What are the reasons for breast pain?

Patient's question:

Medical Description: What are the causes of breast pain?

Doctor's answer:

I. Breast Tenderness During Puberty: The earliest breast tenderness in girls usually occurs between the ages of 9 and 13, when the breasts begin to develop and there may be mild tenderness. After menarche, as the breasts mature, the tenderness will resolve on its own.
II. Premenstrual Breast Tenderness: Many women experience breast fullness, hardness, and tenderness before menstruation, with severe cases feeling painful even from slight vibrations or collisions. This is caused by the increase in estrogen levels in the body before menstruation, leading to breast hyperplasia and tissue edema. These changes typically disappear after menstruation.
III. Breast Tenderness During Lactation: Some women experience breast tenderness around the 40th day of pregnancy due to the large secretion of estrogen, progesterone, and prolactin by the placenta and chorionic villi, causing breast enlargement and resulting in tenderness. In severe cases, this discomfort may persist throughout the entire pregnancy.

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