Breast Pain: When to Seek Medical Advice After Menstruation - Surgery

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Breast pain


Hello, I usually experience breast tenderness before my period, which subsides after menstruation.
However, recently, even after my period, I still feel pain when I press on my breasts, especially in the lower part.
I went to a gynecologist for an ultrasound, and they said there were no abnormalities.
They suggested it might be hormone-related, but I find the tenderness uncomfortable.
Should I see a doctor again for medication or what should I do? Thank you.

Niming, 20~29 year old female. Ask Date: 2015/06/23

Dr. Yu Mingchang reply Surgery


Hello: You can schedule an appointment at the outpatient breast clinic for another ultrasound examination.
The staff at Changhua Hospital are here to assist you.

Reply Date: 2015/06/23

More Info


Breast pain, also known as mastalgia, is a common concern among women, particularly in relation to hormonal fluctuations during the menstrual cycle. It is not unusual for women to experience breast tenderness or pain before menstruation, which typically resolves after the period begins. However, if you are experiencing persistent pain after your menstrual cycle, particularly if it is localized and does not improve, it is essential to consider a few factors and seek appropriate medical advice.

Firstly, it is important to understand that breast pain can be classified into two main types: cyclical and non-cyclical. Cyclical breast pain is related to hormonal changes and is often experienced in the days leading up to menstruation. Non-cyclical pain, on the other hand, can occur at any time and may be due to various factors, including trauma, infection, or other underlying conditions.

In your case, since you have already undergone an ultrasound examination that did not reveal any abnormalities, it is possible that the pain you are experiencing is still related to hormonal fluctuations. Hormonal imbalances can lead to breast tissue sensitivity, resulting in discomfort even after your menstrual period has ended. This is particularly common in women who may be experiencing changes in their menstrual cycle, such as perimenopause or other hormonal conditions.

However, since you mentioned that the pain persists and is localized to the lower part of the breast, it is advisable to monitor the situation closely. If the pain worsens, becomes more frequent, or is accompanied by other symptoms such as swelling, redness, or discharge, you should seek medical attention promptly. It may be beneficial to consult with a healthcare provider who specializes in breast health or a gynecologist for a more thorough evaluation.

In terms of management, there are several approaches you can consider to alleviate breast pain:
1. Pain Relief Medications: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help reduce discomfort. However, it is essential to use these medications as directed and consult with a healthcare provider if you have any concerns.

2. Supportive Bras: Wearing a well-fitted, supportive bra can help alleviate discomfort, especially during physical activities.

3. Warm Compresses: Applying a warm compress to the affected area may provide relief from pain and tenderness.

4. Lifestyle Modifications: Reducing caffeine intake, maintaining a healthy diet, and managing stress through relaxation techniques can also help mitigate breast pain.

5. Hormonal Treatments: If hormonal fluctuations are determined to be the cause of your breast pain, your healthcare provider may discuss hormonal treatments or adjustments to your current medications.

6. Follow-Up: If the pain persists despite these measures, or if you have any new concerns, it is crucial to follow up with your healthcare provider. They may recommend further imaging studies or refer you to a specialist for additional evaluation.

In conclusion, while breast pain can often be attributed to hormonal changes, persistent or localized pain warrants further investigation. It is always better to err on the side of caution and seek medical advice if you have concerns about your symptoms. Your health and peace of mind are paramount, and a healthcare professional can provide you with the best guidance tailored to your situation.

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