Understanding Different Types of Breast Pain

byPJ哈梅尔 Patient Expert

That uncomfortable burningsensation you feel just before your period. The soreness and tenderness that seems to come out of nowhere, sometimes so bad you can't even stand to put on your bra. A sharp, stabbing pain that happens several random times a day.

作为年轻女性的骄傲来源,为我们的婴儿寄托,永远是我们的性生活(直到我们失去他们),乳房标记为女性。虽然他们可以成为一个愉悦和满足的来源,但它们也可以以多种方式背叛我们:在罕见的情况下,通过发展癌症。并且不太严重,但当然同样重要,成为痛苦的源泉。

The good news is, pain is almost never a symptom of breast cancer. Only about 5% of women with breast cancer experience pain in their affected breast prior to diagnosis. The exception to this is炎症乳腺癌,a rare cancer that can begin with pain and soreness. But in general, that pain you're feeling in your breast is probably NOT cancer.

乳房疼痛通常分为两种类型:派n associated with your menstrual cycle (cyclic pain), and non-cyclic pain. Each has different causes.

  • 循环疼痛往往与您的时期同步,在之前的2周内建立,然后在之后归结。这种疼痛可以从轻度疼痛到极高的压痛和酸痛。它通常感觉到两个乳房的上/外部部分,但有时它有时它在一个乳房上;并且有时也可以在你的手臂下延伸。

This type of pain, tied as it is to menstruation, affects younger women, and women in peri-menopause (older women still having occasional periods). It can be accompanied by swelling, and even the development of lumps.

循环疼痛is the result of hormones, which cause you to retain fluid just before your period. This fluid retention in your breasts stretches and irritates nerves and tissue, causing pain.

  • 非循环疼痛is unrelated to the menstrual cycle. If you're having pain of any kind that has no monthly pattern to it; or pain that develops at any time during your cycle, and then continues without abatement once your period is over, you're experiencing non-cyclic pain.

非循环疼痛may be felt in both breasts, or only one. Like cyclic pain, it can range from ache to burning to tenderness to soreness to sharp pain.

This type of pain has many sources, some actually within your breast, some not. A breast injury; an infection (mastitis; an infected milk duct), or a pulled muscle in your chest can all be painful. A cyst may grow and become uncomfortable; or you may be experiencing rib pain, or even heart pain, and interpreting it as breast pain. Women with very large breasts may experience pain due to lack of adequate support, which creates muscle strain.

此外,非循环乳房疼痛可以完全与乳房无关。系统宽的细胞中脂肪酸不平衡会导致乳房疼痛。某些药物也会引起疼痛,包括一些激素的药物(避孕药,不孕症治疗,激素替代疗法);和某些抗抑郁药:Prozac,和Zoloft,最常见。

So, you're experiencing breast pain: what do you do?

  • Determine whether it's related to your period. If pain comes and goes in a regular monthly pattern, and can be felt in either breast or both at once, it's cyclical. Check with your doctor to see if (s)he has any suggestions for lifestyle changes (diet, exercise); or treatment options (cold compresses, drugs). Pain and soreness is commonly associated with premenstrual syndrome (PMS).

  • 如果疼痛不是周期性的,跟踪它并看看它是否变得更加频繁,更加激烈,或者如果它逐渐衰落。如果它正在消失,你可能只想等待它。如果它变得更糟,就是时候采取行动了。

If the pain is fairly constant (i.e., you experience it every day); and if it continues more than a couple of weeks, go see a doctor. If the pain is accompanied by swelling, heat, itchiness, redness, soreness, or other signs that make it seem as if your breast is infected, see a doctor ASAP.

But bottom line don't panic. About 95% of the time, breast pain, though it can be a real challenge, has nothing to do with breast cancer.

Meet Our Writer
PJ哈梅尔

PJ哈梅尔is senior digital content editor and food writer at King Arthur Flour, and a James Beard award-winning author. A 16-year breast cancer survivor, her passion is helping women through this devastating disease. She manages a large and active online survivor support network based at her local hospital and shares her wisdom and experience with the greater community viaHealthCentral.com.