Armpit Pain: Causes and When to Seek Help - Surgery

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Axillary pain


Hello Dr.
Lee, I would like to ask you about something.
About 4 to 5 days before my menstrual period this month, I experienced some pain and slight swelling in my left armpit.
Is this a normal phenomenon, or could it indicate something abnormal? Thank you for taking the time to respond.

Xin, 20~29 year old female. Ask Date: 2015/11/09

Dr. Li Zhonghuai reply Surgery


Hello! Breast tenderness during menstruation is a normal phenomenon.
However, if you are experiencing pain and swelling in your left armpit, please visit a nearby hospital for an ultrasound examination in the general surgery or breast surgery outpatient department.
Wishing you a speedy recovery!

Reply Date: 2015/11/09

More Info


Armpit pain can be a concerning symptom, especially when accompanied by swelling or tenderness. In your case, experiencing pain and slight swelling in the left armpit a few days before your menstrual period may be related to hormonal changes that occur during the menstrual cycle. This is often due to the hormonal fluctuations that can lead to breast tissue swelling and tenderness, which may extend to the surrounding areas, including the armpit.

However, while hormonal changes are a common cause of such symptoms, it is essential to consider other potential causes of armpit pain. Here are some possible explanations:
1. Hormonal Changes: As mentioned, the menstrual cycle can cause breast tissue to swell and become tender, which may lead to discomfort in the armpit area. This is often temporary and resolves with the onset of menstruation.

2. Lymph Nodes: The armpit contains lymph nodes that can become swollen due to infections, inflammation, or other conditions. If you have had a recent infection, such as a cold or flu, this could lead to swollen lymph nodes, resulting in pain.

3. Muscle Strain: If you have engaged in physical activities that involve the upper body, such as lifting or exercising, you may have strained the muscles around the shoulder or armpit, leading to pain.

4. Infections: Conditions such as abscesses or infections in the skin or underlying tissues can cause localized pain and swelling. If there is redness, warmth, or pus, this may indicate an infection that requires medical attention.

5. Cysts or Tumors: While less common, cysts or tumors in the breast or surrounding tissues can cause pain and swelling in the armpit area. If the pain persists or worsens, further evaluation may be necessary.

When to Seek Help:
- If the pain persists beyond your menstrual cycle or worsens over time.

- If you notice significant swelling, redness, or warmth in the area.

- If you experience other symptoms such as fever, night sweats, or unexplained weight loss.

- If you feel a lump or mass in the armpit or breast area.

In summary, while it is possible that your symptoms are related to hormonal changes associated with your menstrual cycle, it is essential to monitor your symptoms closely. If the pain does not resolve or if you have any concerns about the nature of the pain, it would be prudent to consult a healthcare professional for a thorough evaluation. They may perform a physical examination and, if necessary, imaging studies or blood tests to determine the underlying cause of your symptoms. Early intervention can help address any potential issues and provide peace of mind.

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