Why do nipples hurt before menstruation?

Nipple pain before menstruation may be related to hormone level fluctuations, breast hyperplasia, mental stress, underwear discomfort, mastitis and other factors. This symptom usually manifests as breast swelling, tenderness, or increased sensitivity, and most of them are physiological changes.

1. Fluctuations in hormone levels

Changes in estrogen and progesterone levels during the menstrual cycle can irritate breast tissue, causing congestion and edema. This physiological reaction usually resolves after menstruation and does not require special treatment. The discomfort can be relieved by applying hot compresses or reducing caffeine intake.

2. Breast hyperplasia

Breast hyperplasia may be related to endocrine disorders and is usually characterized by periodic breast tenderness and nodularity. It is recommended to seek medical examination. The doctor may recommend Chinese patent medicines such as Rupixiao Tablets and Xiaoyao Pills, or Western medicines such as Tamoxifen Citrate Tablets.

3. Mental pressure

Long-term anxiety and stress can aggravate abnormal hormone secretion, thereby exacerbating breast sensitivity. It can be adjusted through meditation, regular work and rest, etc., and psychological counseling can be sought when necessary.

4. Uncomfortable underwear

Underwear that is too tight or made of rough material can cause friction and irritation to the nipples. Choosing underwire-free, pure cotton bras to avoid excessive friction during exercise can improve symptoms.

5. Mastitis

Mastitis caused by bacterial infection may be accompanied by fever, local redness and swelling, and requires antibiotic treatment such as amoxicillin and clavulanate potassium tablets and cefaclor capsules. In severe cases, surgical drainage is required.

Daily attention should be paid to maintaining emotional stability, reducing salt intake one week before menstruation to reduce edema, and choosing underwear with moderate support to avoid compression. If the pain lasts for more than 3 menstrual cycles or abnormal discharge occurs, it is recommended to perform breast ultrasound to rule out organic diseases. Regular exercise such as yoga or swimming can help improve endocrine balance, but high-intensity exercise should be avoided to aggravate breast shaking.