Chest Pain and Pressing Sensations: Is It Related to Adenomyosis?

Sternal compression pain

Hello Doctor: I have adenomyosis, and I experience pain when pressing on the bones around my chest, especially in the center of my chest near the xiphoid process, which is the most painful area.
Generally, I feel pain with pressure, but it becomes more intense before my menstrual period.
Often, the pain radiates from the center of my chest directly to my back before my period.
I would like to know if I should see an orthopedic specialist or a pulmonologist, or if this pain is a symptom related to my adenomyosis?

Miss Huang, 30~39 year old female. Ask Date: 2021/09/26

Dr. Ye Qianyu reply Family Medicine

Hello, based on your description, the pain in this area is classified as breast pain.
If it is cyclical and hormone-related, it is also important to examine any musculoskeletal issues, such as pectoralis major strain or pain caused by scoliosis.
I recommend you visit a breast surgery clinic.
Additionally, consider reducing the intake of animal fats in your daily diet and engage in regular exercise.

Reply Date: 2021/09/26

More Info

Chest pain and pressing sensations can be concerning, especially when they are persistent and associated with other symptoms. In your case, you have a history of adenomyosis, which is a condition where the inner lining of the uterus grows into the muscular wall of the uterus. This condition can lead to various symptoms, including pelvic pain, heavy menstrual bleeding, and discomfort during menstruation. However, the chest pain you are experiencing, particularly the pressing sensations around the sternum and the pain radiating to your back, raises some important considerations.

Firstly, it is essential to differentiate between pain that originates from the chest wall, the heart, or other thoracic structures, and pain that may be referred from abdominal or pelvic organs, such as the uterus. Adenomyosis primarily causes pelvic pain, but it can also lead to referred pain in some cases. The hormonal changes associated with your menstrual cycle can exacerbate pain in various areas of the body, including the chest, due to increased sensitivity and inflammation.

The pressing sensation and pain you describe, especially worsening before your menstrual period, could be related to hormonal fluctuations that affect the surrounding muscles and tissues. Conditions like costochondritis, which is inflammation of the cartilage connecting the ribs to the sternum, can cause similar symptoms and may be aggravated by physical activity or pressure on the chest area. This could explain the localized pain you feel when pressing on the chest.

However, it is crucial to rule out any cardiac issues, especially if the pain is severe, persistent, or associated with other symptoms such as shortness of breath, dizziness, or radiating pain to the arms or jaw. While adenomyosis is unlikely to directly cause chest pain, the stress and discomfort from your gynecological condition could contribute to muscle tension and pain in the chest area.

Given your symptoms, it would be prudent to consult with a healthcare provider who can perform a thorough evaluation. This may include a physical examination, imaging studies, and possibly referrals to specialists such as a cardiologist or an orthopedic doctor if musculoskeletal issues are suspected.
In summary, while your adenomyosis may contribute to your overall discomfort, the chest pain you are experiencing should not be overlooked. It is essential to seek medical advice to ensure that any potential serious conditions are ruled out and to receive appropriate management for your symptoms. Additionally, managing your adenomyosis through medical or surgical options may also help alleviate some of the discomfort you are experiencing in the chest area. Always prioritize your health and do not hesitate to seek help when experiencing new or concerning symptoms.

Similar Q&A

Understanding Chest Pain: Insights from Cardiovascular Specialists

I previously reported discomfort from the end of August until early October, and the symptoms have persisted. I experience a tight, pressing sensation in my chest that occasionally occurs, usually easing after about half a day. However, from late August to early October, this hap...

Dr. He Dongjin reply Cardiology
Hello, you can visit the neurology outpatient clinic to check on the tingling sensations that change locations, as they may resemble neuropathic pain. Changhua Hospital cares about you.

Understanding Chest Discomfort: Is It Related to My Adrenal Tumor?

Hello, Doctor He. I am a patient with angina and am currently receiving treatment. My doctor prescribed Nicorandil. I would like to ask you why I sometimes experience a feeling of pressure in my chest, followed by intense contractions in my stomach, and then numbness in my lower ...

Dr. He Dongjin reply Cardiology
Hello, the symptoms you mentioned do not seem to be caused by an adrenal tumor; they are more likely related to autonomic nervous system dysfunction due to menopause. To confirm the diagnosis of angina, it may be necessary to arrange for a cardiac catheterization or a CT angiogra...

Understanding Chest Pain: Causes and When to Seek Help

Hello doctor, I have been experiencing a feeling of tightness and pain in my chest for over two weeks now. Initially, I thought it was due to exercise, but it hasn't improved over time. When sitting, I often feel my heart beating strongly, and I can feel it throughout my bod...

Dr. Zhao Chongliang reply Internal Medicine
On October 5th, another woman raised a similar question, and the response provided at that time is as follows for your reference. (When considering general chest pain, one must take into account various sources of pain such as the chest wall, heart, respiratory organs, esophagus,...

Understanding Chest Discomfort: A Guide for Women’s Health

Hello, doctor! Recently, I've been experiencing a strange sensation near my left chest. It feels tight, and when I press my chest together with both hands, I feel an uncomfortable sensation as if the flesh is pressing against flesh. Even when I sleep on my side and one breas...

Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Based on your description, it seems that there is discomfort in the left breast when there is pressure or touch. You may consider undergoing a mammogram, breast ultrasound, and chest X-ray to check for intercostal neuralgia, any rib abnormalities, and to rule out issues su...