Many women are left with breast pain and swelling before menstruation, something completely normal and expected. But, is this symptom always benign or are there cases in which you should see a doctor to evaluate if the cause of the pain is not something more serious? Below you will discover 8 cases where it is not normal to feel it.

Types of breast pain

There are several causes for some type of chest pain to occur , some may be temporary and without causing concern, however, any unusual cause requires you to pay attention and be able to carry out a check-up , since breast cancer, in The primary stages may not present pain, however it is important to carry out a periodic control.

1. Mastalgia

Mastitis, the scientific name for breast pain, can be classified in two ways:

Cyclic mastalgia: normal pain

It is chest pain that occurs periodically, usually before menstruation . The sensation is the result of the hormonal action in the mammary glands, which are swollen and more sensitive. What is expected is that the sensitivity passes after the menstrual period.

Non-cyclical mastalgia

It is chest pain that is not related to menstruation and is rarer, but it also deserves attention. It can affect one or both breasts. In this case, as in many others, a medical check-up is necessary.

2. Muscle injury

This type of pain that can occur in the chest, occurs as a result of weight training or other physical exercise that requires effort, mainly of the pectoral muscles, which generates a small muscle injury responsible for making the muscles grow . This type of pain in the breasts or chest area should pass in a few days, but if the injury is too severe or the pain persists, consult a doctor.

3. Contraceptives and the hormone replacement pill

Both of these therapies carry hormones that stimulate the mammary glands and can cause breast tenderness. Talk to your doctor about the alternative of changing the medicine, because in addition to causing pain, it can trigger other types of health problems.

4. Puberty

Hormonal changes cause the breasts to grow and become more sensitive, which can be interpreted as pain for some women. However, swelling and tenderness in that area can manifest as one of the symptoms of pregnancy. Therefore it is necessary to consult a doctor as soon as possible.

5. Fibrocystic breasts

Some women have lumps in the breast tissue, which can become more painful before menstruation . In this case, the lumps contain water and are not associated with breast cancer. Symptoms are usually accompanied by swelling and discomfort under the arms. However, there is a very small subset of women with fibrocystic problems who are predisposed to breast cancer. Therefore, periodic control is necessary.

6. Medications that cause breast pain

Digitalis medications (to treat heart failure), some hypertensives such as spironolactone (Aldactone) and methyldopa (Aldomet), some diuretics, or anabolic Anadrol and chlorpromazine, among many others medically, can cause breast pain.

7. Mastitis

This type of breast inflammation is very common in breastfeeding mothers, but it can affect any woman. Symptoms can include the presence of a reddish color, heat in the area, swelling and hardness, it can also be accompanied by flu-like symptoms and fever in some cases.

8. Ectasia ductal

Ductal ectasia occurs when the mammary ducts, responsible for transporting milk, are abnormally dilated. This leads to inflammation and therefore pain in the breasts which can often be very severe.

Does breast cancer cause breast pain?

Tumors of any type generally do not directly cause pain, but some types of breast cancer can cause ulcers and lesions in the breast. The pain, however, can occur when the tumor is more advanced.

By Dr. Eric Jackson

Dr. Eric Jackson provides primary Internal Medicine care for men and women and treats patients with bone and mineral diseases, diabetes, heart conditions, and other chronic illnesses.He is a Washington University Bone Health Program physician and is a certified Bone Densitometrist. Dr. Avery is consistently recognized in "The Best Doctors in America" list.

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