Unexplained Breast Pain: Seeking Answers for Persistent Symptoms

Unable to find the cause?

Hello.
Last year, I discovered a hard lump near my armpit in my chest area.
After examination, my gynecologist said it was an inflamed sebaceous gland.
After taking the prescribed medication, the swelling would go down, but I continued to take the medication without improvement.
I then consulted a surgeon, who diagnosed it as inflamed lymph nodes.
I followed the prescribed treatment for a while, but there was still no improvement.
Moreover, every time a week before my menstrual period, the area becomes more painful, and the lump feels more pronounced (about the size of a peanut).
However, after my period, it becomes less noticeable (about the size of a red bean) and sometimes even undetectable, with reduced pain.
Later, I had an ultrasound, but nothing significant was found.
I have never experienced anything like this before.
I searched online for information but couldn't find a similar condition.
This issue has been troubling me for over a year.
I would appreciate your insights.
Thank you.

Jin Jin, 20~29 year old female. Ask Date: 2005/10/11

Dr. Wu Jingtang reply Breast and Thyroid

Dear Miss,
There is a hard lump near your armpit that becomes more painful about a week before your menstrual period.
The lump is more pronounced when touched, approximately the size of a peanut.
After your period, it becomes less noticeable, about the size of a red bean, and may even be undetectable.
Additionally, the pain decreases.
This situation is likely not indicative of a malignant tumor, especially since you have had an ultrasound that showed no abnormalities.
It should be considered a benign change.
Aside from self-examinations, it is advisable to have a clinical breast examination every six months.
Wishing you good health,
Dr.
Wu

Reply Date: 2005/10/11

More Info

Breast pain, also known as mastalgia, is a common concern among women and can arise from various causes. Your description of experiencing pain near the armpit area, particularly in relation to your menstrual cycle, suggests that hormonal fluctuations may play a significant role in your symptoms.
Firstly, it’s important to understand that breast tissue is sensitive to hormonal changes, particularly estrogen and progesterone, which fluctuate throughout the menstrual cycle. Many women experience breast tenderness or pain in the days leading up to their period, a condition known as cyclical mastalgia. This type of pain is often described as a heaviness or fullness in the breasts and can be accompanied by swelling. The fact that your pain intensifies before your menstrual period and diminishes afterward aligns with this pattern.

The hard lump you mentioned, which seems to fluctuate in size, could be related to hormonal changes as well. Hormonal influences can lead to the development of cysts or fibrocystic changes in breast tissue, which can feel like lumps and may become more pronounced during certain times of the menstrual cycle. These changes are typically benign, but they can cause discomfort and anxiety.

You mentioned that you have seen multiple doctors and undergone various treatments without significant improvement. This can be frustrating, especially when you feel that your symptoms are persistent and unexplained. It’s crucial to ensure that any lump or persistent pain is thoroughly evaluated. While your ultrasound did not reveal any concerning findings, it may be beneficial to consider additional imaging or a different type of evaluation, such as a mammogram, especially if you are over 30 or have a family history of breast issues.

In terms of management, there are several strategies you can consider to alleviate breast pain:
1. Lifestyle Modifications: Reducing caffeine and high-fat foods in your diet may help decrease breast tenderness. Regular exercise can also help manage symptoms by balancing hormone levels.

2. Supportive Garments: Wearing a well-fitted bra that provides adequate support can help alleviate discomfort, especially during physical activities.

3. Pain Relief Medications: Over-the-counter pain relievers such as ibuprofen or acetaminophen can be effective in managing acute pain episodes.

4. Hormonal Treatments: If your symptoms are significantly affecting your quality of life, discussing hormonal treatments with your healthcare provider may be beneficial. Options may include hormonal contraceptives or other medications that can help regulate hormonal fluctuations.

5. Regular Monitoring: Continue to perform regular self-exams and maintain communication with your healthcare provider about any changes in your symptoms or breast health.

If your symptoms persist despite these measures, or if you notice any new changes, it is essential to follow up with your healthcare provider. They may recommend a referral to a breast specialist or a gynecologist who can provide more targeted care and further investigate your symptoms.

In conclusion, while breast pain can be distressing and may stem from various causes, understanding the potential hormonal influences and exploring appropriate management strategies can help you find relief. It’s important to remain proactive about your health and continue seeking answers until you feel satisfied with your care.

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