Pain in the lateral aspect of the right breast?
Hello, doctor.
Previously, I experienced sharp pain in the outer area of my right breast when I touched the right armpit, especially before my menstrual period while taking oral contraceptives.
However, there are no lumps present.
I would like to know what this could be.
Thank you.
Ting Ting, 20~29 year old female. Ask Date: 2022/07/16
Dr. Yuan Tianmin reply Breast and Thyroid
First, undergo a breast ultrasound to confirm that there are no suspicious images in the breast; then the pain can be attributed to the onset of menstruation.
Reply Date: 2022/07/16
More Info
Understanding sharp pain in the right breast and armpit area can be concerning, especially when it is localized and accompanied by discomfort during certain activities. Based on your description, there are several potential explanations for the sharp pain you are experiencing in the right breast and armpit area.
Firstly, it is important to consider the role of hormonal fluctuations in your body, particularly if you are taking oral contraceptives. Birth control pills can lead to changes in breast tissue, causing tenderness or pain due to hormonal changes. This is often referred to as cyclical breast pain, which can occur in relation to your menstrual cycle. If you notice that the pain intensifies before your period, it may be linked to these hormonal shifts.
Another possibility is that the pain is musculoskeletal in nature. The breast and armpit area is surrounded by muscles, including the pectoralis major and minor, as well as the serratus anterior. If you have engaged in activities that strain these muscles, such as lifting heavy objects or exercising, it could lead to localized pain. This type of pain is often sharp and can be exacerbated by certain movements or positions.
Additionally, nerve irritation or compression could also be a factor. The brachial plexus, a network of nerves that innervates the arm and shoulder, runs near the armpit. If there is any compression or irritation of these nerves, it could manifest as sharp pain in the breast or armpit area. This is particularly relevant if you have been in awkward positions or have experienced any trauma to the area.
In some cases, breast pain can be associated with benign breast conditions, such as fibrocystic changes or fibroadenomas. These conditions can cause localized pain and discomfort, although they are typically not associated with sharp pain unless there is significant inflammation or irritation.
It is also essential to rule out any potential inflammatory conditions, such as mastitis or other infections, especially if there are any accompanying symptoms like redness, swelling, or warmth in the area. While these conditions are more common in breastfeeding women, they can occur in non-lactating individuals as well.
Given that you have not noticed any lumps or swelling, and if the pain is not persistent or worsening, it may be reasonable to monitor the situation. However, if the pain continues, worsens, or is accompanied by other symptoms such as fever, changes in breast appearance, or significant discomfort, it would be advisable to consult a healthcare professional for further evaluation. A clinical examination, possibly followed by imaging studies such as an ultrasound or mammogram, may be warranted to rule out any underlying issues.
In summary, the sharp pain you are experiencing in the right breast and armpit area could be attributed to hormonal changes, musculoskeletal strain, nerve irritation, or benign breast conditions. Monitoring your symptoms and seeking medical advice if they persist or worsen is the best course of action. Remember to maintain a healthy lifestyle, manage stress, and consider any recent activities that may have contributed to your discomfort.
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