Why does my chest still hurt after menstruation?

Many women often have symptoms of breast pain before menstruation, and more sensitive patients often ask if they need treatment. Generally speaking, there is swelling pain in the breast three days before menstruation, which may be to inform that menstruation is coming or there is a first pregnancy. This is a normal phenomenon. However, some people have breast pain too early, such as clean menstruation or breast pain after ovulation, and it hurts to wear underwear or touch it. This phenomenon is morbid and should be treated as soon as possible, otherwise it will easily lead to gynecological diseases, such as infertility and breast tumors. Many infertile women have long-term breast pain, and their estrogen and progesterone are often unbalanced, and lactation hormones are also abnormally secreted. There are also many patients with breast tumors who have suffered from breast pain for 2 to 3 years before suffering from the tumor, which has not attracted attention. Therefore, women with abnormal breast pain should be vigilant and avoid medical treatment, so as not to delay their illness! Most premenstrual breast pain occurs 3 to 5 days before menstruation, and severe cases can start ovulation about two weeks after menstruation. Some people have axillary pain, even nipple pain. The general symptoms are mild edema, headache, insomnia, irritability, emotional instability, backache, abdominal pain and poor defecation. Symptoms disappear after menstruation and are repeated once a month. If not handled properly, it will become more and more serious, and it will easily lead to other diseases over time. The most common are hyperplasia of mammary glands, fibrotic tumors or cysts of mammary glands. Menstruation is gradually unbalanced, with less menstrual flow, and then infertility. Studies have found that many infertile patients have severe premenstrual breast pain. When the breast pain is cured by Chinese medicine, they will be pregnant! For example, Miss Wei is 34 years old and has been in good health. It was not until she got married three years ago that she began to have irregular menstruation. Sometimes her period comes early, sometimes it comes late. Breast pain begins about ten days before each menstrual period, which is related to underarm pain, small abdominal distension and fatigue. I haven't been pregnant for three years, and I have a lot of black spots on my face. She is usually in a bad mood, with heavy work pressure, poor sleep, chest tightness, bitter mouth and stomachache. Diagnosed by traditional Chinese medicine, it belongs to mammary pain of stagnation of liver-qi. Bupleurum, Radix Paeoniae Alba, Fructus Aurantii, Poria, Herba Lycopi, Radix Angelicae Sinensis, Cortex Albizziae and other pure Chinese medicines, soothing the liver, regulating qi, and nourishing liver and blood. Every other month, the breast pain is relieved, and the physical discomfort is relieved. Then the menstruation gradually became regular, and then she got pregnant. She recently gave birth to a baby, and the mother and son are safe! Traditional Chinese medicine believes that breasts govern the stomach meridian and nipples govern the liver meridian. Therefore, all breast diseases or dysplasia or breast atrophy are treated from the liver and stomach, and good results can often be obtained according to different conditions. The treatment classification of this disease is as follows: (1) Liver depression and qi stagnation: Most of these women have a history of emotional disorder or excessive life pressure. In addition to breast nipple swelling pain, it is accompanied by irritability, chest tightness, rib pain, irritability, nausea, swelling pain on both sides of the lower abdomen, dark menstrual blood with blood clots, uncoordinated sexual life, and long black spots on the face. Treatment should regulate liver, qi and stomach. Commonly used drugs include Lindera root, Radix Curcumae, Fructus Citri Sarcodactylis, Radix Paeoniae Alba, Pericarpium Citri Reticulatae Viride, Atractylodis Rhizoma, Fructus Hordei Germinatus, Fructus Lipuidambaris, etc. (2) Liver depression, spleen deficiency and excessive dampness: Common symptoms include premenstrual breast swelling and pain, obvious tenderness, abdominal swelling and pain with falling sensation, loss of appetite, weakness of limbs, diarrhea, frequent leucorrhea, and less menstrual flow. Commonly used drugs include Poria, Atractylodis Rhizoma, Coicis Semen, Magnolia Officinalis, Fructus Toosendan, Cortex Albizziae, etc. (3) Yin deficiency of liver and kidney: In addition to breast pain, such women often have symptoms such as irritability, headache, dizziness, hot hands and feet, redness of lips and tongues, easy ulceration of lips and tongues, emaciation, loss of appetite, backache and soreness of knees. Commonly used drugs suitable for nourishing kidney and liver are Adenophora adenophora, Ophiopogon japonicus, Radix Rehmanniae, Fructus Toosendan, Rhizoma Cyperi, Radix Paeoniae Alba, Radix Salviae Miltiorrhizae and Herba Lycopi. The treatment of this disease should be persistent. The prime time to take medicine is to start taking medicine when the breasts are full before menstruation until the menstrual fullness disappears. By adjusting the menstrual cycle three times, most breast fullness will be cured. It is worth mentioning that in addition to taking medicine, it is more important to stay optimistic, avoid getting angry or sulking frequently, exercise more at ordinary times, participate in appropriate social activities, eat less salt and spicy and irritating diet one week before menstruation, in order to achieve the highest effect of taking medicine! Breast adenopathy, also known as cystic hyperplasia of breast and lobular hyperplasia of breast, is more common in women aged 30-50. Its pathogenesis is related to ovarian dysfunction. Clinically, multiple round hard nodules of different sizes often appear in both breasts at the same time or successively, and the nodules can be pushed. Patients often feel breast pain, especially before menstruation. The early stage is lobular hyperplasia of breast, which will not become cancerous, but the canceration rate of breast adenosis in the middle and late stage is 1%. Patients often feel a lump in their breasts, which is consistent with the position of pain and tenderness. This kind of lump is caused by the thickening of local breast tissue, which is soft or slightly hard. Sometimes nipple discharge, mostly serous, yellow, a few with blood. Because breast adenopathy is the basis of pathological changes, under certain circumstances, it can also be influenced by some carcinogenic factors, leading to epithelial hyperplasia, dysplasia and even canceration, especially in the case of severe hyperplasia and atypical hyperplasia on the duct, which is more closely related to breast cancer. Many studies have shown that there is an obvious internal relationship between breast adenopathy and breast cancer. Pathological manifestations The gross specimens of breast hyperplasia lesions are as follows: the lesions are diffuse or localized, with hard, tough and dense texture, yellow, white or gray in color, without capsule, and there are many translucent particles of different sizes on the section; If it is cystic hyperplasia, small cysts can be seen, and the wall of the cyst is smooth. There is yellow-green or brown viscous liquid in the cyst, and some granules or nipples protrude into the cyst cavity. Pathologically, on the one hand, breast hyperplasia is characterized by cystic dilatation of mammary ducts, forming cysts of different sizes; On the other hand, ductal epithelium has different degrees of papillary hyperplasia, and interlobular and interlobular fibrous tissues also have different degrees of hyperplasia. Because of the complex histological morphology of breast hyperplasia, there are various histological classification methods. For example, according to the abnormal number and morphology of breast structure, some scholars divide it into three categories: breast tissue hyperplasia, breast adenosis (also divided into lobular hyperplasia, fibroadenosis and fibrosis) and breast cyst disease; Some scholars also divide breast hyperplasia into six types according to the changes of basic tissues: lobular hyperplasia, fibrosis, inflammation, cyst, epithelial hyperplasia and adenopathy. It is precisely because of the complexity of its histomorphology that the nomenclature of this disease is confusing, such as lobular hyperplasia, chronic mastitis, fibrocystic mastopathy, benign epithelial hyperplasia, adenopathy and so on. Breast hyperplasia can be divided into four grades according to the morphology of ductal epithelial hyperplasia: grade ⅰ: ductless epithelial hyperplasia, the incidence of which is 70%; Grade ⅱ: with ductal epithelial hyperplasia, but atypical epithelial cells, the incidence rate was 20%; ⅲ a: with ductal epithelial hyperplasia, epithelial cells are slightly atypical, the incidence rate is 5%; Grade ⅲb: with ductal epithelial hyperplasia, epithelial cells are severely atypical, the incidence rate is 5%, and the malignant transformation rate is the highest, and the possible malignant transformation rate is 75% ~ 100%. Clinical manifestations Breast pain and lump are the main clinical manifestations of this disease. (1) Breast pain: It is usually swelling or tingling, which may involve one or both breasts, especially one side, and it is not suitable for those with severe pain to touch, even affecting their daily life and work. The pain is mainly in the breast lump, and it can also radiate to the affected armpit, chest or shoulder. Others show nipple pain or itching. Breast pain often appears or aggravates a few days before menstruation, and obviously relieves or disappears after menstruation; Pain will also fluctuate with the change of mood. This kind of pain related to menstrual cycle and emotional changes is the main feature of clinical manifestations of breast hyperplasia. (2) Breast lump: The lump can occur in one or both breasts, and it can be single or multiple, generally occurring in the upper quadrant outside the breast, but also in other quadrants. The shape of tumor is patchy, nodular, cord-like, granular and so on. Among them, patches are the most common. The boundary of the mass is not obvious, the texture is medium or slightly hard and tough, the activity is good, there is no adhesion with the surrounding tissues, and it is often tender. Tumors vary in size, from millet to more than 3 ~ 4 cm. Breast lumps also have the characteristics of changing with menstrual cycle. The lump increases and hardens before menstruation, and shrinks and softens after menstrual cramps. (3) Nipple discharge: A few patients may have nipple discharge, which is spontaneous discharge, straw yellow or brown serous discharge. (4) Menstrual disorder: patients with this disease can see irregular menstruation before and after menstruation, which may be accompanied by dysmenorrhea. (5) Emotional changes: Patients often show depression or irritability, which is aggravated every time they are angry, nervous or tired. Differential diagnosis of breast hyperplasia If the clinical manifestations are atypical or there is no obvious premenstrual breast pain, those who only show breast masses, especially those with unilateral hard masses, should be differentiated from breast fibroadenoma and breast cancer. (1) Breast hyperplasia and breast fibroadenoma: Both of them have breast masses, single or multiple, with solid texture. Breast lumps in hyperplasia of mammary glands are mostly bilateral, with different sizes, nodular, massive or granular, generally soft, hard and tough, and occasionally unilateral and single, but often accompanied by premenstrual breast pain. The size and characteristics of breast lumps can change with menstrual cycle, and the onset age is mostly young and middle-aged; Breast fibroadenoma is mostly unilateral, single, round or oval, with clear boundary, high fluidity, generally tough texture, and some cases are frequent, but generally no breast has swelling pain, or only mild menstrual discomfort, no tenderness, and the size and characteristics of breast mass do not change with menstrual cycle. Most patients are under 30 years old, and most of them are 20-25 years old. In addition, breast fibroadenoma often appears as a circular or elliptical shadow with uniform density and its unique annular transparent halo on molybdenum target photography, which can also be used as an important basis for differential diagnosis. (2) Hyperplasia of mammary gland and breast cancer: Breast lumps can be seen. However, breast lumps with hyperplasia of mammary glands are generally soft or moderately hard, and most of them are bilateral, with different sizes, which can be nodular, massive or granular, movable and not adhered to skin and surrounding tissues. The size and characteristics of the lump often change with the menstrual cycle and emotional changes. The lump grows slowly and is prone to young and middle-aged women. Breast cancer breast lumps are generally hard in texture, and some are as hard as stones. Most of them are unilateral and single. Tumors can be round, oval or irregular, grow to a large size, have poor fluidity and are easy to adhere to skin and surrounding tissues. Tumors have nothing to do with menstrual cycle and emotional changes, and can increase rapidly in a short time, which is more common in middle-aged and elderly women. In addition, on the X-ray film of breast, breast cancer often shows mass shadow, tiny calcification, abnormal vascular shadow and burr, which is also helpful for diagnosis. Abnormal cells can be found in breast cancer by needle aspiration. The final diagnosis should be based on the results of histopathological examination. Diagnostic criteria (1) Clinically, there are single or multiple masses in one or both breasts, most of which are accompanied by periodic breast pain, and most of them are obviously related to mood and menstrual cycle. Generally, the symptoms get worse about one week before menstruation, and the swelling and pain after menstruation are obviously relieved, and they can't relieve themselves for three consecutive months. (2) Eliminate physiological breast pain, such as mild breast pain before menstruation, adolescent breast pain and breast pain with only breast pain and no lump. (3) During clinical physical examination, one or more irregular nodules of different sizes can be touched in the breast, which are tough and mostly located in the outer upper quadrant. Nodules have no adhesion with surrounding tissues, and can be pushed, often accompanied by mild tenderness and small axillary lymph nodes. (4) Using molybdenum target X-ray or dry plate photography, B-ultrasound, thermal imaging and other auxiliary detection means, needle aspiration cytology and local biopsy are carried out when necessary to exclude breast cancer, breast fibroadenoma and other benign and malignant diseases. Generally speaking, when the symptoms of hyperplasia of mammary glands are mild, only mild premenstrual breast pain, and small granular nodules are scattered in the breast, and the condition does not affect work and life, you can use a bra to lift the breast to relieve breast pain, without taking any medicine, just clinical observation. If there is no obvious change, you can go to the specialist once every six months to one year. When the symptoms are serious and affect work or life, we should treat them differently according to the situation. Commonly used treatment methods are: Chinese medicine treatment, such as internal treatment, external treatment, acupuncture and so on; Western medicine treatment, such as oral hormone drugs, iodine preparations and other symptomatic treatment drugs; Surgical treatment, such as mastectomy and simple mastectomy. Efficacy standard: (1) Clinical cure: the lump disappears, the breast pain disappears, and there is no recurrence after stopping the drug for 3 months. (2) The effect is remarkable: the maximum diameter of the lump is reduced by more than 1/2, and the breast pain disappears. (3) Effective: ① The maximum diameter of the lump is reduced to below 1/2, and the breast pain is relieved; ② The lump was reduced by more than 65,438+0/2, and the breast pain was not relieved. (4) Ineffective: ① The mass does not shrink, or on the contrary, it increases and hardens; ② Simple breast pain was relieved, but the lump did not shrink. In the statistics of curative effect, the total effective rate and the total effective rate are generally counted. Among them, the former includes effective, effective and cure rate; The latter refers to the effective rate and cure rate. Precautions: First of all, we should pay attention to changing some environmental behavior factors in our lives to fundamentally prevent the further development of mammary gland hyperplasia. Such as adjusting the pace of life, reducing various pressures and improving mental state; Pay attention to establishing good living habits such as low-fat diet, no smoking, no drinking and more activities; Pay attention to prevent breast trauma and so on. In the process of treating breast hyperplasia, we should actively cooperate with the doctor's diagnosis and treatment. You should be treated in a hospital or a trusted specialist for a relatively stable period of time, and don't change it frequently, so as to avoid repeated examination or wrong treatment because the doctor doesn't know all the information; We should stick to the prescribed course of treatment with prescription drugs prescribed by doctors, and don't give up the original treatment easily and start a new method because we can't see obvious curative effect for a while; In the process of treatment, strictly abide by some taboo principles, such as avoiding cold, greasy, fishy, spicy and other foods during taking Chinese medicine; Stop using some drugs to promote blood circulation and remove blood stasis during menstruation; In the course of treatment, if you have a cold and various infectious diseases, you should treat new acute diseases first, and then treat breast hyperplasia. Breast hyperplasia is a chronic process, so its treatment can not solve the problem immediately by taking medicine for a few days, but it can not be taken for a lifetime because of breast hyperplasia. So, how to master this scale? What kind of conditions need treatment, what kind of conditions can be temporarily stopped, and how long after stopping treatment, do you need to be treated again? This should be decided according to the different situation of each patient, not generalized, and should be put forward by every doctor. For patients, we should pay attention to the changes of their own condition and communicate their feelings with doctors at any time; During the intermission of treatment, we should learn self-examination methods and see a doctor in time when problems are found; Go to the attending doctor for a physical examination at least once every six months, so that those minor changes can be found at an earlier stage. Patients with breast hyperplasia who are older, have a long medical history, have a large and hard lump, and have no obvious relationship between the lump and menstruation, and patients with a family history of breast cancer, especially those diagnosed as atypical hyperplasia by biopsy, are more prone to malignant transformation. Therefore, such patients should be more vigilant than ordinary hyperplasia patients and consider surgical biopsy when necessary. Patients with breast hyperplasia should also pay attention to have a correct understanding of the disease. Don't be indifferent, think it won't interfere with your life and work, and don't be too nervous. You are always afraid of becoming cancer one day. Imagine that if a patient with mammary gland hyperplasia does not pay attention to his own disease and never seriously examines and treats it, the disease will continue to develop, the pain will not be alleviated, and he is unaware of the changes, which is very unfavorable to health; However, if patients with breast hyperplasia pay too much attention to their own diseases, and even have a "fear of cancer", if they have breast hyperplasia since the age of 30, it will be harmful to spend decades in this worry, and this psychological burden may aggravate the condition. Only by treating the disease correctly can we do well the rehabilitation and health care of the disease and effectively prevent the occurrence of breast cancer.