Breast pain before period

Introduction Premenstrual breast pain refers to breast pain before menstruation, and sometimes can feel the induration of pain. More than half of the women, before menstruation, have breast fullness, hard, tenderness; severe breasts with slight vibration or collision can be painful and uncomfortable, the original granule or nodular sensation is more obvious. This is due to increased estrogen levels in the premenstrual body, hyperplasia of the mammary glands, and interstitial edema. After the menstrual cramps, the above changes can disappear. There are many women who have breasts full, hard and tender before the menstrual cramps; severe breasts with slight vibration or collision will be uncomfortable.

Cause

Due to the increase in estrogen levels in the pre-menstrual, breast hyperplasia, caused by tissue edema in the milk room.

an examination

Related inspection

Endocrine function test chest CT examination

A week before the menstrual period, the breast is felt by hand, and the pain will naturally disappear after menstruation.

Differential diagnosis

Differential diagnosis of breast pain before menstruation:

1, breast redness and heat pain: redness and heat pain is a typical clinical manifestation of inflammation, if there is redness and heat pain in the breast, it is likely to be an inflammatory disease of the breast, such as acute mastitis, breast duct dilatation syndrome Wait. In addition, you need to be alert to the possibility of inflammatory breast cancer. Acute mastitis is the most common acute suppurative infectious disease in the breast. It often occurs during lactation. There is often a history of nipple cleft palate or milk deposition before the onset of the disease. The breast is red and swollen and hot, the pain is severe, and the systemic symptoms are accompanied by obvious fever. After pus, it can be broken or cut open, and the pus will be red, swollen and painful. The ductal dilatation syndrome is also called plasma cell mastitis. It occurs in non-lactation period, and there is often a history of nipple discharge before onset. Breast mass, followed by local redness and heat pain, the pain is often not very intense, and the systemic symptoms are not obvious, the later mass softens, forming an abscess, often forming a fistula after rupture, the wound does not converge or repeatedly collapse; inflammatory breast cancer It occurs mostly during pregnancy and lactation, the onset is rapid, the disease progresses rapidly, the affected side is red and swollen, and it affects the entire breast in a short time. It is easy to invade the axillary lymph nodes and the contralateral breast. Generally, there is no obvious systemic symptoms, and anti-inflammatory treatment is invalid. Generally, skin ulceration does not occur and the prognosis is dangerous.

2, breast tingling: the symptoms of breast hyperplasia are mainly characterized by periodic pain in the breast. At first, it was a painful pain, and the tenderness was obvious in the upper and middle upper parts of the breast. The pain was exacerbated before menstruation every month, and the pain decreased or disappeared after menstruation. In severe cases, persistent pain was observed before and after menstruation. Sometimes the pain radiates to the ankle, shoulders, upper limbs, and the like.

3, breast pain: breast pain caused by physiological or pathological changes in women at different times. Often divided into pathological and physiological. A week before the menstrual period, the breast is felt by hand, and the pain will naturally disappear after menstruation.

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