Patient's question:
Sometimes my breasts hurt, and sometimes they don't. What's the matter? Does the pain have anything to do with sexual activity, or is it related to physiological phenomena? I always get pain before my period. Is that normal? I'm very scared. Please answer from a professional.Doctor's answer:
Hello! First of all, I wish you a speedy recovery! I will discuss the issue of "breast pain in women" with you. Many women often experience breast pain. Medical workers, after long-term observation and research, have found that women mainly have six types of breast pain.1) Breast pain during puberty generally occurs between the ages of 9 and 13. After the first menstrual period, the pain usually disappears on its own. Besides breast pain, what other embarrassing issues do girls face during puberty? Experts tell you: Girls mature quietly vs How girls recognize their breasts
2) Breast pain before menstruation Many women experience breast fullness, hardness, and tenderness before their period. In severe cases, even slight bumps or collisions can cause discomfort. This is due to the increase in estrogen levels before menstruation, breast hyperplasia, and edema in the breast tissue. These changes usually disappear after the period. In fact, some degree of emotional changes before menstruation are a physiological response for most women and do not cause them pain. However, for some women with severe mental and physical symptoms, as well as their husbands, the recurring pain can become a source of distress. These specific symptoms are medically referred to as "premenstrual tension syndrome."
3) Breast pain during pregnancy Some women experience breast pain around the 40th day of pregnancy due to the large secretion of estrogen, progesterone, and prolactin by the placenta and chorion, leading to breast enlargement and pain. In severe cases, the pain can last throughout the pregnancy and does not require treatment. In the early stages of pregnancy, the breasts may enlarge slightly and become firmer and heavier. There may be a feeling of fullness and tenderness in the breasts. The areolas, which are dark yellow and dotted, may appear more prominent. Women over the age of 30 may feel generally unwell during pregnancy, including breast tenderness. Some small tips can make your pregnancy life more comfortable.
4) Breast pain after childbirth Breast fullness, hardness, and pain often occur 3 to 7 days after childbirth. This is mainly due to lymphatic retention in the breast, engorged veins, interstitial edema, and blocked breast ducts. From the moment a woman leaves the delivery room, she begins her "postpartum recovery period." How well this recovery goes directly affects whether she will have long-term complications. Therefore, expectant mothers should learn about postpartum care in advance, especially what to do on the first day after childbirth.
5) Breast pain after induced abortion This occurs when pregnancy is suddenly interrupted, leading to a sharp drop in hormone levels, which causes the newly developed breasts to stop growing abruptly, resulting in breast lumps and pain. Experts believe that induced abortion should be approached with great caution and should be avoided if possible. Induced abortion is like digging a wound in good flesh—it harms the body.
6) Breast pain after sexual intercourse This is related to the physiological changes in the breasts during sexual activity. Those with low libido or an unsatisfactory sexual life may find it difficult for the breasts to return to their normal state after intercourse, or the congestion and enlargement may not fully subside. Persistent congestion can lead to breast pain. Women need not worry about this at all. However, if the pain does not subside for a long time, worsens, or if lumps with irregular shapes, unclear margins, and poor mobility are found when touching the breasts, it is important to seek medical attention promptly.
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