Persistent Breast Pain After Menstruation: Fibroadenoma Concerns Explained

Q: Persistent Breast Pain After Menstruation: Fibroadenoma Concerns Explained

Dear SS： <br>1. <br>It may be caused by abnormalities in female hormones within the body. <br>Any factors that affect ovarian function can lead to this, such as emotional stress, sleep issues (insomnia, staying up late), and fatigue. <br>In terms of diet, it is advisable to reduc

Breast pain has persisted for nearly a month, with a history of surgery for a fibroma?

I experienced breast tenderness before my menstrual period this month, initially thinking it was just normal premenstrual discomfort that would improve after menstruation.
However, this time my menstrual flow was light and not very bright red.
I had an ultrasound at the gynecologist, and the doctor indicated that my uterus and ovaries were normal, ruling out pregnancy.
Now, it has been two to three weeks since my period ended, almost a month, and I still have persistent breast tenderness.
Sometimes, I also experience random sharp pains when I’m not menstruating.
I previously had surgery for a breast fibroadenoma, but less than six months later, a new two-centimeter lump has developed beneath the surgical site.
I would like to know if this could indicate a change in the fibroadenoma or if it is normal.
This issue is really troubling me...
Please help me with an answer.
Thank you.

SS, 20~29 year old female. Ask Date: 2013/04/23

Dr. Zhou Jiazhen reply Breast and Thyroid

Dear SS:
1.
It may be caused by abnormalities in female hormones within the body.
Any factors that affect ovarian function can lead to this, such as emotional stress, sleep issues (insomnia, staying up late), and fatigue.
In terms of diet, it is advisable to reduce high-fat foods and foods containing caffeine, among others.
(This is not necessarily a structural issue.)
2.
If there is a history of fibrous cysts, pain may occur.
Changes in fibrous cysts are common benign changes in women, and it is important to have regular follow-ups (every 6-12 months).
Wishing you peace and health,
Director of Surgery, Taoyuan Hospital, Department of Health,
Zhou Jiazhen

Reply Date: 2013/04/23

More Info

Persistent breast pain after menstruation can be concerning, especially for someone with a history of fibroadenoma. Fibroadenomas are benign tumors of the breast that are common in young women and can sometimes cause discomfort or pain. However, it is important to differentiate between normal breast pain related to hormonal changes and pain that may indicate a more serious condition.

In your case, the persistent breast pain that continues even after your menstrual cycle has ended, especially in conjunction with the recent growth of a new lump, warrants further investigation. While hormonal fluctuations can cause breast tenderness and swelling, the fact that you have a history of fibroadenomas and are experiencing new symptoms suggests that a thorough evaluation is necessary.

Here are some key points to consider:
1. Hormonal Influence: Breast tissue is sensitive to hormonal changes throughout the menstrual cycle. Many women experience breast tenderness or pain before and during menstruation due to estrogen and progesterone levels. However, if the pain persists beyond your menstrual cycle, it may not be solely related to hormonal changes.

2. Fibroadenoma Monitoring: Since you have had a fibroadenoma surgically removed in the past, it is crucial to monitor any new lumps or changes in the breast. Fibroadenomas can recur, and new ones can develop. The fact that you have a new lump measuring two centimeters is significant and should be evaluated by a healthcare professional.

3. Possible Causes of Persistent Pain: There are several potential causes for persistent breast pain, including:
- Fibrocystic Changes: This condition involves the development of cysts and fibrous tissue in the breast, leading to pain and discomfort.

- Infection or Inflammation: Conditions such as mastitis or breast abscesses can cause localized pain and swelling.

- Malignancy: Although less common, any new lump or persistent pain should be evaluated to rule out breast cancer.

4. Recommended Actions: Given your symptoms and medical history, it is advisable to:
- Schedule a Follow-Up Appointment: Consult with your healthcare provider or a breast specialist. They may recommend imaging studies such as a mammogram or ultrasound to assess the new lump and any other changes in the breast tissue.

- Biopsy: If the imaging studies raise concerns, a biopsy may be necessary to determine the nature of the lump and whether it is benign or malignant.

- Pain Management: In the meantime, over-the-counter pain relievers such as ibuprofen or acetaminophen may help alleviate discomfort. Additionally, wearing a supportive bra can provide comfort.

5. Emotional Support: It is understandable to feel anxious about these symptoms, especially with a history of breast issues. Consider discussing your concerns with a trusted friend, family member, or mental health professional to help manage any anxiety related to your health.

In conclusion, while breast pain can often be related to hormonal changes, your history of fibroadenoma and the presence of a new lump necessitate a careful evaluation. It is essential to follow up with your healthcare provider to ensure appropriate management and peace of mind. Early detection and intervention are key in addressing any potential issues related to breast health.

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