What causes nipple pain during the luteal phase?

In our lives, many women feel nipple pain before menstruation, especially during the luteal phase, when the pain in the nipple becomes more obvious. This is a relatively normal phenomenon, because after the luteal phase, women will enter the ovulation day, at which time the sex hormones in women's bodies will rise rapidly, which will naturally cause nipple pain in patients. So what is the cause of nipple pain during the luteal phase?

Nipple pain is completely normal. The pain is most severe around ovulation, and it hurts when you touch it with your hand. The luteal phase is slightly less intense until menstruation occurs. The pain is the worst before and after ovulation. I don’t know if it’s the effect of estrogen. Estrogen levels are highest before and on the day of ovulation. After the corpus luteum is formed, due to the effect of progesterone, estrogen is not as high as before ovulation, so nipple pain is slightly relieved, but it will exist until menstruation comes.

Many women experience breast swelling or nipple pain during ovulation, and sometimes the nipples are simply unable to be touched. The breast pain may also continue until the eve of the next menstrual period.

If the underwear is too tight or ill-fitting, or you do a lot of exercise, friction may cause local pain.

Excessive movements during sexual intercourse can damage the nipples and cause pain.

The breast is the target organ of endocrine hormones, which means that under normal circumstances, that is, during endocrine changes in the menstrual cycle, breast tissue will be affected by endocrine hormones and undergo physiological changes. The breast will undergo cyclical proliferation and involution during the menstrual cycle, which manifests as fullness and mild pain in the breast before menstruation. The breast pain will be reduced or disappear after menstruation. This physiological change is a normal phenomenon for women of childbearing age, but the degree of breast pain varies from person to person.

If this physiological proliferation exceeds a certain range or is incomplete, it will cause breast tissue hyperplasia over time, which is generally referred to as breast hyperplasia.

. It can be seen from this that breast hyperplasia is a benign proliferation and degeneration of breast tissue. In essence, it is neither inflammation nor a tumor. But clinically speaking, it is one of the common causes of breast pain in women. It is more common in young and middle-aged women. There is thickening of breast tissue in the upper outer part of the breast, which is soft and tough. Sometimes a lump with unclear boundaries is formed, but it rarely adheres to the surface skin and there is no enlarged axillary lymph nodes. Most of the time, it is bilateral. The pain can radiate to the armpits, shoulders, etc. The pain often eases after menstruation.

It is generally believed that breast hyperplasia is caused by endocrine hormone imbalance and sex hormone metabolism disorder, which causes excessive estrogen secretion in the body, leading to physiological breast hyperplasia and incomplete involution. In addition, the liver's estrogen inactivation function is abnormal, so that excessive estrogen causes adverse stimulation to breast tissue and causes breast tissue proliferative lesions. Traditional Chinese medicine believes that breast hyperplasia is caused by emotional discomfort, liver qi stagnation, weak vital energy, and poor circulation of qi and blood, which lead to qi stagnation, phlegm coagulation, and blood stasis, which stagnate in the breasts and accumulate over time.