How can there be breast tenderness and pain before menstruation? What is the reason?

Patient's question:

Please ask: How can there be a sensation of breast tenderness and fullness before menstruation, and is it related to breast disease? I didn't seem to have this symptom before? I have always had menstrual pain, and I have taken a lot of traditional Chinese medicine and Western medicine, but it hasn't helped. It's still the same now. Once, while taking traditional Chinese medicine, I felt breast tenderness and fullness. At the time, I thought it was nothing, maybe just the effect of the medicine. After finishing the medicine, it might have gone away, but then again, later, before menstruation, there was always the sensation of fullness and tenderness. I would like to ask the experts what could be the reason? Thank you.
First question supplement: First of all, thank you very much for your answer!
The sensation of tenderness and fullness only occurs before menstruation and disappears afterward, so it should be fine.

Doctor's answer:

Hello, premenstrual breast tenderness and pain are symptoms that many women experience. Generally, there is no need to worry excessively. Most women experience breast hardness and tenderness before their period, which is primarily due to increased estrogen levels leading to breast hyperplasia and edema between breast tissues. This condition typically resolves after the menstrual period ends.
In Traditional Chinese Medicine (TCM), the principle is "pain arises from blockage, and blockage leads to pain." Premenstrual breast tenderness and pain are caused by hormonal changes during that time, resulting in stagnation of qi and blood, impaired circulation, and congestion in the breasts, leading to discomfort. It is recommended to use TCM for regulation, which can include oral herbal medicine, acupuncture, and massage therapy to alleviate menstrual symptoms.

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