Breast Tenderness: Causes and Timing in Your Cycle - Obstetrics and Gynecology

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What causes breast engorgement?


I would like to ask the doctor, my last menstrual period was from September 5 to September 9, and yesterday, September 22, I started feeling breast tenderness.
My menstrual cycle is approximately 32 days.
Why is this happening?

Niming, 10~19 year old female. Ask Date: 2015/09/23

Dr. Lü Lizheng reply Obstetrics and Gynecology


The response may indicate the ovulation period, during which female hormones rise, stimulating the breasts and causing tenderness.
Sincerely, Dr.
Li-Cheng Lu, Taoyuan Hospital.

Reply Date: 2015/09/23

More Info


Breast tenderness, also known as mastalgia, is a common concern among women and can be influenced by various factors, particularly hormonal changes throughout the menstrual cycle. Based on your description, it seems that you are experiencing breast tenderness approximately two weeks after your last menstrual period, which aligns with the timing of ovulation and the subsequent hormonal fluctuations that occur in the body.

During the menstrual cycle, estrogen and progesterone levels fluctuate significantly. After menstruation, estrogen levels rise, leading up to ovulation, which typically occurs around the midpoint of a 28-32 day cycle. This increase in estrogen can stimulate the breast tissue, causing swelling and tenderness. Following ovulation, progesterone levels rise, which can further contribute to breast tenderness as the body prepares for a potential pregnancy. If pregnancy does not occur, hormone levels will drop, leading to the onset of menstruation, and the cycle begins anew.

In your case, since your last menstrual period was from September 5 to September 9, and you began experiencing breast tenderness around September 22, it is likely that this discomfort is related to the hormonal changes associated with ovulation. This timing suggests that your body is responding to the natural hormonal fluctuations that occur during your cycle.

It is also important to note that breast tenderness can be influenced by other factors, including:
1. Diet and Lifestyle: High caffeine intake, high-fat diets, and excessive salt can exacerbate breast tenderness. Maintaining a balanced diet and staying hydrated can help alleviate symptoms.

2. Stress: Emotional and physical stress can impact hormone levels, potentially leading to increased breast tenderness.

3. Medications: Certain medications, including hormonal contraceptives or hormone replacement therapy, can cause breast tenderness as a side effect.

4. Breast Size and Support: Women with larger breasts may experience more discomfort due to the weight and strain on breast tissue. Wearing a well-fitted bra can provide support and alleviate some discomfort.

5. Underlying Conditions: While most breast tenderness is benign and related to hormonal changes, persistent or severe pain should be evaluated by a healthcare provider to rule out any underlying conditions, such as fibrocystic breast changes or other breast disorders.

If your breast tenderness is mild and correlates with your menstrual cycle, it is generally considered normal. However, if you experience significant pain, changes in breast shape or size, or if the tenderness persists beyond your menstrual cycle, it is advisable to consult a healthcare professional for further evaluation. They may recommend a breast ultrasound or other imaging studies to ensure there are no underlying issues.

In summary, breast tenderness around the time of ovulation is a common experience due to hormonal changes. Maintaining a healthy lifestyle, managing stress, and wearing supportive clothing can help mitigate discomfort. If you have any concerns about your symptoms or if they change in nature, seeking medical advice is always a prudent step.

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