Breast Pain Before Period: Causes and Relief – Comprehensive Guide

Hormonal changes before menstruation cause breast engorgement with fluid and milk, leading to tenderness, pain, swelling – known as cyclical mastalgia or premenstrual breast pain (common PMS symptom).

Mechanism

Hormonal fluctuations cause water/sodium retention in breasts, increasing sensitivity. Elevated estrogen/progesterone make breast tissue more pain-sensitive.

Severity and Symptoms

Ranges from mild discomfort to severe pain; one or both breasts; localized or diffuse. Often accompanied by mood swings, fatigue, headaches, abdominal cramps.

Management Strategies

1. Well-fitting supportive bra
2. Warm compresses
3. OTC pain relievers (ibuprofen, acetaminophen)
4. Reduce caffeine/alcohol
5. Regular exercise to balance hormones
6. Adequate sleep and stress management

Severe cases may require prescription medication. See a doctor for severe/persistent pain to rule out underlying conditions.