Breast Pain & Tenderness
Hormonal changes during perimenopause can leave your breasts feeling sore, swollen or tender.
The most common cause is hormonal change. As estrogen and progesterone levels rise and fall irregularly, breast tissue can retain fluid and become more sensitive. This is often called mastalgia, which simply means breast pain.
You may notice:
A feeling of fullness or tenderness in one or both breasts
A dull ache, sharp pain, or burning sensation
Soreness that varies from day to day
Pain that may extend to the underarm or chest area
Other factors that can contribute to breast pain include:
Tight or poorly fitting bras that lack support
Caffeine or high salt intake
Stress and lack of sleep
Breast cysts or fibrocystic changes
Certain medications, such as hormone therapy or antidepressants.
Find out about Breast Health: What’s Normal?
Breast pain can be cyclic, meaning it occurs in rhythm with hormonal changes, or non-cyclic, meaning it has no connection to the menstrual cycle.
During perimenopause, both types can occur as hormone levels fluctuate.
Most cases of perimenopausal breast pain can be eased with simple self-care and lifestyle changes.
Wearing a well-fitting, supportive bra
Reducing caffeine and salt intake
Using warm compresses or gentle massage to relieve tenderness
Maintaining a healthy, balanced diet and regular exercise
Over-the-counter pain relief, such as paracetamol or ibuprofen, if needed
Reviewing current medications if symptoms persist
If discomfort is ongoing or severe, hormonal options such as menopausal hormone therapy (MHT) may help by balancing estrogen and progesterone levels.
Breast pain during perimenopause is usually harmless. However, speak with your doctor to rule out other causes and ensure there are no underlying conditions if you notice:
A lump or area of thickening in the breast
Nipple discharge or changes in breast shape
Redness, swelling, or warmth in the breast
Pain that is severe, persistent, or only on one side
If you are unsure whether your symptoms are hormonal or something else, book a Telehealth consultation with a WellFemme menopause doctor.
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