Discomfort during two menstrual periods

Patient's question:

Female, 27 years old
Feeling of breast fullness and pain, what is the cause?
Previously, this sensation occurred before menstruation, and the fullness and pain would subside after the period. However, since starting sexual activity last month, I’ve been experiencing breast fullness and pain even before the premenstrual phase, causing discomfort. What could be the reason? Could it be a sign of pregnancy due to inadequate safety measures?
Medical history: Mild breast hyperplasia.
First follow-up question: Detected mild breast hyperplasia during a company health check-up, with lumps. I took two or three boxes of Ru Pi Xiao as prescribed by the doctor, but the issue persists.

Doctor's answer:

Hello: Medication for breast hyperplasia generally requires three to six months. Do not have too much psychological pressure.
Treatment for Breast Hyperplasia:
  In China, most people use traditional Chinese medicine (TCM) for treatment, while in foreign countries, hormone preparations and vitamin supplements are commonly used. Surgical treatment may be necessary if needed.
Examples of Traditional Chinese Medicine:
  Xiao Yao Wan, Xiang Fu Wan, Ba Zhen Yi Mu Wan, Xiao Jin Pian, Ru Zeng Ning Pian, Tian Dun Su Pian
Examples of Western Medicine:
  1. Hormonal drugs, commonly used ones include: Tamoxifen, Bromocriptine.
  2. Vitamin supplements, such as Vitamin E, Vitamin B1, and Vitamin B6.
  Lifestyle Tips:
  1. First, maintain a calm mood and stable emotions, avoiding depression, irritability, and frustration.
  2. Appropriately control fat intake, as it may reduce excessive estrogen levels, so a light diet is recommended.
  3. Eat more foods rich in B-complex vitamins, which are beneficial for the liver to metabolize estrogen.
  4. Actively treat gynecological conditions, such as irregular menstruation, uterine and ovarian inflammation; avoid induced abortion and maintain harmonious sexual life.
  5. For those with breast tenderness and lumps, it is advisable to have a medical examination and learn self-breast examination techniques for self-care.
  6. For patients who cannot rule out cancer, repeated hospital visits for examination are necessary, and a biopsy may be required if needed.
  7. This condition has a long course and tends to recur, so persistent treatment and maintaining a positive attitude are essential.

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