Right Breast Pain: Causes and Concerns for Women

Q: Right Breast Pain: Causes and Concerns for Women

Hello： If you are experiencing breast tenderness, I recommend that you visit a breast surgeon for a follow-up examination. <br>If the pain is in another area of the right chest, you may schedule an appointment with our pulmonary medicine department to investigate the cause of the

Breast issues?

Hello Doctor: For the past few days, I have been experiencing pain when pressing or squeezing the area around the 9 to 10 o'clock position on my right breast.
When I sleep on my side, I need to tuck a blanket under my armpit to avoid putting direct pressure on that area, which helps reduce the pain.
In October 2021, I had a breast ultrasound at Chi Mei Hospital, and the doctor mentioned that "both breasts have some cysts and a bit of calcification, which is considered normal at this age.
If you're really concerned, just have a check-up once a year." Sometimes, I also feel pain in that area during my menstrual cycle, which I attributed to my period.
However, my last menstrual period was from January 30 to February 4, and it has been a while since then, so I am confused about why I am still experiencing pain.
Since I had an examination in October, I reassured myself that it should be nothing serious, but the persistent pain is causing me concern, which is why I decided to consult you.
Although the examination indicated that there are some cysts in both breasts, the pain during my menstrual cycle is only localized to the 9 to 10 o'clock position on my right breast, which is also the area that prompted me to seek the examination initially.
I would like to understand whether this is a breast issue or if there could be other underlying causes.
Thank you, Doctor.

En En, 20~29 year old female. Ask Date: 2022/02/14

Dr. Lu Mingzhi reply Pulmonology

Hello: If you are experiencing breast tenderness, I recommend that you visit a breast surgeon for a follow-up examination.
If the pain is in another area of the right chest, you may schedule an appointment with our pulmonary medicine department to investigate the cause of the pain.

Reply Date: 2022/02/14

More Info

Breast pain, also known as mastalgia, is a common concern among women and can arise from various causes. Understanding the underlying reasons for breast pain, especially when it is localized to one area, such as the right breast, is essential for addressing any potential health issues and alleviating anxiety.

In your case, the pain you are experiencing at the 9-10 o'clock position of your right breast could be attributed to several factors. One of the most common causes of breast pain is hormonal fluctuations, particularly related to the menstrual cycle. Many women experience breast tenderness or pain in the days leading up to their period, which is often due to changes in estrogen and progesterone levels. However, since your last menstrual period was at the end of January and you are still experiencing pain, it may be worth exploring other potential causes.

Another possibility is the presence of benign breast conditions, such as cysts or fibrocystic changes. You mentioned that a previous ultrasound indicated the presence of some cysts and calcifications, which are generally considered normal, especially in women of your age. These cysts can sometimes become tender or painful, particularly if they are located near nerve endings or if there is any inflammation. The fact that you have to adjust your sleeping position to avoid pressure on the painful area suggests that there may be some localized irritation or sensitivity.

In addition to hormonal and structural factors, breast pain can also be influenced by lifestyle factors such as caffeine intake, dietary habits, and even stress. High caffeine consumption has been linked to increased breast tenderness in some women, so it may be beneficial to evaluate your diet and consider reducing caffeine if you consume it regularly.

It is also important to consider the possibility of musculoskeletal issues. Sometimes, pain in the breast area can be referred pain from the chest wall, ribs, or even the shoulder. If you have been engaging in activities that strain your upper body or if you have poor posture, this could contribute to discomfort in the breast area.

Given your history of breast cysts and the ongoing pain, it is advisable to follow up with a healthcare provider, preferably a breast specialist. They may recommend further imaging studies, such as a mammogram or a follow-up ultrasound, to assess any changes in the breast tissue since your last examination. It is crucial to keep track of any changes in the pain, such as its intensity, duration, and any accompanying symptoms like swelling or discharge, as these details can help your doctor in making an accurate diagnosis.

In summary, while breast pain can often be benign and related to hormonal changes, it is essential to remain vigilant and consult with a healthcare professional if the pain persists or worsens. Regular breast self-exams and annual check-ups are vital for monitoring breast health, especially if you have a history of cysts or other breast conditions. Taking proactive steps in managing your breast health can help alleviate concerns and ensure any potential issues are addressed promptly.

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