Sore Breasts After Ovulation
after ovulation is a common problem.It is also called
perimenstrual breast pain, cyclical mastalgia.
In contrast, pain that does not change with the menstrual cycle
that follow ovulation has some
characteristics which distinguish it from noncyclical breast pain that is due
to a disease in the breast like a cyst.
- Cyclical: It
occurs in cycles, in association with the hormonal changes of the menstrual cycle.
- Timing: It
often starts about one week before the onset of menses, is most severe during
the late luteal phase and resolves with the onset of menstruation. Note that it
does not start on the day of ovulation, but about one week later.
- Side and
site:It often affects both breasts and involving almost every area of each
breast. It does not affect a single spot only in a single breast.
severe cyclical mastalgia affects about 11 to 22% of women. Minor cyclical
breast discomfort is normal and is usually does not cause any limitations in
normal daily activities of a woman.
It is also worth noting that about 77% of women
who have breast pain after ovulation did not have PMS. Therefore this breast pain is not of the premenstrual disorder.
Who Gets It?
There are a
few factors that have been found that increase the chances of getting cyclical
breast pain. Those who smoke, consume
caffeine and are in perceived stress are
at a higher risk of having this pain than those who did not. However, women who used
birth control pills had a lesser chance. It was also shown that older
women who are nearing menopause were more affected than younger women.
Should I Be
fear among women with breast pain is
cancer. That is why women younger than 35 years who had cyclical breast pain had more
mammograms done that those who did not have similar symptoms in studies.
It often have to reassure women in the clinic, that cancer does not usually
cause pain in both breasts in almost every area! You can take this and have a cool head overnight!
The Cause of Sore Breasts After Ovulation
cause of the breast pain that follows ovulation and before menses is not known.
It is thought to be due to the female hormonal changes that follow ovulation
causing changes in breast tissue. As noted above, this pain is not directly due
to the process of ovulation itself but as a result of the hormonal changes that follow after.
There is no specific treatment for
this disorder. All that is required is
to control the pain with nonsteroidal
antiinflammatory agents which can be bought over the counter. Severe cases
require medical attention. Possible treatment options your doctor could prescribe
include include danazole, toremifene or tamoxifen. Vitamin
E and evening primrose oil have not been shown to be effective. Bromocriptine
can be effective in women with high prolactin hormone levels.
Hoffman BL et al. Chapter 12. Breast Disease. In: Hoffman BL, Schorge JO, Schaffer JI, Halvorson LM, Bradshaw
KD, Cunningham FG, Calver LE, eds. Williams
Gynecology. 2nd ed. New York: McGraw-Hill; 2012.
DN, Browne MW. Prevalence and impact of cyclic mastalgia in a United States
clinic-based sample. Am J Obstet Gynecol 1997; 177:126.
Return from Sore Breasts After Ovulation To Luteal Phase
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