tissue density. The breast tissue can feel firmer or more lumpy at times, especially in relation to your menstrual cycle, as hormonal levels fluctuate.

Regarding the specific area you mentioned feeling "hard" near the areola, this could be due to normal breast tissue development or hormonal influences. The breast tissue can become denser or feel firmer in certain areas, especially during specific phases of your menstrual cycle. If the area is not painful unless pressed hard, it is likely not a cause for concern. However, if you notice any changes, such as a new lump that persists, significant pain, or changes in the skin or nipple, it would be wise to consult a healthcare professional for further evaluation.

Additionally, sleeping positions can also affect how your breasts feel. Side sleeping can sometimes cause temporary discomfort or changes in how the breast tissue feels due to pressure.
In summary, while it is understandable to be concerned about changes in your breasts, the symptoms you describe are likely related to normal hormonal changes associated with puberty. However, it is always a good idea to perform regular self-examinations and be aware of your body. If you have any concerns or if the symptoms change or worsen, do not hesitate to reach out to a healthcare provider for a thorough examination and peace of mind. Regular check-ups and open communication with a doctor can help ensure that any potential issues are addressed early on.

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