The health of a nation as a whole depends on the health of women in particular, because they are continuers of the human race. To date, in the structure of the incidence of the female population in the first place are malignant diseases of the breast. The cunning of this pathology is the absence breast pain.
It is a well-known fact that the absence of complaints will not force a woman to undergo a breast examination for preventive purposes. Thus, the tumor for a long time may not cause any symptoms, and is often a godsend for the woman herself. That is why it is so important to pay enough attention to teaching the breast self-examination technique. If you have any doubts, you should immediately consult a doctor.
Predisposing factors for breast cancer include:
- genetic predisposition
- uncontrolled oral contraceptives,
- presence of concomitant diseases
- fibrocystic mastopathy.
Anatomical and physiological features of the mammary glands
The mammary glands are a paired glandular organ whose main function is the production of milk after delivery. The size, shape, position of the mammary glands are individual for each woman, and have their own characteristics, depending on age, degree of development of the genital organs, menstrual cycle and pregnancy.
In the structure of the mammary glands allocate 15-20 cloves, each of which has its own excretory duct. In the area of the nipple ducts form the expansion - the milky sinus, in which milk accumulates during lactation. Excretory ducts open at the top of the nipple, which becomes well noticeable during breastfeeding, when the mammary gland performs its function in full. Conical or cylindrical, flat or retracted nipples are an individual feature of every woman. Women face the problem of inverted nipples after the birth of a child when difficulties arise in the process of feeding a baby. Do not forget that the nipple and the areola (areola) are an erogenous zone, which in turn is due to the presence of muscle fibers located close to the skin, and a large number of nerve endings. The mammary gland is represented by glandular tissue, connective and fatty, the ratio of which may be different. The mammary glands have a rich blood supply.
The formation of the mammary glands begins in girls aged 8-9 years, and fully ends by the age of 15. Like any glandular organ, the mammary glands are affected by specific hormones (estrogen, progesterone, prolactin), which influence changes in the excretory ducts and lobules. The number and ratio of these hormones vary in different periods of a woman’s life, during pregnancy and lactation.
Why does chest pain occur before menstruation?
The basis of the causes of chest pains before menstruation is a violation of the correct production of sex hormones. The severity of these changes, in combination with environmental factors, determines the development of a particular pathology of the mammary glands. Chest pain before menstruation may occur in the following cases.
The response of the body during the normal menstrual cycle. Under the influence of progesterone and prolactin in the second phase of the cycle, the breast slightly increases due to stromal swelling and stagnation of venous blood, and women may experience chest pain before menstruation, but not more than four days with good health. This condition is called mastodynia. When the phases of the menstrual cycle change, when the ratio of hormones changes again, the pain disappears. In this case, no specific treatment is required.
Mastodynia in combination with premenstrual syndrome. In addition to chest pains before menstruation, women also have other complaints (headaches, high blood pressure, swelling of the legs and arms, psycho-emotional disorders, etc.). In this situation, the severity of premenstrual syndrome is evaluated, and complex treatment is prescribed taking into account all complaints. Therapy for this condition includes the following activities:
- diet with restriction of liquid and salt, exclusion from the diet of products that excite the nervous system (coffee, strong tea, spices, alcohol, chocolate and others),
- sleep and rest
- walks in the open air,
- dosed physical exercise,
- drug treatment.
Side effect of combined oral contraceptives. On average, pain may be disturbed in the first three months from the start of the drug. If the pain does not go away, and sometimes even increases, it is necessary to consult a doctor to replace the drug, or to cancel oral contraceptives altogether.
Prolactinoma - A benign tumor of the pituitary gland (brain structure), producing a large amount of the hormone prolactin. In this case, the woman is constantly worried about chest pain, and before menstruation may increase pain. In this case, the treatment is only operative, consisting in the removal of the tumor.
Mastodynia as a symptom of mastopathy. This pathology deserves close attention, as not detected and not treated in time can lead to the development of breast cancer.
Mastopathy is a disease of the mammary gland of a benign nature, in which there are pathological growths in the tissues of the gland. More often women at the age of 30-45 suffer.
There are 2 forms of mastopathy:
1. Nodular, with the formation of a node (fibroadenoma or cyst).
2. Diffuse, with a large number of nodes, which, in turn, is divided into mastopathy:
- with a predominance of the fibrous component,
- with a predominance of the cystic component,
- with a predominance of the glandular component,
Diagnosis of mastopathy
- Examination and palpation (palpation).
- Breast ultrasound on the 5-10 day of the menstrual cycle.
- Mammography - X-ray picture of the mammary glands. This method is most informative in the first phase of menstruation.
- In the presence of nodal education do a biopsy (using a thin needle take a piece of gland tissue for histological examination, in order to exclude or confirm malignancy).
- Blood tests for hormones (estrogens, progesterone, prolactin) in different phases of the menstrual cycle.
Treatment of mastopathy
Treatment of mastopathy depends on the form of the revealed pathology. It can be surgical and conservative (drug).
All nodal forms (often fibroadenomas) are subject to removal — that is, that which has a high tendency to degeneration into cancer is removed. There are two options for removal: removal of only the tumor (husking), or removal of part (sector) of the mammary gland, along with a tumor formation.
Drug treatment, in turn, includes hormonal and non-hormonal, or a combination of both. Hormonal drugs are prescribed to correct the amount and ratio of hormones, but only after hormonal blood tests.
Non-hormonal treatment includes a wide range of drugs:
- trace elements
- nonsteroidal anti-inflammatory drugs,
- homeopathic remedies
- enzyme preparations.
Thus, the appearance of chest pain before menstruation should alert the woman. It must be remembered that the timely detection of changes helps to avoid complications, and improve the quality of life.
Causes of chest pain before menstruation
Painful sensations in the chest about 10-12 days before the beginning of menstruation have a scientific name - mastodynia. This phenomenon is absolutely normal, often due to the proliferation of glandular tissue of the mammary glands. This is due to the fact that before the ripe egg cell leaves the follicle (second phase of the menstrual cycle, about 12-14 days), there is a sharp production of estrogen hormones (the body is preparing for pregnancy), which affect the mammary glands. Their fabric has a lobed structure, each of the lobules includes glandular, connective and adipose tissue and has a milky duct. It is in the fatty tissue that estrogens are localized, with an increase in the level of which increases the volume of adipose tissue. Glandular areas also increase in preparation for lactation. Under the influence of prolactin and progesterone, engorgement and swelling of the mammary gland occurs, increasing its sensitivity, hence the pain. Most often, the appearance of such a physiological state in women is promoted by stress and nervous strain.
The intensity of pain in each case is expressed differently, which is determined by many factors that affect hormonal levels (lifestyle, age, health, etc.). About 10-12 days the chest hurts before menstruation, with the onset of menstruation, that is, not the onset of pregnancy, they immediately disappear.
What to do if chest hurts before menstruation
If such a physiological condition does not affect a woman in any way, does not cause discomfort, then she is worried and does nothing. If the chest pain persists even after the onset of menstruation, you should visit a specialist as this is a deviation from the norm, in this case there can be various causes (gynecological diseases, hormonal disorders, colds, nervous stress, tumors, etc.). ).
To worry about chest pain should be a dramatic change in the course of the cycle. For example, your chest before menstruation never really hurt, or vice versa, you always knew about the imminent onset of menstruation because of an unpleasant sensation in the chest - both options are the norm. But if you see that the cycle is not as usual, and repeated several months in a row, then you need to contact a specialist. A visit to a doctor is also worth it, when the usual engorgement and chest pain before menstruation is suddenly not observed. This may be due to a decrease in the level of progesterone, which negatively affects the ability to conceive and bear a child.
To be sure that such a physiological condition is normal in your case, it is recommended to visit a gynecologist twice a year, a mammologist once a year and a breast self-examination once a month (alternately pick up the left breast from the bottom with your left and right hand with your right hand, pads of your index, middle and ring finger of your free hand, feel your chest with spiral movements, starting from the base to the nipple).
If you identify during the self-examination of the seal in the mammary glands or bloody (purulent) discharge from the nipples, you should contact a mammologist, but if there are no such signs, you should visit a gynecologist. Time to identify and eliminate them is a priority. In each case, the doctor acts individually. There are no general methods for troubleshooting.
To establish the cause of chest pain before menstruation, several tests are prescribed:
- Blood test for hormones (prolactin and thyroid hormones).
- Analysis of tumor markers - indicators of the risk of cancer of the female reproductive system.
- Ultrasound of the pelvic organs (7 days after the end of menstruation).
- Breast ultrasound (second phase of the menstrual cycle).
How to reduce pain?
To alleviate unpleasant sensations in the chest before menstruation, an integrated approach is needed, including a second phase diet of the menstrual cycle with restriction of fluid, salt, fat, refusal from tea, coffee, alcohol, from wearing tight, tight or squeezing chest clothes. In the second half of the cycle, specialists may prescribe magnesium containing drugs, hormonal contraceptives, and herbal preparations against the development of mastodynia. It is good to take anti-inflammatory and soothing charges, which include such herbs as sabelnik, tartarnik, nettle, peony, St. John's wort, hollow, string, meadowsweet, dandelion root, celandine, cuff.
To prevent chest pain before menstruation, avoid hypothermia and stress. Most importantly, do not self-medicate, in case of pains that bother you, contact the specialists.
Why does chest hurt before menstruation?
Pain in the mammary glands a few days before the onset of the menstrual cycle is also called mastodia. This state is a variant of the norm. Often its occurrence is explained by the fact that glandular breast tissue grows. This happens due to the fact that before the mature egg is removed from the follicle, there is a sharp production of estrogen, so the body is prepared for conception. These hormones and affect the state of the mammary glands. They are characterized by a lobed tissue structure. All lobes consist of the milk ducts, connective, glandular and adipose tissue. In the latter, hormones estrogens are produced, the increase of which leads to an increase in the amount of adipose tissue. In addition, there is an increase in glandular tissues, as is the preparation for lactation.
The hormones progesterone and prolactin act on the mammary gland in such a way that they heal and swell, become more sensitive, and therefore pain occurs. In most cases, this physiological state appears as a result of stressful situations and psychoemotional stresses experienced by a woman.
The intensity of the painful sensations in each woman is expressed differently. It depends on many things that affect the hormones. Such factors include age, the individual characteristics of the organism, the lifestyle that a woman leads, and much more.
Usually in about 10 days there is pain in the chest before the start of the menstrual cycle. When menstruation comes, that is, conception does not occur, it retreats.
Other causes of chest pain before menstruation
It happens that chest pain is provoked not by physiological factors, but by other, more serious pathological conditions.
The causes of painful sensations in the mammary glands, which are not dangerous, include muscle sprains. This can occur, for example, due to increased physical exertion (long carrying heavy objects in the hands, intense sports training, etc.).
Causes that pose a greater threat to women's health may include the following:
- Changes in hormone levels. Any imbalance in the hormonal background can cause dangerous consequences and disruptions in the functioning of all internal organs.
- Gynecological diseases. Often lead to violations of hormonal levels. In some cases, may be an independent cause of breast pain.
- Inflammation of the mammary glands or adjacent organs.
- Breast Disease. There are provoked by many reasons, accompanied by various symptoms and proceed in different ways. The most common disease that causes pain in the chest becomes mastopathy.
- Benign or malignant tumors. And those and others can cause pain in any phase of the cycle, in particular, and before the start of critical days.
In which cases chest pain is considered a disease.
Any woman, regardless of age, must take care of her own breasts, since the mammary glands are very often exposed to the development of cancer.
The fact that the body develops a pathogenic process, can tell the nature and severity of pain. For example, if the pain syndrome before menstruation has changed, has become stronger or has begun to occur on other days of the cycle, you need to be alert and carefully monitor everything that happens in the body, visit a competent doctor.
With particular attention to all pains in the mammary glands, we must treat the women in the risk group, that is, those with:
- In the past, there have been artificial or spontaneous abortions.
- There is instability of the menstrual cycle, or the complete absence of menstruation.
- There is a genetic predisposition to various diseases of the mammary glands.
- Who has been taking oral contraceptives for a long time, hormone-containing drugs for therapeutic purposes.
- Who abuse fatty and fried foods, sweets, junk food, cigarettes.
If a woman who knows about the nature of the pain in her chest before menstruation, notice any changes in this state, she should visit a doctor. Considered to be a normal, slightly aching pain.
Symptoms for which one should be alert and suspect the development of diseases:
- pain in only one breast,
- rugged nipples and the appearance of discharge from them,
- pain has a wave-like character
- seal formation
- chest spasms
- severe, unbearable pain that does not lead to a normal life.
It should be noted that the pain and hypersensitivity of the breast can significantly increase if pregnancy occurs.Immediately after fertilization, the susceptibility of the nipples to various mechanical effects increases. Such signs may appear even before the delayed menstruation.
What to do when breast pain before menstruation
If this phenomenon does not affect a woman in any way, does not cause serious inconvenience, there is no cause for concern. If the pain does not go away even after the menstruation came, you should consult a doctor, because this is a deviation from the norm.
In this situation, various factors usually cause the pain (gynecological diseases, stress and nervous tension, hormonal imbalance, catarrhal diseases, oncology).
The reason for concern with pain in the mammary glands should be a radical change in the menstrual cycle. For example, earlier, before the start of critical days, there was no particular chest pain, or, on the contrary, it was for such painful sensations that the approaching onset of menstruation could be determined - both options are considered normal. And if a woman notices that the cycle is not going the same way as before, and this is repeated not a single month in a row, in this case it is necessary to visit a doctor. Consultation of the doctor is required in a situation where the usual symptoms in the form of a sore and painful chest are not observed. This is due to a decrease in the production of progesterone, which adversely affects the ability to become pregnant and give birth to a healthy child.
To exclude the presence of pathology, it is necessary to undergo a check-up at the gynecologist every six months, once a year - at the breast specialist. In addition, it is recommended to examine the mammary glands on a monthly basis. To do this, it is necessary to pick up each breast in turn with one hand, and with the help of palpating movements to check the condition of the breast with the other. If during this procedure seals or blood discharge with pus from the nipples are detected, it is necessary to visit the breast specialist as soon as possible. It is necessary to timely detect and eliminate changes that have occurred in the mammary gland. The treatment will be selected by the doctor, it is individual for each specific patient.
To establish the cause of pain in the chest before the critical days, the following diagnostic procedures will be assigned:
- Research on hormones.
- Test for tumor markers.
- Ultrasound examination of the chest and pelvic organs.
How to relieve chest pain
To reduce the pain in the breast before menstruation, it is necessary to address this issue in a comprehensive manner. Measures to help cope with the problem should first include a power adjustment in the second half of the cycle. It is recommended to limit the use of salty and fatty foods, drink less fluid, give up strong tea and coffee, alcoholic beverages. In addition, it is not necessary at this time to wear tight, tight clothing that squeezes the chest. Consultation with the doctor will not be superfluous. He may recommend taking in the second phase of the cycle of funds containing magnesium, hormonal contraceptive drugs, as well as herbal remedies that help avoid the occurrence of mastodynia.
Well help from the sore chest before the onset of monthly folk remedies. For these purposes, using medicinal charges containing plants such as peony, sabelnik, nettle, train, celandine, thistle, dandelion. In addition, you can use the following recipes of traditional medicine:
- Compress of vegetables. Chop the middle beetroots with a grater, add some honey. Take a cabbage leaf, repel it, put the prepared mixture on it and apply it to the sore spot. Cover with plastic and wrap. The tool not only reduces pain, but also helps get rid of lumps in the breast.
- Flaxseeds. They have a beneficial effect on hormones, eliminating imbalances. To improve the condition and reduce breast tenderness, flax seeds should be crushed. To use the received powder on the table spoon twice a day, washing down with a large amount of liquid.
It must be remembered that the use of any medication is fraught with the emergence of various side effects. In addition, each drug has certain contraindications. For this reason, before using them, you should consult with your doctor.
Prevention against the appearance of painful sensations in the chest before menstruation is protection against stressful situations and hypothermia. In addition, you should abandon the squeezing underwear, which leads to impaired circulation, squeezing blood vessels and lymph nodes. With chest pain, you can wear sports bras that do not squeeze the mammary glands, but provide support.
Even if such a condition has arisen, you should not try to treat it yourself. If a woman is worried about chest pain, the first thing she should do is to see a doctor.
Chest pain before menstruation - the norm or not?
Why can swell chest before menstruation? Such a reaction is due to changes in the hormonal level and is associated with reproductive function. The following processes occur every month in the female body: immediately after the end of the menses, the mechanism of maturation of the new egg starts. Then it leaves the ovary and progresses through the fallopian tube to the uterus. The mature egg is ready for fertilization - the period of ovulation. If fertilization has not occurred, it bursts and together with the detached surface layer of the endometrium is excreted from the body, menstruation begins. Before menstruation, the amount of progesterone increases, so there may be:
- irritability, nervousness, fatigue, and other signs of PMS,
- minor back pain
- pulling pains in the abdomen,
- the mammary glands swell and pain is noted.
All the symptoms (except for the last reaction) increases immediately before the onset of bleeding and can continue until it ends. And the discomfort of the mammary glands is noted much earlier: a week before menstruation (or even two). And as they approach, the symptoms subside. This is normal, since three hormones - progesterone, estrogen and prolactin - make the breast fill up.
Enlargement of the mammary glands, tingling, pain and other unpleasant sensations are a sign of preparing the body for a possible pregnancy. That is why the breast first responds to changes in the balance of hormones - during the period of ovulation. And as the menstrual period approaches, the symptoms gradually subside as the body “understands” that the pregnancy has not occurred. If the chest remains enlarged before menstruation, the discomfort persists, this is the physiological norm. After the onset of bleeding, usually all reactions die out and are not disturbed until the middle of the next cycle - that is, until the moment when the body begins active preparation for a possible pregnancy again.
Why are the breasts enlarged? This is a response to changes in the concentration of progesterone, estrogen and prolactin. Active production of these hormones is observed in the period of ovulation. The female breast has a lobed structure, in each lobe there is glandular, connective and adipose tissue. They have milk ducts. In the first half of the menstrual cycle (the time of growth and maturation of the egg) increases the amount of estrogen, which affects adipose tissue. Its volume begins to increase - this is proliferation, a normal reaction. Then the glandular tissue changes: under the influence of progesterone and prolactin, the mammary glands prepare for milk production. As a result, the following changes are noted:
- chest swells and hurts
- its sensitivity increases,
- nipples coarsen slightly (they can appear more clearly, become more sensitive and / or painful, sometimes there is a small discharge of a transparent color).
All these processes are natural, but each woman manifests in her own way. According to various sources, a bright reaction is noted in 40–60%, and during its life its acuity can vary, be constant (every ovulation) or periodic. The level of discomfort is estimated from the minimum, almost imperceptible, to unbearable pain.
Can breast ache before menstruation? Yes, it fits into the concept of "physiological norm", but not always. If a woman for many years did not experience discomfort, and then the first symptoms appeared, then it is worth finding out the reason for such changes. If one chest hurts and the other doesn’t react at all, this can also indicate certain problems. What matters is the strength and duration of sensations, the presence of discharge and their nature, the timeliness of attenuation of symptoms (during menstruation). Do mammary glands necessarily hurt? No, if they increase slightly, then such a reaction should not be. Many women in general may not experience discomfort due to a small monthly swelling of the breast.
Pathology and norm - in medicine, the concepts are relative, each woman has an individual reaction, therefore any changes in the mammary glands should be treated carefully in order not to miss the onset of diseases that can give symptoms similar to natural processes.
How many days before menstruation begins to hurt the chest
Breast augmentation will be natural if it occurs during the period of ovulation and continues until the onset of menstruation. On average, it is considered normal if the first signs appear in 2 weeks. The average menstrual cycle lasts 28-30 days. Accordingly, ovulation occurs on the 14-15 day, it is then that the probability of getting pregnant is maximal, and the uterus and breast are somewhat modified under the influence of hormones. But it happens that the frequency of menstruation differs from the standards: less (24 days or 26) or a couple of days more (a cycle of 32 days is quite rare). Therefore, to determine how many days before menstruation symptoms will appear is easy: you should focus on the middle of the cycle.
It is considered absolutely normal if the mammary glands start to hurt from the moment of ovulation and the discomfort continues until the beginning of menstruation. During this period, sensitivity increases, sometimes the pain threshold is so high that even a simple touch of the laundry to the nipple causes pain.
The discomfort and soreness can be:
- localized: for example, touching the lacteal glands is painless, and the nipples are hypersensitive,
- spilled: there is no specific area, any touch is painful,
- irradiating: gives in the back, in the armpit from the side (on one or both sides) and even down the abdomen.
By the nature of the pain is:
- static (constant)
- periodic (depending on the impact - touches, clicks, etc.),
You can also distinguish the strength (from insignificant to unbearable) pain. If they are minimal, then it is enough to observe “precautions”: when your chest starts to ache, wear loose underwear, choose a comfortable position for sleeping (for example, on the back), choose the right bra (slightly larger in size, from soft material). With severe pain, this is not enough, sometimes you need medication. Symptoms may increase and subside from the time of ovulation (14 - 10 days before menstruation) and until the beginning of menstruation.
Can we assume that such pain is a pathology? If they are caused by hormonal changes in the body, then they fall into the category of “physiological norm,” the intensity of sensations can only be an individual reaction. But pain syndrome may have other pathological causes. Therefore, it is important to determine why it specifically arises.
What happens to the breast before menstruation: the hormonal mechanism of pain development
Let us dwell a little more on the process of ovulation. Until its onset, one egg is inside the follicle, but in the middle of the menstrual cycle, it is released from the follicle cavity and begins its movement into the uterine cavity, moving along the fallopian tube. The duration of ovulation is from 4 to 6 days, this period of the cycle is most favorable for the onset of pregnancy. During ovulation, the following hormones are secreted in a woman’s body:
- Progesterone and estrogen – they contribute to the thickening of the endometrium, preparing it for the adoption of a fertilized egg,
- Oxytocin and prolactin – Due to the harmonious activities of these two hormones, the female body is preparing for breastfeeding, it is these hormones that influence the appearance of painful sensations in the breast.
Usually, chest pain begins to bother a woman in the middle of the menstrual cycle: by this time discomfort is increasing and it is simply impossible to touch the mammary glands because of intense pain. This condition of a woman, in terms of the physiological characteristics of the female body, is normal, because on the 14th-15th day of the cycle ovulation occurs, which is accompanied by a hormonal rearrangement of the female body.
Possible causes of chest pain in women
Let us consider in more detail the main causes of pain in the chest during critical days.
- Ectopic pregnancy,
- Hormonal changes,
- Gynecological diseases (fibrocystic mastopathy, mastitis, polycystic ovary, uterine myoma, tumor-like formations),
- Long-term use of combined oral contraceptives and other hormonal drugs,
- Nervous shocks and frequent fatigue,
- The lack of vitamins and trace elements in the female body that affect the harmonious activity of the organs of the female reproductive system.
Cysts of the mammary glands
If a woman feels a burning sensation in the breast and chest pains become more intense during menstruation, this may be in favor of breast cysts. To the touch, a cyst is a bump, a lump in the breast.
This pathology threatens those women who for some reason refuse to breastfeed. But mastitis can also occur in non-pregnant women, if the body has a high level of prolactin. In this case, when menstruation comes, the chest increases in volume, whines, hardens, swells, becomes hot to the touch. If the breast is sick due to the lack of breastfeeding, you should consult a doctor to obtain recommendations for treatment. The left and right mammary glands can change both separately and together, which leads to more intense pain.
The chest consists of glandular tissue, which is divided by connective tissue strands into lobes, and those, in turn, consist of smaller segments. Each of them has alveoli located at the ends of the milky tubules. The whole gland is located on a kind of cushion of fatty tissue, which penetrates between the lobes.
The growth and development of glandular tissue occurs under the action of female hormones: estrogen, progesterone, prolactin. Changes in the chest are subject to specific phases of the menstrual cycle. When a yellow body develops in the ovary after ovulation, progesterone secretion increases during this time. Under his influence, there is an expansion of the ducts, an increase in the number of alveolar sacs. However, 12–14 days of the luteal phase is not enough for their full development, and as progesterone levels decrease, the alveoli will atrophy. Such changes are repeated monthly.
The mammary gland is subject to cyclic processes caused by the regulation of reproductive function.
If a woman has a sore chest practically from the very beginning of the menstrual cycle, and this does not cause her other troubles, except for some psychological discomfort, then this phenomenon can be attributed to its physiological peculiarities. It is much easier for those who are not at all familiar with the painful sensations in the gland before menstruation - there is no reason to worry. But one should definitely pay attention to one's health when the chest suddenly began to hurt or, on the contrary, ceased. This may indicate some kind of malfunction in the body and requires a qualified diagnosis.
If your chest hurts before menstruation, then you need to look for the cause of such sensations. Most often it is necessary to consider the possibility of the following states:
- Physiological changes.
- Premenstrual syndrome.
- Ovarian dysfunction.
- Breast diseases.
Thus, the chest may hurt due to various reasons. One should not blame everything on the individual characteristics of the organism, since even this, at first glance, everyday symptom, sometimes hides serious disorders in the body.
Before making any decisions, you should find out why your chest hurts before menstruation. This will help medical examination and additional methods.
If during the menstrual cycle a woman feels chest pain, you need to find out if there are any other symptoms that are worth paying attention to. During examination, the doctor interviews the patient and an examination, taking into account the slightest changes in the state of the body that can be detected at the reception. At the same time, all presented complaints require further detailing in order to get maximum information.
Причину боли в груди следует сначала искать в нормальных процессах, протекающих во время различных фаз менструального цикла. After ovulation, gland engorgement is observed, which is revealed in its small edema. As a rule, it should not cause any trouble and it is not necessary that the chest will hurt.
But, as practice shows, most women still feel such changes. For some, this is accompanied by a feeling of distention, and many still talk about pain. But these symptoms, having arisen 10 days before the onset of menstruation, with its arrival cease to disturb. If there is a dramatic change in the usual course of the cycle, and the chest begins to hurt those who have not felt this before, then you need to think about other reasons.
Normally, there may be discomfort in the gland or other discomfort in the second phase of the female cycle.
If the chest is sore enough, then you need to consider the possibility of premenstrual syndrome. This phenomenon is caused by endocrine-metabolic, neuro-vegetative and vascular changes in the body, resulting from a regulatory imbalance. This condition is quite common among modern women and, besides breast augmentation and tenderness, is characterized by the following symptoms:
- Swelling of the limbs.
- Nausea and vomiting.
- Change in appetite.
- Increased urination.
- Accelerated heartbeat.
- Increased fatigue.
- Emotional lability.
Similar symptoms are familiar to many women awaiting the onset of regular menstrual periods. But such phenomena can not be attributed to the physiological.
It is possible that pain in the chest is associated with dysfunction of the ovaries, when hormone regulation of cyclic changes in the glandular tissue is observed to fail. Then the woman will notice the appearance of other signs. These include:
- Irregular menstruation.
- Intermenstrual bleeding.
- Pronounced premenstrual syndrome.
- Lower abdominal pain.
- Lack of ovulatory processes.
- Miscarriage of pregnancy.
- Female infertility.
Such symptoms indicate a serious problem, which is accompanied by impaired reproductive function. In this case, chest pains should be considered as a mandatory indication for a medical examination.
Ovarian dysfunction develops against the background of various conditions, among which may be dangerous diseases.
A common cause of chest pain associated with the menstrual cycle is mastopathy. Under this name, they understand the benign process in the gland, developing on the background of hormonal disorders. It consists in the growth of connective tissue located between the lobules. Initially, a diffuse form of the disease develops, when you can notice a lump in the upper chest and its soreness, which ceases to bother with the onset of menstruation. In case of nodular mastopathy, the chest is very sore, radiating to the shoulder, armpit. There is a discharge from the nipple in the form of colostrum or a clear liquid. Symptoms do not disappear during menstruation.
Long-existing and neglected mastopathy can pose a serious health hazard, as it can transform into a malignant process. Breast cancer is characterized by the following symptoms:
- Pulling of the nipple or skin area.
- The appearance of "lemon peel".
- Hyperemia or edema of a specific zone.
- Various nipple discharge: turbid, with blood, pus.
- Deformation of the gland, symmetry breaking.
On palpation is determined by the seal, soldered to the skin, sedentary. An increase in axillary lymph nodes on the affected side can be noticed.
With the appearance of pain in the gland, especially with some alarming symptoms, you should be aware of oncological alertness.
In order to finally ascertain the origin of the pain, an additional examination should be carried out. This need arises in cases where you can definitely talk about the pathological nature of the symptoms. At the same time using various laboratory and instrumental methods. These include the following:
- Biochemical examination of blood (hormones, tumor markers).
- Analysis of discharge from the nipples.
- Ultrasound (ovarian, mammary glands).
- X-ray mammography.
- CT scan.
According to the results of the study, it will become clear what caused the pathological chest pain. Further activities will be determined by the attending physician.
When a woman is concerned about pain in her chest during the second phase of the cycle, you should determine whether they have a physiological nature. When confirming normal processes, it’s definitely not worth worrying about. Otherwise, it is necessary to undergo a comprehensive examination and appropriate treatment.
Causes of swelling and pain
Why does chest hurt before menstruation? All reasons can be divided into two categories:
The relationship of menstruation and chest pain, that is, physiological reactions, we have already considered. Mastodonia is a term used in such cases. The following manifestations fall under this concept:
- slight soreness
- breast swelling,
- slight discharge (clear, without pus and blood),
- nipple coarsening,
- skin reactions: compaction and roughness.
Most often both breasts swell, but it happens that the reaction of one is more pronounced than in the other. The same symptoms may appear during pregnancy, it can cause a change in hormonal levels when taking hormone-containing drugs.
Swelling of the mammary glands before menstruation may be pathological. The following symptoms cause anxiety:
- only one chest hurts,
- spasms are noted,
- discharge from the chest changes the character: pus or blood streaks appear, they become whitish, yellow,
- skin color changes
- seals can be felt (may be accompanied by clearly localized edema).
These are signs of a number of diseases:
- mastitis: inflammation of the mammary gland of infectious etiology,
- mastopathy: benign hormone-dependent fibrocystic tumor,
- gynecological and hormonal diseases,
If you have a very bad chest pain, other symptoms appear (only one has got sick, for example, the left breast), the symptoms do not subside even after the onset of menstruation, then you should contact a specialist.
It happens that the monthly do not come, but the chest continues to hurt. This may be a sign:
- come pregnancy (normal or ectopic),
- residual effects after spontaneous or conventional abortion,
- benign or malignant tumors,
- diseases that caused hormonal disorders (diabetes mellitus, thyroid pathology, etc.).
Also, the delay occurs during puberty in girls and after giving birth to nursing mothers. During lactation, menstruation is not at all, the body blocks the maturation of the egg until the infant eats mother's milk. Usually menstruation begins only after the end of breastfeeding. But if the lactation level is insignificant or it decreases for natural reasons (as the child grows), unstable menstruation may begin and, accordingly, the reaction of the mammary glands will resume. Sometimes only one hurts, for example, the right breast. This is due to different levels of lactation.
It happens that after childbirth, such manifestations disappear altogether, and later the woman does not feel any discomfort, which was caused by the fact that the mammary glands swell. But if there were no such symptoms before the birth of the child, and after the end of lactation, they appeared, it is necessary to seem to a specialist.
When a delay should first of all make a pregnancy test, perhaps an unpleasant feeling and delay is a completely natural explanation. If the test is negative, then you should look for in pathological processes.
If the pain syndrome does not stop with the arrival of menstruation, this indicates:
- breast diseases of different etiology,
- gynecological diseases
- hormonal imbalance.
As you can see, the factors leading to the occurrence of pain and other sensations are diverse. It is important to determine what caused the reaction. To do this, contact your gynecologist or breast specialist.
Also, anxiety can cause a sudden disappearance of the usual symptoms. This can happen:
- during pregnancy
- at the beginning of menopause,
- as a result of taking hormone-containing drugs (for example, contraceptives),
- more active sex life (regular sexual intercourse contributes to the disappearance of symptoms).
In other cases, you should identify the cause of the changes, consult your doctor.
Duration of pain
How long do breasts hurt before menstruation? If we are talking about physiological manifestations, the duration of the syndrome (swelling, tenderness, etc.) can begin from the moment of ovulation. And end with the onset of menstruation (maximum, on the first - the second day). At this point, there is another change in the balance of hormones, and the causes of the symptoms are eliminated by themselves.
If we are talking about pathological processes, the pain does not disappear during and after the end of the bleeding. And it can start a few days before ovulation. Or not to stop at all (permanent pain). Also may change: its nature, intensity, localization.
If you start to hurt your chest on the eve of menstruation, you can start to do self-diagnosis:
- gently clasp the left gland with your left hand, right with your right hand,
- fingertips (index, middle, nameless) with delicate movements probe the chest,
- Move your arms from the base to the nipple area.
The structure should be homogeneous, the presence of nodules, seals, inhomogeneous areas - a good reason to check with a specialist.
For any changes you should contact:
- To the gynecologist. He will conduct an examination to exclude gynecological diseases, prescribe a complete blood count, hormone and tumor marker tests,
- Visit the mammologist. He will conduct an examination (palpation and examination) and will appoint special laboratory tests (ultrasound, mammography, radiometry).
In accordance with the results obtained, further tactics will be chosen (elimination of unpleasant sensations or treatment of the identified pathology).
How to reduce pain
If the pain is due to physiological features (genetic predisposition, high pain threshold, hypersensitivity of receptors to hormones or their high level), then the following measures can be taken:
- from the moment of ovulation, change the diet: eliminate strong tea, coffee, alcohol, spicy and salty, reduce the consumption of fatty foods and fluids,
- choose comfortable underwear,
- consume vitamins and mineral complexes in sufficient quantities.
If such measures do not bring the desired result, then you should use medication or folk remedies.
If your chest hurts before menstruation, they are prescribed:
- contraceptive hormonal drugs: contribute to the stabilization and some changes in the balance of hormones. Oral contraceptives suppress hormonal activity, which interferes with fertilization, therefore, there will be no associated symptoms,
- nonsteroidal anti-inflammatory drugs,
- drugs containing magnesium.
The course of treatment is prescribed by the doctor based on the results of the diagnosis, taking into account the individual characteristics of the patient.
For the treatment of actively used folk remedies. Herbal medicine is well established as an effective means of eliminating unpleasant manifestations. For relief of symptoms can be used a variety of herbal, which includes:
Since phytopreparations have their own contraindications, their use and treatment should be discussed with a specialist.
It is a benign tumor formation. Sometimes a woman's body reacts to uterine myoma (especially if it grows), mistakenly mistaking it for pregnancy. In this case, the chest begins to swell, tingling appears in the chest (“like chest colitis”). In this case, the menstrual cycle may fail: menstrual or stop altogether, or go constantly.
A few words about the high sensitivity of the female breast during menstruation
In the second half of the menstrual cycle, on the eve of ovulation, the sensitivity of the breast and especially the nipples increases several times. This is due to the process of proliferation: epithelium proliferation is observed in the lobules and ducts of the mammary gland. The blood supply to the mammary glands increases, edema increases, as a result of which the breast swells and adds volume. When the period ends, the nipple sensitivity returns to normal and the discomfort gradually ceases to bother the woman.
Important! If after the end of the month the sensitivity of the mammary glands continues to remain and the pain does not stop, you should consult a doctor.
What changes in the mammary glands accompany pain during menstruation?
Let us highlight the main changes that occur in the mammary glands at a time when a woman began to have critical days:
- When the mammary gland swells, it squeezes the surrounding fascia, contributing to the appearance of pain.
- The glandular tissue of the mammary glands increases in volume, its density increases.
- There is an expansion of the lumen of the ducts of the mammary glands.
- Nipples swell and coarsen, become the most sensitive.
Why does the chest increase and hurt during menstruation?
Approximately a week before the start of critical days, some girls notice a slight breast enlargement in volume, swelling, increased sensitivity, the color and shape of the nipple change somewhat. This picture does not go beyond the norm. However, at the end of the menstrual period, the above symptoms should disappear without a trace.
What is the reason for breast augmentation before and during menstruation? The thing is that after the onset of ovulation, the hormonal balance of a woman changes. The follicle burst, and in its place begins to form a yellow body, which synthesizes the hormone progesterone. He is responsible for the pregnancy and prepares the woman's body for lactation. In the event that pregnancy does not occur, the concentration of progesterone gradually decreases, and at the same time all symptoms associated with swelling and painful sensations in the chest quickly disappear.
And what happens in the female body, if the monthly does not start? In this case, when the breast has increased, swollen, poured more and more, the stomach starts to hurt, and the woman may wonder about a possible pregnancy.
In both cases, you must consult with your gynecologist to make sure that the pregnancy has occurred or to refute it!
Physiological discharge from the chest before menstruation
Breast tenderness before the onset of menstruation may be accompanied by discharge from the nipples: women complain that on the eve of menstruation, and sometimes on the first day of menstruation, when discharge is smeared, fluid is released from the nipples.
How much should it normally stand out? Some healthy women have occasional discharge from the nipples to be 2-3 days before the onset of menstruation. On the eve of the menstrual period, when pressing on the nipple, literally 1-2 drops of a clear liquid may protrude from the breast.
Such poor white discharge is also a variant of the norm. On day 4 of how menstruation went, when daub appears, pain usually subsides, and the woman’s general condition improves.
8 tips from doctors to reduce cyclic pain in the mammary glands
Consider one by one what to do if before the menstruation chest hurts?
- Vitamin therapy. Before the onset of menstruation, you need to saturate your body with vitamins and minerals necessary for its harmonious work. Magnesium, calcium, phosphorus, vitamins of group B (B6, B12), multivitamins play a large role. Sources of magnesium are meat and dairy products, herring, eggs, whole-grain bread, greens, dates, berries.
- Physical Education. Helps to alleviate the state during the onset of monthly exercise (brisk walking, aerobics, swimming, dancing, fitness classes, athletics).
- Painkillers If the chest is sore, you can take painkillers, for example, nurofen, ibuprofen, ibuklin, aspirin, if there are no contraindications. After taking one of these drugs, the pain should subside, which will ease the condition.
It must be remembered that it is worth resorting to the use of painkillers only if very strong pain begins, because a minor pain syndrome is stopped by itself after the onset of menstruation!
- Fight against stress. If possible, stressful situations and nervous shocks should be avoided: adrenaline is secreted in our body both during physical and mental overstrain, which leads to an increase in nipple sensitivity and increased pain in the mammary glands.
- Balanced diet. To improve overall health and normalize metabolism, it is necessary to introduce the following food into your diet:
- Fruits (apples, apricots, grapes, citrus fruits, bananas),
- Low fat dairy products
- Whole wheat bread,
- Warm baths.Before the onset of critical days, it is recommended to take a warm bath, which promotes muscle relaxation, reduced muscle tone, which leads to a decrease in breast tenderness.
- Comfortable underwear. It should not constrain the chest, it is not recommended to wear a push-up bra before menstruation, it strongly presses the chest, which leads to injury of the breast tissue and blockage of the milky ducts.
- Massagechest It is necessary to carry out before menstruation to normalize blood flow in it and the prevention of pain.
Attention! Before using any drug, consult a specialist.
Cyclic chest pains
Chest pain before menstruation is a completely normal process, as it is caused by physiological changes in the body of a healthy woman. Such pains are called cyclic pains, and they bother women of childbearing age. During this period, active progesterone and estrogen. Increasing the concentration of the hormone progesterone leads to swelling of the mammary glands and pain in this area. After menstruation, the level of hubbone is reduced, and the pain passes.
Another reason for pain in the chest is mastopathy. This is one of the most common diseases of the glands. Its manifestations are confused with the symptoms of premenstrual syndrome and at the initial stage miss a serious disorder. Often mastopathy accompanies the period of lactation, as well as observed in women after childbirth.
Pregnancy is also the cause of cyclic pain before menstruation and after them. Each month, the female body prepares for conception and the hormone progesterone prepares the breast for an important event. It is poured, the soft tissues of the mammary glands grow, and if conception does not occur, the pain passes with the menstruation.
But sometimes as a result of hormonal failure after conception, menstruation still begins, and the chest continues to hurt. A woman for a long time does not suspect her interesting position until the remaining symptoms of pregnancy appear.
In addition to hormonal fluctuations, as well as pregnancy, cyclic pains can cause hormonal contraceptives or drugs for the treatment of infertility. For women in menopause, cyclic pains are unfamiliar due to the low concentration of hormones, but if a woman takes hormones, pain can occur.
Non-cyclic pains before menstruation occur for many reasons and are not the norm. They are not associated with hormonal changes. The cause of the pain lies in the anatomical structure of the mammary glands. This kind of pain can occur as a result of injury after surgery. It happens that the pain appears in the chest, but is not related to violations of the mammary glands. This can cause heart pain as well as discomfort due to diseases of the joints, muscles and spine.
In addition to various causes of very severe pain, not directly related to the menstrual cycle, there are precipitating factors caused by hormonal disorders.
Soreness in mastodynia usually occurs in the second phase of the menstrual cycle and is the result of an excess of estrogens or a lack of progesterone. Accompanied by mastodynia characteristic symptoms:
- pressing or aching pain
- swelling, breast augmentation,
- nipple sensitivity,
- discomfort when touched.
Usually, all manifestations occur simultaneously, and mastodynia affects both breasts.
Violation of the ovaries
When the functioning of the appendages is impaired, the soreness appears against the background of an imbalance of hormones, the menstrual cycle is lost and, consequently, the symptoms manifest themselves not only in the ovaries, but also affect the functioning of the mammary glands. The severity and burning sensation in the chest are accompanied by the following signs:
- lower back pain
- pulling pains in the abdomen,
- general malaise,
- high breast sensitivity
- discomfort when wearing underwear.
Benign proliferation of the connective tissue of the breast causes very severe pain before menstruation. It can occur on the background of hormonal imbalance, with inflammatory processes, due to stagnant milk during lactation.
The proliferation of connective tissue begins with the formation of small small nodules. Without treatment, they become larger, and the chest hurts not only before menstruation.
Treatment depends on the cause of the pain. If they are natural and not pathological, therapy is not required. But sometimes women with a low pain threshold simply cannot tolerate severe pain, then they prescribe a treatment to reduce the discomfort. In addition to drugs, it is recommended to change the bra, to reduce physical exertion before menstruation and to pay more attention to rest.
For diseases not related to the work of the mammary glands and the reproductive system, it is important to cure the underlying ailment, and then the pain in the chest will not be disturbed.
With hormonal dysfunction, the only effective treatment is hormone therapy. The lack of hormones is replenished with synthetic analogues, and the excess is suppressed.
In case of cyclic pain, nonsteroidal anti-inflammatory drugs are often prescribed to reduce puffiness and suppress the inflammatory process in the soft tissues of the breast. In some cases, if there are contraindications, use herbal preparations to suppress hormonal activity. This method is used when the mammary glands do not hurt too much.
Before menstruation, a woman should be attentive to her body, her diet should contain all the vitamins and trace elements in full. In case of menstrual disorders, it is recommended to take in addition vitamin complexes, vitamin B6 and magnesium. They have a positive effect on the state of the mammary glands, as well as the level of hormones in a woman’s blood.
The first step in the diagnosis of disorders of the mammary glands is a medical examination. Palpation specialist can confirm or deny the presence in the chest seals, their structure, as well as size. After examination, the doctor will determine whether additional examinations are needed and which ones. If the chest hurts before the menstrual period, palpation may cause discomfort, but it is a necessary measure.
The main survey methods include the following:
- blood tests to determine the level of thyroid hormones, reproductive panel,
- tests for the detection of tumor markers,
- Ultrasound of the pelvic organs on the 7-8 day after the end of menstruation,
- Breast ultrasound in the second phase of the cycle,
The latter method is the most informative, since it can be used to accurately determine the presence of formations, changes in the structure of tissues, as well as determine the location of their localization. The study is carried out in the first phase of the menstrual cycle, when the glands do not change the structure under the influence of hormonal adjustment.
Causes of breast discomfort before the cycle
Why does chest hurt before menstruation? In a healthy woman, the menstrual period is 28-30 days. At 11-15 days of the cycle in the female body, the amount of estrogen increases dramatically (the level of progesterone and prolactin increases). Their number increases due to ovulation, when an egg waiting for fertilization leaves the follicle (this happens in the second half of the menstrual cycle). The body of a woman waits monthly and prepares for conception.
The mammary glands lobular structure. The lobule is formed by connective, glandular and adipose tissues. They have milk ducts. Estrogens are located in adipose tissue. When the level of these hormones increases dramatically, the volume of the fatty component of the breast increases (this phenomenon is called “proliferation”). The structure of the glandular areas also changes - they begin preparations for the production of milk.
The mammary glands under the action of hormones in the middle of the cycle are roughened, an increase in their size occurs. Sensitivity increases by 3-4 times. Such a process provokes pain.
The very nature of the painful sensations is individual. Chest pain before menstruation may be mild, and sometimes even an accidental touch on the nipples of a shirt, a bra causes physical pain and discomfort. Breast pain may be present in one breast or both, strongly given to the armpit, back, down the abdomen. Such nuances depend on the body.
Every 10 women experiences severe breast pain before menstruation every month. The rest of the discomfort is mild. The period before the monthly cycle is accompanied by the following symptoms:
- Pain sensations of one or two mammary glands.
- Increased sensitivity of this area.
- Small nipple discharge.
- Sealing areas of the skin of the breast.
- The appearance of roughness.
How many days before menstruation does your chest start to hurt? A woman may notice changes in the mammary glands 10-12 days before the arrival of menstruation. As soon as menstruation begins, the body understands that pregnancy has not occurred. Proliferation atrophies, resolves, pain passes. If the pain is mild, and other signs of PMS do not bother - there is nothing to worry about. You have no hormonal failure, your body is functioning normally.
Strong mastodynia is common in sensitive women, prone to worry over trifles, suffering from nervous overstrain and depression.
Four out of ten women two weeks before the period of chest pain are accompanied by nipple discharge - this is normal for such a condition of the body before menstruation. But sometimes the familiar sensations of breast discomfort suddenly change: they increase or disappear. Why?
Sudden cessation of chest pain before menstruation
A lot of anxiety is caused by situations when monthly breast discomfort that has already become habitual suddenly ceases to disturb. The reason for this is:
- Change in sex life. If intimate relationships become regular - chest pain before menstruation disappears.
- Coming of pregnancy. Although conception is the opposite, there is an increase in the sensitivity of the breasts and nipples, but there is also the opposite symptom. The disappearance of breast discomfort in pregnant women before the expected menstruation is due to changes in hormonal levels. It manifests itself individually.
- Medication use affects the "care" of painful symptoms. This is how some medications, hormones, and oral contraceptives work. They indirectly affect the level of hormones in the blood of women, which relaxes the muscles of the mammary glands.
- The chest ceases to hurt because of the treating diseases of the breast.
- The arrival of menopause. In women aged 45-55 years, menopause occurs. The period when sexual functions gradually fade away. And the chest stops hurting before the cycle 3-5 years before the start of menopause. This period is called "premenopause." At this time, the menstrual cycle in women becomes scarce, and the discomfort of the breast falls, soon stops completely.
- Hormonal disorders. The reason for the sudden cessation of breast pain before menstruation is a drop in progesterone levels. A decrease in its quantity negatively affects reproductive female functions, lowers the ability of a woman to become pregnant and bear a child.
Why does the chest hurt and there are no menstruation?
Another situation causes anxiety, when the painful sensations of the mammary glands come, they habitually swell, and the woman is waiting for the beginning of the monthly cycle. But menstruation is absent. The reasons are the following situations:
Lactation. After birth, the monthly cycle is restored in 6-24 months. This period is individual for each woman. During the lactation period, prolactin does not “allow” other eggs to ripen, respectively, the menstruation of the woman does not resume. As soon as breastfeeding becomes less than 8-12 times a day, the level of prolactin decreases and the menstrual cycle starts. But the breast becomes painful during the lactation period.
Puberty. At the absence of menstruation and heaviness in the chest girls complain of puberty. In this case, the hormonal system of the young female body is just beginning to become; therefore, such situations are the norm in young women. During this period, young men also experience discomfort and swelling of the mammary glands.
Pregnancy. A common situation, but not the only explanation for the absence of menstruation on the background of breast pain.
Ectopic pregnancy. A health hazard, especially if other warning signs are present: nausea, severe dizziness, fever. If the pregnancy test is negative, the reason is hidden under the disease.
Mastopathy. A common ailment with chest pain is mastopathy. The peak of the disease according to statistics accounts for 30-45 years. The cause of mastopathy is gynecological diseases, hormonal disorders. A benign tumor, in addition to the painful sensations of the mammary glands, is accompanied by nipple discharge (greenish, whitish, brownish).
Cancer Diseases. The cause of pain in the tissues of the mammary glands in the absence of the expected monthly is able to conceal the appearance of malignant tumors. This version of events is rare, but it is the place to be.
Endocrinology problems. In diabetes, adrenal dysfunction and other disorders of the endocrine organs, hormonal disturbances occur. Problems with hormones cause such situations.
Abortion, miscarriage. With such a development of events in women, at first there is a lack of menstruation - this is the norm. The body is rebuilt with the onset of pregnancy, after the interruption of which all functions of the body "turn back". Failures of the monthly cycle pass with swelling and painful sensations of the mammary glands.
Physical injury. The most favorable explanation for chest pain in the absence of a monthly cycle is banal stretching. Remember if you had any physical overload? If the problem is related to stretching of the pectoral muscles, the delayed menstruation is nothing to do with
There are many reasons why this situation occurs. What happened to you, the doctor will tell. During the initial examination, the gynecologist may additionally refer you to an endocrinologist, prescribe some examinations (an ultrasound scan of the pelvic and mammary glands). You will have to pass tests to understand why your chest hurts when the monthly cycle is delayed. Do not postpone the visit to the doctor! Being late is fraught with not only loss of health, but also of life.
The reasons for this phenomenon
Many girls start to panic, feeling the onset of mastodynia, but its occurrence is considered normal, and is associated with changes in hormonal levels.
The period of 7-10 days before the onset of menstruation is the time of preparing the body for the emergence of a new life, and it is not surprising that this is due to serious changes. The formed egg leaves the uterus region - at this very moment conception is most possible.
After the egg matures, a sharp increase in the production of the female hormone estrogen is observed before its release. Thus, the body is preparing for pregnancy. This is what greatly affects the mammary glands.
The breast tissue consists of lobules, each of which includes 3 types of tissue (fat, glandular, connective) and the milk duct. Estrogens are localized in fat cells, and as hormone levels rise, fat volume also increases.
Glandular areas become larger due to preparation for lactation. With the onset of menstruation, these tissues die off, since the pregnancy did not occur, the need for feeding disappears. Regular formation of new tissues, and then their death, is called proliferation. This phenomenon is absolutely normal for all women of childbearing age.
Also in the process of preparing the ovulation for ovulation, progesterone and prolactin are produced. These hormones cause swelling, edema and increased sensitivity of the mammary glands. The most susceptible to such symptoms are women suffering from overstrain, chronic fatigue, stress.
Sometimes it happens that the pain does not go away longer than usual, disappearing only in the first few days of menstruation. If this happened once, there is no reason to sound the alarm - non-critical hormonal abnormalities have occurred.
The absence of other symptoms of PMS is an indication of balanced hormonal levels and good health. If a woman is not disturbed by other disruption of the reproductive system, you can leave aside experiences about this.
How to reduce pain in the mammary glands
Chest pain before menstruation is temporary. They often disappear after the birth of a child, the beginning or restoration of regular sexual life, with the onset of menopause.
Women of childbearing age should be serious about the state of the mammary glands - they are sensitive to any changes, and therefore vulnerable.
When the reason is only in the natural processes, you can try to alleviate the condition on their own. The following measures will help:
- avoiding stress and unpleasant experiences
- preventing hypothermia,
- the use of anti-inflammatory and soothing herbal preparations, decoctions containing at least one of the following components - dandelion root, celandine, nettle, sabelnik, holed with St. John's wort, groundwort, cuff, peony, string, tatarnik,
- choice of loose clothing and a comfortable bra for size larger. Whenever possible, it is better to give up the bra altogether, since it can interfere with the natural blood circulation,
- reducing the amount of fatty and salty foods in the diet, avoiding alcohol, strong tea and black coffee.
If there was pain, but there is no menstruation
More worrying is the situation when the chest has increased, there were discomfort, but the menstrual period did not come. There may be several reasons for this:
- pregnancy, including ectopic,
- puberty (at this time the cycle has not yet been established, and such sensations are the norm),
- mastopathy (then the pain will be accompanied by greenish, brownish or whitish nipple discharge),
- lactation (after childbirth, the body needs to restore the menstrual cycle from six months to 2 years),
- recent miscarriage or abortion (termination of pregnancy requires adjustment from the body to another mode, this takes time),
- sprains of muscles or ligaments
- malfunction of the thyroid gland (the endocrine system controls hormones, on which the state of the reproductive system depends),
- malignant neoplasms.
Certainly determine the factors of abnormal behavior of the body can only specialist.
Reasons for the absence of chest pain before menstruation
It may happen that the habitual symptom disappears. This is due to a drop in progesterone levels. There are several possible ways to explain the fact that the breast before menstruation stops hurting:
- pregnancy. Despite the fact that after conception, the breast usually grows and starts to hurt - the hormonal background of the body of a woman carrying a child undergoes strong changes, therefore such manifestations are extremely individual,
- Start or restoration of regular and active sex life,
- medication, changing hormone levels
- getting rid of mastopathy and other chest diseases,
- the onset of menopause. Occurs in 45-55 years, is associated with the gradual extinction of the functions of the reproductive system. Chest pains before menstruation, other discomfort may stop 2-3 years before.
Female breasts are sensitive to hormonal changes in the body, so pain in this part of the body of varying intensity is accompanied by more than 50% of the fair sex each time before the onset of menstruation.
Preparing the body for conception requires a serious restructuring of all systems, which is particularly acute in the second part of the cycle. 7-10 days before the start of menstruation, the mammary glands increase in size and become more sensitive.
Chest pains are both a normal state of the body, and a sign of violations of its full-fledged work. The real reason can only be determined by a specialist after carrying out the necessary research. Therefore, it is better to visit the gynecologist once more than to eliminate the consequences of a careless attitude to health.
What to do if there is a very strong pain in the chest?
There are cases when the breast glands before menstruation hurt too much, causing agonizing spasms, radiating to the back. Pathology is also considered severe chest discomfort a week before and after the onset of bleeding. In this case, it is necessary to consult a doctor, since health problems can provoke such sensations:
- Impaired ovarian function.
- Hormonal failure of the body.
- Gynecological diseases.
- The development of mastopathy.
If during the self-examination of the mammary glands in addition to the strong pain, you notice nasal discharge (purulent, bloody), induration in the armpits and the breasts themselves, go to the breast specialist. In the absence of such symptoms, problems will be examined and resolved by the gynecologist. With these symptoms, the priority is to understand, identify and eliminate the causes of painful discomfort. To establish the diagnosis will require the following tests:
- Blood for hormonal research (consider the level of hormones prolactin and thyroid).
- Analysis of tumor markers (revealed the risk of malignant tumors of the reproductive system, especially the ovaries, breasts).
In addition to laboratory tests, a woman will undergo a series of ultrasound examinations: on the 7th day after the end of menstruation, the condition of the organs of the pelvic area is checked, and during the second phase of the cycle, an ultrasound of the breasts is performed.
In order to prevent the appearance of threatening symptoms, one must be sure that such a state is an individual physiological norm. To do this, be sure to visit for the prevention of a gynecologist 2 times a year, do not forget to go and see a mammologist once a year. Breast self-diagnosis is performed monthly.
Gently grab the right gland with your right hand and your left grip with your left hand. Use your palms on your index, middle, ring fingers to feel your chest with delicate movements. Begin testing at the base, moving towards the nipple area.
How to reduce breast tenderness
To alleviate the discomfort of the mammary glands before the onset of menstruation, an expanded approach is needed. One of the components of complex measures is diet (stick to it in the second half of the monthly cycle). During this period, limit the intake of fluids, fats (up to 15%), salt, alcohol, coffee, and strong tea. At this time, it is better to abandon the bra - it squeezes swollen mammary glands, lymph nodes, interferes with normal blood circulation and provokes the appearance of pain.
In the second half of the menstrual cycle, doctors may prescribe medications containing magnesium, herbal preventive remedies for the development of mastodynia, and hormonal birth control pills. Helping to reduce the pain threshold soothing fees herbs (nettle, dandelion root, sabrelnik, peony, celandine, tatarnik, cuff, St. John's wort, labazhnik, succession).
Severe pain discomfort is relieved by pain killers: aspirin, ibuprofen, acetaminophen, or naproxen. But medication should be taken only when the pain becomes unbearable. Aspirin is not recommended for persons younger than 20 years - the risk of Raynaud's syndrome is high (a sharp narrowing of blood vessels, leading to trophic changes in body tissues).
For the treatment of severe pain of the mammary glands, doctors prescribe prescription drugs: danazol and tamoxifen-citrate (such drugs are rarely used because they have serious side effects).
Protect yourself from stress during this period! Avoid hypothermia. But the main thing - do not self-treat and do not let the painful states take their course, in the hope that everything will pass and will resolve. Take care of yourself, and the body will not let you down.
Why is this happening?
The sensation of pain in the mammary glands a few days before the menstruation in the medical language is called mastodynia. This manifestation is not pathological, as it occurs due to the proliferation of glandular tissue.
In the second phase of the monthly cycle, the egg, ready for fertilization, leaves the follicle. This happens on average on the 12th day. During this period, rapid production of estrogen begins, which causes chest pain before menstruation.
The tissues of the mammary glands of a woman have the structure of lobules, which in turn consists of adipose and connective tissue and has a milky duct. Estrogen is just in the fatty space, respectively, with an increase in hormone production, the quantitative content of adipose tissue also increases. The mammary glands are also prepared by the body for the intended production of milk. Synthesis of progesterone and prolactin hormones lead to a small swelling and engorgement of the breast, its sensitivity is greatly increased. Therefore, there is pain in the chest before menstruation.
Chest hurts before menstruation
Chest pain in a woman can be expressed in different ways. A number of factors affect their intensity, including:
- age of woman
- general health,
- a lifestyle that is led by a woman.
And if the chest hurts before the menstrual period, then the discomfort disappears normally in the first days of menstruation.
If it increases and swells
An increase and swelling of the mammary glands before menstruation is normal. If the pain is intolerable, or the woman has found a lump in her chest before menstruation, she needs to go to the doctor.
In some cases, the appearance of pain may indicate problems in the reproductive system, such as the ovaries, or a serious hormonal disorder.
What to do?
If the chest is poured before menstruation, but for a girl or woman this condition is habitual and does not cause much discomfort, then there is no cause for concern. But while maintaining pain and after the onset of menstruation, you should immediately consult a doctor.
A woman should pay attention to chest pain in combination with irregular menstruation. If the process is not as usual, this is also a reason to go for a medical consultation.
When asked why her chest hurt a lot before menstruation, a woman should be aware of manifestations that are normal.
The following symptoms should not be a concern:
- pouring and swelling of the mammary glands,
- increasing their sensitivity
- nipple engorgement
- pain when wearing tight linen,
- pain when pressing on the side glands,
- increase in breast volume.
Important: these symptoms can also characterize the onset of pregnancy. If these manifestations are combined with the delay of menstruation, it is necessary to do a pregnancy test.
But chest pain before menstruation may be the cause of serious diseases, for example:
- malignant or benign growths,
- infectious diseases of the mammary glands,
- traumatic effects on the chest.
The following symptoms may indicate the presence of problems and the need for immediate medical attention:
- discharge from the nipples of the breast,
- pain combined with cramps
- pain in one chest,
- change in skin color of the breast,
- the appearance of palpable seals in the mammary gland.
Which specialist to contact?
Problems with the mammary glands - a reason to contact a breast specialist. To identify the source of chest pain, the doctor will diagnose.
Along with the tests, the doctor may order an ultrasound scan to test for a tumor marker, which will help identify the risk of cancer.
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There is no specific treatment for chest pain before menstruation or during it.
If pain is not a pathology, the following remedies will help to alleviate the condition:
- nonsteroidal anti-inflammatory drugs,
- taking magnesium before the onset of menstruation can help avoid severe pain,
- hormonal contraceptives can prevent painful swelling of the mammary glands, but some of them may, conversely, lead to more severe pain as a side effect.
Do not self-medicate, medicines have their own indications and contraindications. Therefore, before taking it is better to consult a doctor.
Chest pain can be the norm or indicate a pathological process in the body. In order to avoid the development of diseases it is important to conduct self-examination, and if you suspect pathology, immediately go to the doctor. It is recommended to visit a gynecologist and breast specialist at least once a year.
In the video about the causes of chest pain