Doctor, I have breast engorgement. Does this mean I am pregnant? However, I took a pregnancy test and it was negative. I'm not sure what is going on?
Doctor, my period just ended 9 days ago and now my breasts are swollen.
I had sexual intercourse the day before my period started, and it has been 18 days since that last encounter.
I took a urine pregnancy test today, which showed that I am not pregnant.
Can I feel reassured? Is the breast swelling due to ovulation?
Niming, 20~29 year old female. Ask Date: 2015/10/17
Dr. Lü Lizheng reply Obstetrics and Gynecology
It has been 18 days since the last sexual intercourse, and the pregnancy test shows negative results, so you can feel reassured.
It is possible that the breast engorgement is due to ovulation and elevated hormone levels.
Sincerely, Dr.
Li-Cheng Lu, Taoyuan Hospital.
Reply Date: 2015/10/17
More Info
Breast swelling and tenderness can be common experiences for many women, especially in relation to their menstrual cycle and hormonal fluctuations. Given your situation, where you experienced breast swelling shortly after your period and had sexual intercourse just before your menstrual cycle, it is understandable to be concerned about the possibility of pregnancy.
Firstly, it is important to note that breast swelling and tenderness can occur due to hormonal changes associated with the menstrual cycle. In the days leading up to ovulation, estrogen levels rise, which can lead to breast tissue swelling and increased sensitivity. After ovulation, if pregnancy does not occur, progesterone levels will also rise temporarily, which can further contribute to breast tenderness. This is often referred to as premenstrual syndrome (PMS) and is a common experience for many women.
In your case, since you mentioned that your last menstrual period ended 9 days ago and you had sexual intercourse just before your period, it is possible that the breast swelling you are experiencing is related to the hormonal changes associated with your menstrual cycle rather than pregnancy. The fact that you took a pregnancy test 18 days after your last sexual encounter and received a negative result is also a strong indicator that you are not pregnant. Most home pregnancy tests are designed to detect the hormone hCG (human chorionic gonadotropin) in urine, which typically becomes detectable about a week after a missed period. Since your period has not been missed and the test is negative, it is unlikely that you are pregnant.
Additionally, breast swelling can also be influenced by other factors such as stress, diet, and physical activity. If you have recently changed your diet, increased your stress levels, or altered your exercise routine, these could also contribute to changes in breast tissue.
If you continue to experience breast swelling, tenderness, or any other unusual symptoms, it may be worth consulting with a healthcare professional. They can provide a thorough evaluation and determine if any further investigation is needed. It is also important to keep in mind that breast changes can occur during puberty, menstrual cycles, and even during times of stress or hormonal fluctuations.
In summary, based on the information provided, it is likely that the breast swelling you are experiencing is related to hormonal changes associated with your menstrual cycle rather than pregnancy. The negative pregnancy test further supports this conclusion. However, if you have any ongoing concerns or if your symptoms worsen, seeking medical advice would be a prudent step to ensure your health and peace of mind.
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