Raymond Wayne Whitted MD, MPH
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R. Wayne Whitted MD, MPH
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Raymond Wayne Whitted MD, MPH
Minimizing Breast Pain: Recommendations
Sore breasts can signal the onset of PMS -- that 'ouch' feeling tells some women they're premenstrual
more reliably than a calendar.
Cyclical breast soreness shouldn't cause concern, according to Women's Health America. However, breast
pain doesn't have to be tolerated. Here's how to minimize discomfort, and how to recognize cautionary
signs that should send you to your doctor.
Watch what you eat and drink. Caffeine and sugar can cause premenstrual breast tenderness. If you can't
give up coffee, cut down all month, not just during the premenstrual time.
Salt is often mistaken as the culprit in bloating and breast tenderness, but sugar is actually implicated in
puffy, sore breasts. Minimizing sweets helps manage breast soreness, and may improve other PMS symp-
toms.
Wear good support (not under wire):
Keep moving. Breast pain can make exercising uncomfortable. But regular exercise actually helps reduce
premenstrual breast soreness, according to a Canadian study.
Supplement. The supplement Vitamin B6, taken as part of a B-complex vitamin that contains magne-
sium, can reduce premenstrual breast soreness. Evening primrose oil may also help premenstrual breast
tenderness. Some women find relief by using Vitamin E 400-1000iu/day.
Review your medication. During perimenopause, PMS-like symptoms such as breast tenderness often
worsen. A woman taking hormones who continues to experience breast soreness should evaluate her regi-
men. The dosage and delivery system may need altering. Occasionally breast tenderness is caused by
excessive dosing of estrogen and progesterone.
Natural progesterone can also help alleviate breast soreness. Synthetic progestins in birth control pills or
in HRT may cause breast pain. Natural progesterone, identical to the hormone the body produces, is often
easier to tolerate.
Cause for Concern
Intense or prolonged breast soreness or pain occurring at unexpected times of the month should be evalu-
ated. Irregular menstruation during peri-menopause can make it difficult to tell if breast pain is cyclical or
something out of the ordinary.
Any nipple discharge that accompanies the pain is a red flag and should be evaluated. Self-breast exami-
nation is very important regardless of how good you think you are at performing the examination.