Breast pain and lumps during menopause

Menopause is a natural phase in every woman's life, characterized by significant hormonal changes that can affect various aspects of health. One of the less discussed but frequently occurring issues during this time are changes in the breasts, which can be accompanied by pain and hypersensitivity.

In the following article, hormone expert Dr. Isabella Wilden discusses the causes of breast pain and why it frequently occurs during menopause.

What is Mastodynia and fibrocystic breast changes?

Mastodynia, also known as breast pain, is commonly caused by fluid accumulation (lymphedema) in the breast tissue. This is often connected to an imbalance between the hormones estrogen and progesterone in the blood. The persistent or recurring edema can lead to extensive inflammation of the mammary gland over time. This inflammation can result in the formation of nodules that are potentially suspicious for breast cancer.

These nodules, generally referred to as Fibrocystic breast changes, are examined by radiologists and gynaecologists through imaging procedures such as mammography and ultrasound. Some studies suggest that these nodules can cause breast cancer over time, although they often develop earlier than they can be detected through imaging procedures.

Early treatment of these hormonal imbalances could help prevent the development of this condition and the need for long-term examinations and their accompanying effects (such as annual mammography, ultrasound, MRI, biopsy, and anxiety states).

Examples of affected patients

I would like to give you 2 examples of why patients have turned to us.

Important: These case examples illustrate symptoms that may occur during Perimenopause and menopause. However, they do not replace consultation with a specialist. The use of hormones must be individually dosed for each patient. When experiencing symptoms, it is important to seek medical advice to determine the appropriate treatment.

Patient in Perimenopause: Breast hypersensitivity

Mrs. Sandra I., 38 years old, has been experiencing increased sensitivity in her breasts and nipples for the past six months. Clothing, especially tight-fitting sportswear, causes her discomfort. She is confused about the changes in her body and can barely tolerate touch in the breast area. Her menstruation continues to be regular and heavy.

Mrs. Sandra I. wants to know if treatment with bioidentical hormones would be beneficial for her.

Patient in menopause: Breast sensitivity

Mrs. Maria R., 51 years old and in menopause, has been on hormone replacement therapy (also known as "menopause pill") for three years. She suffers from increased breast sensitivity, with her breasts feeling heavy and swollen. Tight-fitting clothing causes severe pain.

Mrs. Maria R. wants to switch to bioidentical hormone therapy.

Treatment with bioidentical hormones

A common method for relieving breast pain, primarily during menopause, is the use of bioidentical progesterone. There are various forms of administration, of which two are particularly popular:

1. Bioidentical progesterone in Rimkus capsules: This form of progesterone is taken orally and mimics the body's natural hormonal balance. However, dosage and use should always be under medical supervision to ensure individually tailored treatment.

2. Progesterone cream (1-2%): Another option is the topical application of progesterone cream directly to the breast. This method can be particularly effective for local pain and offers an alternative or complementary treatment option to oral administration.

Additionally, non-hormonal treatment can include lifestyle modifications

* including specific physical exercises

* or lifestyle adjustments (e.g., dietary changes)

Medical notice

As a hormone expert and physician, I, Dr. Isabella Wilden, want to emphasize that each patient's hormone levels and treatment must be considered individually. It is important to understand that symptoms such as "breast pain" are common, but should still be evaluated by a doctor to rule out other causes and determine the appropriate treatment.

Considering this, medical consultation is essential. During an appointment, I can evaluate your individual health conditions to develop a tailored nutrition and lifestyle plan specifically for you.

If you have questions about this article, please contact our "Practice team at hormonexperten.de" via email.