What's wrong with breast swelling and pain after menstruation?

Breast swelling and pain after menstruation may be related to factors such as fluctuations in hormone levels, breast hyperplasia, mastitis, breast fibroadenoma, and breast cancer. It can be relieved through hot compress massage, diet adjustment, drug treatment, surgical resection, etc.

1. Fluctuations in hormone levels

Changes in estrogen and progesterone levels during the menstrual cycle may cause congestion and edema in breast tissue. This physiological swelling and pain usually does not require special treatment and will resolve naturally after menstruation ends. It is recommended to wear loose-fitting underwear to reduce pressure and avoid caffeinated drinks.

2. Breast hyperplasia

Breast hyperplasia may be related to endocrine disorders, manifesting as breast nodules with periodic swelling and pain. The diagnosis can be confirmed through ultrasound examination. Patients with mild symptoms can follow the doctor's advice and use Chinese patent medicines such as Rupixiao Tablets and Xiaoyao Pills for treatment. When the pain is obvious, they can take ibuprofen sustained-release capsules for a short period of time.

3. Mastitis

Blockage of breast ducts during lactation may cause infection, resulting in local redness, swelling, heat and pain. Routine blood tests and breast ultrasound examinations are required. In the acute stage, cefuroxime sodium can be injected intravenously, combined with external application of Jinhuang Powder. When an abscess forms, it needs puncture and drainage.

4. Breast fibroadenoma

Benign tumor growth may compress surrounding tissue and cause dull pain. If ultrasound shows an oval mass with clear borders, a diameter of more than 3 cm or a rapidly growing tumor, Mammotome minimally invasive rotational resection may be considered.

5. Breast cancer

Malignant infiltration may cause persistent pain with nipple discharge. Mammography examination shows sand-like calcifications, and a puncture biopsy is required for diagnosis. Choose breast-conserving surgery or total mastectomy according to the stage, combined with chemotherapy drugs such as docetaxel injection.

On a daily basis, you should pay attention to monthly breast self-examination, choose a suitable bra to avoid compression, and reduce high-fat diet intake. Women over the age of 40 are recommended to undergo breast ultrasound and mammography screening every year. If abnormal symptoms such as painless lumps and orange peel-like skin changes occur, they should seek medical treatment immediately. Maintaining a regular schedule and moderate exercise can help regulate endocrine levels.