Chest Pain: Causes and Concerns Related to Breast Sensitivity - Breast and Thyroid

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Chest issues


Hello Doctor: This morning, after sleeping on my side, I started to feel pain in my left chest.
However, when I pressed on it later, there was no pain.
Instead, I have been experiencing intermittent sharp pain.
I would like to know what might be causing this.
Could it be that my breasts are more sensitive because of my menstrual period? Thank you, Doctor.

Pei, 30~39 year old female. Ask Date: 2023/08/06

Dr. Yuan Tianmin reply Breast and Thyroid


Most patients who come for consultation often experience breast pain during their menstrual period, which is considered a fairly common condition.

Reply Date: 2023/08/06

More Info


Chest pain and breast sensitivity can be concerning symptoms, and understanding their potential causes is essential for proper management. Based on the information provided and general medical knowledge, several factors could contribute to the pain and sensitivity you are experiencing.

Firstly, it is important to recognize that breast pain, also known as mastalgia, is a common issue that affects many women at some point in their lives. The pain can be cyclical, often linked to hormonal fluctuations associated with the menstrual cycle. This is particularly relevant if you notice that your symptoms intensify before your period. Hormonal changes, especially involving estrogen and progesterone, can lead to breast tissue swelling and tenderness. This is often referred to as cyclical mastalgia, which typically resolves after menstruation.

In your case, you mentioned that the pain began after you accidentally pressed on your left breast while sleeping. This could indicate that the pain is related to a musculoskeletal issue rather than a breast-specific problem. The chest wall, including the muscles and ribs, can be sensitive to pressure or trauma, leading to pain that may feel sharp or intermittent. This type of pain is often exacerbated by certain movements or positions and may not be directly related to the breast tissue itself.

Another consideration is the possibility of costochondritis, an inflammation of the cartilage connecting the ribs to the sternum. This condition can cause localized pain in the chest area, which may be mistaken for breast pain. It is usually aggravated by movement, deep breathing, or pressing on the affected area.

Given that you do not experience pain upon direct pressure and that the pain is intermittent, it is less likely to be caused by a serious underlying condition such as breast cancer, especially considering your age and the nature of the symptoms. Breast cancer typically presents with a persistent lump or mass, changes in breast shape or size, or unusual discharge, rather than intermittent pain without other accompanying symptoms.

However, if you notice any changes in your breast tissue, such as new lumps, persistent pain, or changes in skin texture, it is crucial to consult a healthcare provider for further evaluation. Regular breast examinations and mammograms, as recommended by your physician, are essential for monitoring breast health, especially if you have a family history of breast disease.

In summary, the pain you are experiencing could be attributed to hormonal changes related to your menstrual cycle, musculoskeletal strain from sleeping positions, or costochondritis. If the pain persists or worsens, or if you have any additional concerns, it would be advisable to seek medical attention for a thorough evaluation and appropriate management. In the meantime, consider gentle stretching exercises, applying heat to the affected area, and ensuring proper support with a well-fitted bra to alleviate discomfort.

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