Breast Pain: Causes and When to Seek Help - Breast and Thyroid

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Nipple pain?


Hello, Doctor.
About two weeks before my menstrual period, I started experiencing a sensation of breast tenderness in my nipples.
Now that my period has started, the tenderness is still present, but it has decreased somewhat.
However, if I touch the area just below the areola, I still feel a bit of pain.
I also notice that my right nipple seems to be slightly inverted.
All of these symptoms are occurring on the right side.
I would like to ask, is this related to my menstrual cycle, or could there be an issue with my breast? I have never experienced this before, so I am quite puzzled.
If I need to seek medical attention, which specialty should I consult?

Fang, 20~29 year old female. Ask Date: 2007/03/28

Dr. Wu Jingtang reply Breast and Thyroid


Dear Miss Fang, this is due to your menstrual period.
If you need to seek medical attention, you should consult either a general surgeon or a breast surgeon.
Wishing you good health, Dr.
Wu.

Reply Date: 2007/03/28

More Info


Breast pain, also known as mastalgia, is a common concern among women and can arise from a variety of causes. Understanding the underlying reasons for breast pain is crucial for determining the appropriate course of action. In your case, you are experiencing breast pain that began a couple of weeks before your menstrual period and has persisted even after the onset of menstruation. This situation can be perplexing, especially if you have not experienced similar symptoms in the past.


Causes of Breast Pain
1. Hormonal Changes: The most common cause of breast pain is hormonal fluctuations associated with the menstrual cycle. Many women experience breast tenderness or pain in the days leading up to their period due to changes in estrogen and progesterone levels. This type of pain is often cyclical and may subside after menstruation begins.

2. Fibrocystic Breast Changes: This condition involves the development of benign lumps or cysts in the breast tissue, which can cause pain and tenderness. Women with fibrocystic breasts may notice that their symptoms worsen before their period.

3. Infections or Inflammation: Conditions such as mastitis (an infection of the breast tissue) can lead to localized pain, swelling, and redness. This is more common in breastfeeding women but can occur in others as well.

4. Physical Trauma: Any recent injury or trauma to the breast can result in pain. Even minor impacts can lead to discomfort, especially if the breast tissue is sensitive.

5. Other Medical Conditions: In some cases, breast pain can be associated with other medical conditions, such as breast cancer, although this is less common. It is important to note that breast cancer typically presents with other symptoms, such as a lump, changes in breast shape, or discharge from the nipple.


When to Seek Medical Help
Given your symptoms, it is advisable to consult a healthcare professional, particularly if:
- The pain persists beyond your menstrual cycle.

- You notice any changes in the appearance of your breast, such as lumps, swelling, or skin changes.

- You experience discharge from the nipple that is not related to breastfeeding.

- The pain is severe or worsening over time.

In your case, since the pain is localized to the right breast and is associated with tenderness upon touch, it would be prudent to see a healthcare provider. You can start by visiting a primary care physician or a gynecologist, who can perform a thorough examination and may recommend further imaging studies, such as a breast ultrasound or mammogram, to rule out any underlying issues.


Self-Care Measures
While waiting for your appointment, there are several self-care measures you can take to alleviate breast pain:
- Supportive Bra: Wearing a well-fitted, supportive bra can help reduce discomfort, especially during physical activities.

- Warm Compresses: Applying a warm compress to the affected area may help soothe pain and reduce tenderness.

- Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help alleviate pain and inflammation.

- Dietary Adjustments: Some women find that reducing caffeine and high-fat foods can help lessen breast pain.


Conclusion
In summary, breast pain can be attributed to various factors, with hormonal changes being the most common cause. However, persistent or severe pain warrants a medical evaluation to rule out any serious conditions. Consulting with a healthcare provider will provide you with the best guidance tailored to your specific situation. Remember, early intervention is key to addressing any potential issues effectively.

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