Breast Swelling and Pain: Could It Be Pregnancy or Something Else? - Obstetrics and Gynecology

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Chest swelling and pain?


It has been 12 months since my last menstrual period, and I have not had one since.
On December 25, I had sexual intercourse but used withdrawal method without ejaculation.
In mid-January, I started experiencing breast swelling and tenderness, dizziness, nausea, and occasional difficulty concentrating.
As of February 3, my breasts are still swollen and painful, with a similar stabbing pain, dizziness, nausea, and difficulty concentrating.
Could this indicate pregnancy or other symptoms? Additionally, I have noticed a round disc-like structure in the middle of both breasts (since high school).
Is this a tumor or normal?

Nìmíng, 10~19 year old female. Ask Date: 2016/02/03

Dr. Zhang Kunmin reply Obstetrics and Gynecology


Hello, the questioner: In the early stages of pregnancy, there may not be specific symptoms, and subjective symptoms cannot be used to determine pregnancy.
It is recommended to consult a physician to check for pregnancy and to examine the breasts for any tumors.
Thank you! Wishing you safety and health.
Dr.
Zhang.

Reply Date: 2016/02/03

More Info


Breast swelling and pain during pregnancy can be concerning, especially for first-time mothers. Based on the symptoms you've described, it is important to consider several factors that could be contributing to your discomfort.

Firstly, breast tenderness and swelling are common symptoms during pregnancy due to hormonal changes. When a woman becomes pregnant, her body undergoes significant hormonal shifts, particularly an increase in estrogen and progesterone. These hormones prepare the breasts for lactation and can lead to swelling, tenderness, and even pain. This is often referred to as "mastalgia," which can occur in various forms, including cyclical (related to the menstrual cycle) and non-cyclical (not related to the menstrual cycle). In your case, since you are pregnant, the breast pain is likely related to these hormonal changes rather than a menstrual cycle.

Regarding the small lump you mentioned near your armpit, it could be a benign condition such as a fibroadenoma or a cyst, which are common in young women and can become more noticeable during hormonal fluctuations. However, it is essential to monitor any changes in size, shape, or pain associated with this lump. If the pain persists or worsens, or if you notice any unusual changes in the lump, it would be wise to consult a healthcare professional for a thorough evaluation.

You also mentioned experiencing symptoms like dizziness, nausea, and difficulty concentrating. These symptoms can be associated with early pregnancy, often referred to as "morning sickness," which can occur at any time of the day. However, they can also be indicative of other conditions, such as anxiety or stress, especially if you are feeling overwhelmed by the changes happening in your body.

It is crucial to differentiate between normal pregnancy symptoms and those that may require medical attention. If you experience severe pain, significant changes in the lump, or any other concerning symptoms, it is advisable to seek medical advice promptly. A healthcare provider can perform a physical examination and may recommend imaging studies, such as an ultrasound, to assess the lump and rule out any serious conditions.

In summary, while breast swelling and pain during pregnancy are typically normal due to hormonal changes, it is essential to remain vigilant about any unusual symptoms or changes in your body. Regular prenatal check-ups are vital to ensure both your health and the health of your baby. If you have any doubts or concerns, do not hesitate to reach out to your healthcare provider for personalized advice and reassurance.

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