Alternate titles. premenstrual engorgement of mammary glands; premenstrual swelling of the breast
Premenstrual edema and soreness of both mammary glands occur in the second half of the menstrual cycle.
Symptoms of premenstrual pain of the chest(mammary glands) can range from mild to severe. Symptoms usually peak right before each menstruation and improve immediately during or after menstruation.
The tissues of the breast can be dense, rough,to the touch like stone, which, as a rule, is more pronounced in external areas. There may also be a faltering or persistent feeling of fullness of the chest with dull, severe pain.
Immediately before the middle of the menstrual periodthe level of estrogen increases and reaches a peak. This causes an increase in the ducts of the mammary glands. The peak of progesterone is approximately on the 21st day (the 28th day of the cycle) and causes the growth of the lobule of the breast.
Premenstrual swelling and sorenessThe mammary glands are usually associated with premenstrual syndrome (PMS) and fibrocystic mastopathy (benign breast changes). The cause of fibrocystic changes is not fully understood, but they are believed to be related to the hormonal state, which usually improves during menopause.
Premenstrual tenderness of the chest and swelling,probably occur to some extent in almost all women. Symptoms are severe enough to cause anxiety. Limit function may occur in many women at the time of their childbearing age. Risk factors may include: family history, high fat content and excess caffeine.
Causestenderness and swelling of the chest
- menstrual cycle;
- estrogen in medications, including birth control pills;
- teenage pregnancy;
- early pregnancy.
Treatment tenderness and swelling of the chest
- reduce fat intake;
- Reduce consumption of caffeine (coffee, tea, chocolate);
- avoid salt 1-2 weeks before the start of menstruation;
- energetic exercises every day.
Each woman needs to perform a breast check every month. A well-fitting bra should be worn in the afternoon. and at night to provide good breast support.
The effectiveness of vitamin E, vitamin B6 and herbal preparations such as evening primrose oil should be discussed with the attending physician.
Contraceptive pills may be prescribed to reduce symptoms.
Diuretics (diuretics), taken in the premenstrual period, can reduce breast swelling.
Prescription drug "Depo-Provera" canIt will be necessary for those who experience premenstrual swelling of the breast. This drug removes symptoms by eliminating menstrual cycles. However, it has a serious side effect: it can affect the genital functions of women. Therefore, it can not be taken by those who still want to become pregnant.
Danazol - a synthetic androgen (a male hormone)can be used in severe cases where the potential benefit is believed to outweigh the possible negative side effects. If Danazol does not work for a specific case, then Bromocriptine or Tamoxifen may be prescribed.
The patient should call his doctor if:
- there was a new, unusual change or densification in the mammary gland tissue;
- there are unilateral clots in the breast tissue;
- the patient does not know how to properly perform an independent examination of the breast;
- a sick woman - at the age of 40 years and older and never had a mammogram;
- the patient has a discharge from the nipple, especially if they are bloody or brown;
- symptoms interfere with the ability to sleep, and changes in diet and exercise do not help.
A diagnostic examination should be performed. Medical issues of the history of premenstrual breast tenderness can include the following:
- whether this condition can occur with every menses;
- do you know how to do a self-examination of the breast?
- Have you noticed seals in any breast or discharge from the nipples;
- what symptoms are still present.
The attending physician will check the presence of seals in the mammary glands and at the same time pay attention to their quality (they are hard or soft, smooth or bumpy, and so on).
Diagnostic studies. A mammogram or ultrasound of the mammary glands can be performed to assess any abnormality found in a breast examination. If lymph nodes were found, and it is not clear whether they are benign, then a breast biopsy (or both mammary glands) may be necessary.