Menstrual Symptoms: Pain, Breast Changes, and Health Tips - Obstetrics and Gynecology

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Hello, Dr.
Zhou: I have some questions regarding women's menstruation.
A classmate told me that if breast tenderness occurs before menstruation, it could be an early sign of breast cancer.
Is this true? Also, I sometimes experience severe abdominal pain when my period starts; what could be the reason for this? I later consulted a traditional Chinese medicine doctor and took some medication, which helped improve the situation.
Now that I am studying alone, I experience less pain during my period.
Could this be related to adapting to a new environment? Why do I experience more pain during winter and summer breaks when I return home? What should I pay attention to in my daily life? Should I reduce the frequency of washing my hair during menstruation? I hope Dr.
Zhou can provide me with some answers.
Thank you.

Jing Er, 20~29 year old female. Ask Date: 2004/02/27

Dr. Zhou Dali reply Obstetrics and Gynecology


Hello, Jing Er: Dysmenorrhea is a common issue for young girls who have not yet given birth, and premenstrual syndrome (PMS) can also cause symptoms such as breast swelling and headaches.
Your concerns are a normal response.
It's important to think critically about the opinions shared by classmates.

Reply Date: 2004/02/27

More Info


Understanding menstrual symptoms, including breast pain and abdominal discomfort, is essential for women's health. It's common for women to experience various physical changes and discomforts related to their menstrual cycle, and while some symptoms can be alarming, they are often part of the normal physiological process.


Breast Pain and Changes
Breast pain, or mastalgia, is a prevalent issue among women, particularly in relation to the menstrual cycle. It is estimated that about 60-70% of women experience some form of breast pain during their reproductive years. This pain can be cyclical, often occurring in the luteal phase of the menstrual cycle, which is the time between ovulation and the start of menstruation. The hormonal fluctuations during this phase, particularly the increase in estrogen and progesterone, can lead to breast tissue swelling and tenderness.

Your concern about breast pain being a potential sign of breast cancer is understandable, but it is important to note that most breast pain is not associated with cancer. Conditions such as fibrocystic breast changes, which are characterized by lumpy, painful breasts, are common and benign. However, if you notice any unusual changes in your breasts, such as lumps, persistent pain, or changes in the skin or nipple, it is advisable to consult a healthcare provider for further evaluation.


Abdominal Pain During Menstruation
Menstrual cramps, or dysmenorrhea, are another common symptom experienced by many women. These cramps occur due to the contraction of the uterus as it sheds its lining. The severity of cramps can vary significantly from one woman to another and can be influenced by factors such as hormonal levels, stress, and overall health. Some women report that their cramps are more severe during certain times of the year, which could be related to changes in lifestyle, diet, or stress levels when returning home for breaks.

The fact that you have found relief from abdominal pain through traditional Chinese medicine suggests that alternative therapies can be effective for some individuals. Acupuncture, herbal remedies, and dietary adjustments are often used in traditional medicine to alleviate menstrual symptoms. If you find that your symptoms improve with these treatments, it may be worth continuing them.


Environmental Factors and Health Tips
Your mention of experiencing more pain when returning home could be attributed to several factors, including changes in diet, stress levels, or even environmental factors that affect your body. "Water and soil" differences can refer to the variations in diet and lifestyle that occur when you are in a different environment. Stress is also a significant factor that can exacerbate menstrual symptoms. Managing stress through relaxation techniques, exercise, and adequate sleep can help reduce the severity of menstrual symptoms.

Regarding hygiene practices during menstruation, there is no medical evidence to suggest that washing your hair should be avoided during your period. However, some women may feel more comfortable with certain hygiene practices during this time. It is essential to maintain good hygiene, as this can help prevent infections and promote overall comfort.


Conclusion
In summary, breast pain and abdominal discomfort during menstruation are common and often related to hormonal changes. While these symptoms can be distressing, they are usually not indicative of serious health issues. However, if you experience significant changes in your symptoms or have concerns about your health, it is always best to consult a healthcare professional for personalized advice and treatment options. Maintaining a healthy lifestyle, managing stress, and being aware of your body’s signals can help you navigate your menstrual health more effectively.

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