Is breast tenderness normal after menstruation?

Breast swelling and pain after menstruation may be a normal physiological phenomenon, or it may be related to pathological factors.

Fluctuations in estrogen and progesterone levels during the menstrual cycle may cause congestion and edema in breast tissue, causing swelling and pain. This physiological distension and pain usually manifests as mild tenderness or tenderness in both breasts. Hormone levels decrease after menstruation, and the symptoms usually resolve naturally within 3-5 days. Daily discomfort can be improved by wearing a wire-free bra, reducing caffeine intake, and applying local heat.

If the pain lasts for more than 7 days or is accompanied by unilateral lumps, nipple discharge, orange peel-like skin changes and other symptoms, pathological factors such as breast hyperplasia, breast cysts or mastitis need to be considered. Breast hyperplasia may be related to endocrine disorders, manifesting as breast nodules with periodic pain ； Breast cysts are mostly benign fluid cysts with elastic masses upon palpation. ； Mastitis is common during lactation and is accompanied by inflammatory reactions such as redness, swelling, heat and pain. Pain caused by pathological factors needs to be diagnosed clearly through breast ultrasound and mammography.

It is recommended to perform a breast self-examination on the 7th to 10th day after menstruation every month. Use the fingertips to touch each quadrant of the breast clockwise and pay attention to any abnormal lumps. Maintaining a regular schedule and moderate exercise can help regulate endocrine. Daily intake of 300-500 grams of dark vegetables can help estrogen metabolism. If swelling and pain affect daily life or abnormal signs are found, you should promptly go to a breast surgery department to check for organic diseases.