Breast Soreness / Tenderness (Perimenopause)
Breast pain, soreness, tenderness, or a feeling of fullness (cyclical mastalgia) can fluctuate or increase during perimenopause due to erratic estrogen and progesterone levels stimulating breast tissue. This often resembles premenstrual breast tenderness but may become more unpredictable or persistent. While usually benign, any new, persistent, or localized breast changes (lumps, skin changes, nipple discharge) should always be evaluated by a doctor. Tenderness typically subsides after menopause when hormone levels stabilize at low levels.
Breast HealthPhysicalPerimenopause Indicator
Management Strategies
lifestyle:
- Well-fitting supportive bra
- Reducing caffeine intake (evidence mixed)
- Low-fat diet (evidence limited)
- Applying heat or cold packs
medications:
- Over-the-counter pain relievers (NSAIDs like ibuprofen, or acetaminophen)
- Evening primrose oil (evidence inconsistent)
- Prescription medications (e.g., Danazol, Tamoxifen - usually reserved for severe cases due to side effects, not typical for perimenopausal tenderness)
- Adjusting hormonal contraception or HRT dosage (under medical guidance)
Impact
- Discomfort
- Anxiety about breast health
Diagnostic Considerations
Based on symptoms and clinical breast exam. Mammogram or ultrasound may be needed to investigate further, especially if non-cyclical, localized, or associated with other changes.