Breast Swelling and Tenderness During Premenstrual Period

Breast Swelling and Tenderness During Premenstrual Period
Source – NUA

Before their monthly periods, women with this condition often discover huge, benign (noncancerous) lumps in their breasts. When pressed on, these lumps may move, but they usually subside after your period is over.

Breast Swelling and Tenderness During Premenstrual Period

Premenstrual breast enlargement and discomfort, also known as cyclical mastalgia, is a significant source of anxiety for women. The symptom is one of many in a category known as premenstrual syndrome, or PMS. Premenstrual breast swelling and soreness might be an indication of fibrocystic breast disease. Fibrocystic breast disease refers to painful, lumpy breasts that occur prior to the menstrual cycle.

Before their monthly periods, women with this condition often discover huge, benign (noncancerous) lumps in their breasts. When pressed on, these lumps may move, but they usually subside after your period is over.

The degree of PMS-related breast discomfort varies. Symptoms often peak soon before menstruation starts, then lessen throughout or shortly after a menstrual period. The symptoms are usually more of an irritation than a major medical problem. Nonetheless, if you are concerned about changes in your breasts, see your doctor. Sore breasts might be a sign of menopause or a number of other health issues.

Source - Flo

Causes Of Premenstrual Breast Swelling And Tenderness

The majority of premenstrual breast swelling and tenderness is caused by fluctuating hormone levels. During a regular menstrual cycle, your hormones increase and decrease. Each woman’s hormonal fluctuations occur at a different time. Estrogen causes the ducts of the breast to expand. The milk glands enlarge as a result of progesterone production. Both of these occurrences might induce soreness in your breasts.

Estrogen and progesterone levels rise in the second half of the cycle, which lasts 14 to 28 days in a “normal" 28-day cycle. Estrogen levels peak in the middle of the cycle, whereas progesterone levels increase in the week leading up to menstruation.

Estrogen-containing medications may also trigger breast changes such as soreness and oedema.

Symptoms Of Premenstrual Breast Swelling And Tenderness

The major signs of premenstrual discomfort and swelling are tenderness and heaviness in both breasts. Some women may also have dull aching in their breasts. To the touch, your breast tissue may feel thick or gritty. Symptoms usually occur a week before your period and vanish practically quickly after menstruation begins. The majority of women do not encounter excruciating pain.

In rare circumstances, breast soreness interferes with the daily routines of some women of reproductive age and is not always related to the menstrual cycle.

Premenstrual breast swelling and discomfort normally lessen as menopause approaches due to the natural shift in hormone levels that occurs as a woman matures. PMS symptoms might be similar to those of early pregnancy; discover how to tell the difference.

When To Consult A Doctor

Breast changes that are sudden or concerns should be addressed with your doctor. While most premenstrual breast pain and swelling are harmless, they may be signals of infection or other medical issues. If you experience any of the following symptoms, please contact your doctor:

  • breast lumps that are new or changing
  • discharge from the nipple, particularly if it is brown or bloody
  • breast soreness that makes it difficult to sleep or complete everyday duties
  • unilateral tumours or masses found just in one breast

Your doctor will do a physical exam, including a breast exam, and will inquire about your symptoms. Your doctor may want to know about the following:

  • Have you seen any nipple discharge?
  • What other symptoms (if any) do you have?
  • Is there pain and tenderness in the breasts with each menstrual period?

During a breast exam, your doctor will feel for lumps and take notes on their physical features. Your doctor may also teach you how to appropriately do a breast self-exam if you ask.

If your doctor notices any unusual changes, they may recommend a mammogram (or an ultrasound if you are under age 35). Mammography examines the interior of the breast using X-ray imaging. During this examination, the breast is squeezed, or flattened, between an X-ray plate and a plastic plate to obtain a clear picture. This test may produce pain or a pinching feeling for a short period of time. If the lumps seem to be cancerous, a biopsy (tissue sample from the breast lump) may be required in certain circumstances (cancerous).

Breast Swelling Treatment

Premenstrual breast pain may be efficiently treated with nonsteroidal anti-inflammatory medications (NSAIDs), such as:

  • acetaminophen
  • ibuprofen
  • naproxen sodium

These Drugs May Also Help With Cramps Caused By PMS

Women experiencing moderate to severe breast swelling and pain should visit their doctor to determine the best approach. Diuretics may help to alleviate oedema, tenderness, and water retention. Diuretic drugs, on the other hand, enhance urine flow and may raise your risk of dehydration. Use such medications with caution and in accordance with your doctor’s instructions.

Hormonal birth control, such as oral contraceptives, may help ease your premenstrual breast symptoms. If you have significant breast pain and do not want to get pregnant in the near future, talk to your doctor about these alternatives.

If your pain is severe, your doctor may prescribe Danazol, a medication used to treat endometriosis and the symptoms of fibrotic breast disease. Because this medication has substantial negative effects, it should only be taken after previous treatments have failed.

Lifestyle Remedies

Changes in lifestyle may also assist with premenstrual breast swelling and pain. When your symptoms are at their worst, use a supportive sports bra. You may also opt to wear the bra at night to give additional support while sleeping.

Breast discomfort might be worsened by a poor diet. Caffeine, alcohol, and high-fat, high-salt meals may all make you feel terrible. Reducing or eliminating these foods from your diet a week or two before your period may help you manage or avoid symptoms.

Certain vitamins and minerals may also aid in the relief of breast pain and other PMS symptoms. To relieve PMS symptoms, the U.S. Department of Health and Human Services Office on Women’s Health suggests 400 international units (IU) of vitamin E and 400 milligrammes of magnesium daily. There are several possibilities available here. Because supplements are not regulated by the FDA, buy from a trustworthy manufacturer.

Select a range of foods that are high in these nutrients, such as:

  • peanuts
  • spinach
  • hazelnuts
  • corn, olive, safflower, and canola oils
  • carrots
  • bananas
  • oat bran
  • avocados
  • brown rice

Your doctor may also advise you to take vitamin supplements.

Self-examinations may also aid in the monitoring of changes in breast tissue. Women in their 20s and 30s, according to the American Cancer Society (ACS), should undertake breast self-exams once a month, generally after their monthly period, when swelling and soreness are at their least. Mammograms are recommended after the age of 45, however, they may be performed sooner. If you are at low risk, your doctor may suggest mammograms every two years or more.

Exercise may also help with PMS symptoms such as breast tenderness, cramping, and exhaustion.


Premenstrual breast tenderness and swelling are often efficiently controlled with home care and when required, medication. If changes in lifestyle and drugs do not help you feel better, see your healthcare professional.


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