Discharge from the nipples - what are they and what do they show?


A woman's chest is the organ that undergoes certain changes throughout her life, the causes of which are menstruation and pregnancy, childbirth and breastfeeding. Nipples are considered one of the most sensitive areas not only of the breast, but also of the entire body of a woman. And many of the beautiful half of humanity have sore nipples before menstruation. Some consider this to be a sign of a particular pathology, which in most cases is an error, which will be discussed somewhat below.

Pain in the nipples is often accompanied by women

A little physiology

According to statistics, in seventy, and according to some sources, even in ninety percent of women who are in reproductive age, nipples periodically suffer from menstruation. This symptom is directly related to the production of such a hormone as progesterone, which stimulates the growth of glandular tissue before the onset of pregnancy. The body in this way is trying to prepare the breast for its intended purpose.

The intensity of pain depends on the health status, age and habits of each of the women. Sometimes only a slight tingling sensation in the nipples is possible. But its occurrence can not be attributed to pathology. After the cessation of menstruation, everything will disappear without a trace.

Breast engorgement and pain occur directly due to the growth of glandular tissue in it. Gradually, the breasts swell and pressure on the neurovascular bundles will begin, which causes the soreness of the nipples and their increased sensitivity.

After that, everything will pass when the glandular tissue atrophies, as the pregnancy will not come. Such a cyclical nature will be the absolute norm for a woman of childbearing age and occurs from one menstruation to another, often being one of the components of a woman's premenstrual syndrome.

The pain and hypersensitivity of the nipples can give a woman great inconvenience, because they are intense, but usually this is a variant of the physiological norm. Often, the strength of pain depends on a woman’s age, the quality of her life and her level of health. Many have to endure it until the end of their monthly, after which you can not remember about it until the next time.

Before menstruation, glandular tissue swells in the breast.

Other possible causes

Not always the cause of regular pain in the nipples are the physiological processes in a woman's body. There are several other reasons why nipples will hurt before menstruation:

  1. Why should not forget that a woman uses drugs such as oral contraceptives or drugs for infertility. Because pain in the nipples before menstruation may be due to their fault. Indeed, after taking them, a change in the hormonal balance in the body occurs. Then you should think about changing the drug.
  2. Often the cause of sore nipples may be irregular sex life. With rare sexual contacts in the body of a woman can accumulate a lot of hormones, which is the cause of discomfort.
  3. Fibrocystic mastopathy can be another pretty serious cause. The peculiarity in this case will be that over time the pain will cease to disappear after menstruation and will begin to intensify. Only a doctor after a mammogram can establish this diagnosis.
  4. Failure of the ovaries. If there is a malfunction of the ovaries, then pain in the nipples before menstruation is likely. But this symptom immediately passes after normalization in their work. If this does not happen for a long time, it can be a sign of inflammatory diseases in the intimate sphere.
  5. Lack of progesterone levels in the blood. For this reason, the body can not become pregnant. Pain in the nipples is the very signal that the body is trying to give to report this problem.

Oral contraceptives change hormonal balance and can cause chest pain.

How to reduce discomfort

Often, sore nipples before menstruation is so severe that a woman can not even fall asleep on her stomach or side. Even the slightest touch can cause pain. This may not be a single day. In this case, you should apply the following techniques:

  • give the body peace, reduce stress, relax, then apply heat to the stomach or take a warm bath with sea salt. This will help reduce the sore nipples before menstruation,
  • eliminate smoking and drinking alcohol, reduce the amount of fluid you drink, which will significantly smooth out premenstrual syndrome,
  • abandon strong coffee or tea, pickled and spicy dishes, focus on vegetables and fruits, they can play a significant role in the prevention of pain,
  • do not overcool, avoid stress, do not take your own prescribed medication,
  • protect your nipples from rough touches during intimacy,
  • wear underwear that securely fixes the chest, made of natural fabrics, without seams and in accordance with the size.

It will help relieve pain on such a day with pain medication such as ibuprofen, no-spa or aspirin. Why you should not abuse these drugs: with the pathological nature of the pain after they are taken, you can skip a serious pathology, and with constant use will get used to them. Therefore, taking painkillers costs only as a last resort.

Popular ways will help if the pain is very disturbing. Plants such as soybean, clover and raspberry contain natural phytoestrogens. A tincture of nettle, St. John's wort and a series will have a calming and analgesic effect after their use.

Sometimes pain syndrome can be removed simply by relaxing.

What should pay attention

As mentioned above, the pain in the nipples should go away after the end of menstruation. If this does not happen, then most often you should think about the onset of pregnancy. Climate change, stress, drastic changes in weight can also affect. If all such reasons are excluded, then you can suspect certain disruptions in the body. These include:

  • gynecological diseases,
  • endocrine disruption,
  • inflammatory processes in the breast tissue,
  • breast neoplasms.

Such problems should be considered by those women whose nature of pain has changed, its intensity or pain simply disappeared. Pay attention at all to the pain in the nipples and those women who have not had it before menstruation before.

To worry about pain in the nipples before menstruation should be and when changing the course of the menstrual cycle. If this situation is repeated several times, then this may be another reason to contact a specialist.

What should not be forgotten

Self-treatment in such cases is strictly prohibited. We should not ignore such signals, which gives the body to a woman. You just need to schedule a visit to the doctor without fail on any day of the week.

For complete confidence in their own health, a woman is recommended to visit the breast specialist once a year, to go to the gynecologist twice a year and once a month on the same day to conduct an independent examination of the mammary glands.

Experts in the field of medicine believe that sensitivity and slight pain in the nipples before menstruation is a variant of the norm. Many of the women live with this symptom all their lives, do not get sick, do not heal, and everything is normal with them. Why you should not endure the pain, if it is strong: so the body signals about some malfunctions.

Female nature is a complicated thing. Not everyone can cope with it on their own, without the help of outsiders. You should never hesitate to ask for this help, because this can be the first step to recovery from possible pathology.


Why is this happening?

There are physiological, benign and dangerous malignant causes of nipple discharge.


Such factors are natural for women. One of the reasons for the appearance of a secret is lactation, that is, the production of breast milk after childbirth. Also, the mammary glands synthesize colostrum in late pregnancy and in the first days after the baby is born.

A clear, colorless nipple fluid may appear outside of pregnancy. This is caused by a hormonal imbalance. After the cessation of menstruation (postmenopausal) such signs should not be.


Diseases that may be accompanied by the appearance of liquid contents from the nipples, and at the same time are benign:

  • intraductal papilloma (a noncancerous tumor resembling a polyp located in the gland duct),
  • chronic inflammatory process - mastitis,
  • fibrocystic disease resulting from hormonal disorders,
  • dilation, or ectasia, of the milky ducts,
  • fibroadenoma (benign tumor),
  • ductal hyperplasia - thickening of the walls of the ducts,
  • nipple adenoma (benign tumor).

In addition to the diseases of the glands themselves, the appearance of a secret is often accompanied by hyperprolactinemia, eczema, or atopic nipple dermatitis.

Of these diseases, a similar symptom is most often associated with ectasia of the gland ducts.

Separately, it should be noted that clear, colorless discharge from the nipples is sometimes observed when using drugs, especially metoclopramide and domperidone. These substances are part of the popular drugs to eliminate nausea and motion sickness - Cerucal, Ceruglan, Motilium, Passazhix and others.


These are precancerous or cancerous diseases:

  • atypical ductal hyperplasia - thickening of the walls of the duct, in which the precursors of cancer cells appear,
  • in situ ductal carcinoma - superficial tumor on the duct wall,
  • in situ lobular carcinoma - a limited small tumor of the glandular structures of an organ,
  • invasive ductal carcinoma or lobular carcinoma - malignant tumors that grow in the gland tissue, affecting the lymph nodes and distant organs,
  • Paget's disease - cancer of the nipple and areola.

With the collapse of a malignant tumor, black discharge is observed, with the appearance of which it is necessary to urgently seek medical help.

The nature of the secret in different pathologies - common signs

For benign conditions:

  • usually bilateral,
  • appear when pressed
  • without impurities and lumps,
  • with a sticky consistency
  • colorless, but can also be colored from white to yellow or green.

Discharge from the nipple mixed with blood is also more often associated with benign diseases. However, they can also be caused by cancer. Therefore, when such a symptom appears, an in-depth examination by a doctor is necessary.

For malignant diseases:

  • appear on the one hand
  • arise spontaneously, leak without pressure,
  • there are clear, light, pink or bleeding,
  • in the chest, when probing, a seal area is found, the axillary lymph nodes are enlarged.

According to the color of the secreted fluid, we can suggest a possible cause of the pathology:

  • white, yellow or green discharge from the nipples are characteristic of inflammatory processes, above all, mastitis,
  • dark green and thick appear with suppuration of ductal cysts,
  • brown ectasia occurs in the milky ducts,
  • transparent, watery - for breast cancer,
  • bloody - with cancer or papilloma.

This symptom can manifest itself in the aggregate and other signs of breast diseases:

  • pain, hypersensitivity,
  • palpable tissue formation,
  • nipple retraction, skin bumps, discoloration, redness or itching of the skin,
  • resizing one of the glands
  • fever,
  • menstrual disorders,
  • nausea and vomiting,
  • weakness, decrease or increase in weight.

Read more about anxiety symptom, how the norm or the manifestation of pathology

This symptom has features in various gynecological and endocrine problems, as well as physiological conditions.


Normally, before delivery and after the birth of a baby, colostrum begins to stand out from the breast, and then milk. Discharge from the nipples during pregnancy at an earlier date appear when the gland prepares for lactation, its ducts become wider, and the cells are renewed. It occurs under the action of hormones, at the same time darkening of the skin on the nipples and areolas. The color of such a liquid is white or light yellow. Colostrum may appear in the 3rd trimester, less often from the 20th week and extremely rarely at the very beginning of the child's bearing, however, this is also a normal condition.

At the beginning of breastfeeding, the gland is choked up, the amount of colostrum may be insignificant. With regular attachment of the child in the chest, secretory activity improves. If, as a result of feeding, decanting, or after discharge from the nipple, the breast becomes soft, this is a normal sign.

Not all women during childbirth, there is such a sign. During the 2nd and subsequent pregnancies, feelings in the chest may also change. The lack of secretion does not mean that breastfeeding difficulties occur.

However, there are two cases when it is necessary to consult a doctor:

  • pinkish or bloody fluid color
  • the appearance of lumps in the chest, especially painful or sensitive when probing.

Glands before childbirth increase evenly, and the appearance of dense foci can be a symptom of a dangerous disease.

Menstrual cycle

Normally, at the end of the second phase of the menstrual cycle, the level of progesterone in the blood decreases. If this does not happen, nipples discharge appears before menstruation. This can happen in case of diseases of the ovaries, with often painful engorgement of the mammary glands, irregularity of the cycle, a change in its duration. The secretion of fluid before menstruation may also be associated with hormonal contraceptives.

Regardless of the phase of the cycle, the appearance of a small amount of fluid from the breast is sometimes associated with its stimulation during sexual contact. The hormone oxytocin, released when it is excited, causes contraction of the muscles of the milky ducts and the release of their transparent contents.

The appearance of such a symptom after menstruation is not specific for any one disease. This may be the case with a malignant tumor of the gland, and with hyperprolactinemia and other hormonal disorders.

During the perimenopause, the female body undergoes a significant hormonal adjustment. The ovarian function gradually fades away, and the hypothalamic-pituitary system can be activated to maintain it. However, at the same time, the risk of breast cancer increases. Therefore, the appearance of a secret from the nipples during menopause should always be an occasion to go to a gynecologist or a breast doctor.

If for some reason a hysterectomy was performed on the patient, this does not affect the functioning of her mammary glands. Therefore, after removal of the uterus, the appearance of fluid from the mammary glands can be both a normal sign and a symptom of pathology.

Fibrocystic disease

With mastopathy, nipple discharge does not occur in all patients. They appear if the pathology is accompanied by severe hormonal disorders. In the event that they are watery or contain blood, it is necessary to consult a doctor.

Mastitis and other infections

Inflammation or abscess of the breast is usually caused by bacteria, less commonly by viruses or fungi. Most often develop lactational mastitis that occurs during the reproduction of pathogenic microflora during breastfeeding. The disease is accompanied by chest pain, swelling, redness, white or yellow discharge from the nipple.

In case of a severe process, pyogenic microflora develops in the gland tissues, an abscess, gangrenous or phlegmonous mastitis develops. At the same time, the breast is considerably enlarged, very painful, purulent discharges may appear from the nipple. Treatment of such a condition is only surgical - opening and cleansing the cavity of the abscess.


Prolactin is normally produced in the pituitary gland in small quantities. Its secretion is greatly enhanced during breastfeeding, ensuring the restructuring of the tissues of the gland and the formation of milk in it. If a woman is not pregnant and does not breastfeed, the appearance of milk in her is called galactorrhea and is associated with an abnormal increase in the amount of the hormone prolactin.

Hyperprolactinemia may occur as a result of such conditions:

  • prolonged breast stimulation
  • constant or sudden severe stress
  • breast injury,
  • intense mechanical action of the partner during sexual intercourse,
  • pituitary tumor
  • thyroid disease, especially with a decrease in its function - hypothyroidism,
  • kidney or liver failure
  • taking oral contraceptives, antidepressants, some drugs against hypertension.

With increased prolactin from the nipples, a white liquid appears, resembling milk. Such a sign can be observed in men. В этом случае он всегда служит симптомом какого-либо заболевания.

Mammary cancer

Fluid from the nipples may begin to stand out at an early stage of the disease, especially when the tumor is localized in the gland duct. Therefore, even with an isolated appearance of this symptom, an urgent need to be examined by a doctor.

The likelihood of a malignant tumor increases in these situations:

  • secret watery or contains blood
  • palpable tight education in the chest,
  • enlarged axillary lymph nodes
  • suction nipple
  • breast deformation, "lemon peel" on the skin.

Male Nipple Discharges

In 75% of cases, it is a sign of breast cancer.

Breast cancer in men is very rare and makes up less than 1% of all cases of a malignant tumor of this organ. The disease is accompanied by the appearance of compaction and tenderness in the gland tissue. In case of discharge, it is necessary to contact a surgeon or oncologist as soon as possible.

In addition to a tumor, this symptom may be associated with hyperprolactinemia. In men, it occurs quite rarely, it causes a pituitary tumor.

The principles of diagnosis and treatment of such conditions in men are the same as in women.

What to do with nipple discharge?

If such a symptom is observed in women who are not pregnant and do not breastfeed, it is necessary to find out its cause. Of particular concern to doctors are cases occurring in women older than 40 years of age, with the appearance of permanent discharge from one gland, with blood and / or the presence of a seal. Another risk factor for breast cancer is the presence of cases of this disease in the family.

When a patient uses a drug for hormone replacement therapy or contraception, which is accompanied not only by the discharge, but also by pain and swelling, the doctor should replace the medicine with a safer one.

Laboratory research

The following tests are used for diagnosis:

  1. Determination of prolactin level. This hormone regulates the production of breast milk. It is determined to exclude prolactin-secreting pituitary tumors.
  2. Thyroid-stimulating hormone is produced by the pituitary gland and regulates the activity of the thyroid gland. Its level is determined to exclude hypothyroidism.
  3. Chorionic gonadotropin, or a pregnancy test, to rule out the physiological causes of this symptom.

If a malignant tumor is suspected, the doctor may prescribe a cytological examination of the mammary gland to determine the malignant cells in it. However, this study does not always help to identify the tumor, so it is rarely used.

A skin biopsy is performed for Paget's cancer that affects the nipple or areola. Symptoms of the disease include skin changes that resemble eczema (itching, cracks, dryness, peeling), and yellowish nipple discharge. Puncture biopsy allows you to confirm the diagnosis.

Instrumental diagnostics

  1. Mammography - an x-ray examination of the mammary glands to identify seals, calcium deposits, asymmetry, vascular pattern abnormalities, is used in women over 35-40 years old and often helps to detect the early stage of cancer.
  2. Ultrasound examination is prescribed to women younger than 35 years for the differential diagnosis of seals and cysts filled with fluid, and is also used during directed biopsy and during surgical operations.
  3. Ductography is the study of the ducts of the gland after the introduction of the radiopaque substance into them, it is necessary to identify ductal tumors and accurately determine their location.
  4. Magnetic resonance imaging is a safe study that reveals tumors of a minimum size, but a false positive result is high, so such a study is prescribed less frequently than mammography.

Treatment methods

Treatment of nipple discharge depends on their cause:

  • if it is established that this symptom is caused by drugs, they are canceled,
  • with hypothyroidism, thyroxin is prescribed,
  • in case of hyperprolactinemia, dopamine agonists may be used, less frequently surgical removal of a pituitary tumor,
  • in the absence of a visible cause of discharge, treatment is not prescribed, re-examination is carried out in 2 to 3 months,
  • hormone preparations are used for fibrocystic disease,
  • Mastitis and other infectious processes require antibiotic treatment.

With persistent secretions, surgical removal of the dilated milk duct is possible. If a malignant tumor is detected, the patient is sent to an oncologist. She is prescribed a combination treatment, which includes surgery, radiation, and chemotherapy in different combinations.


Discharge from the nipples are often a sign of breast disease. For the prevention of breast pathology is necessary:

  • avoid breast injuries
  • maintain a normal weight
  • lead a healthy lifestyle,
  • not to give up breastfeeding, even for half a year after birth,
  • do not take oral contraceptives without consulting a gynecologist,
  • regularly conduct self-examination of the mammary glands after the completion of the next menstruation,
  • If you experience unusual symptoms, contact your doctor immediately.

For women over 40, preventive mammography is recommended at least once every 2 years.

Physiological causes

Why do nipples hurt so much? Normally, there may be pain in the female body during premenstrual syndrome, pregnancy and lactation. These pains are signs of hormonal changes in the body of a woman. Painfulness is observed evenly in both breasts and disappears without a trace after the cause is eliminated.

Pain in the nipples during pregnancy

At the beginning of pregnancy, the concentration of estrogen and progesterone in the blood increases. These hormones are designed to adapt the body to the upcoming gestation.

Pregnancy hormones contribute to the retention of sodium in the body, which leads to the accumulation of fluid in the tissues and to general edema. The mammary glands are also increasing in size. For some time, the nerve endings included in the structure of the glands will get used to the rapid stretching of the tissues, and prepare the milk ducts for filling with milk. That is why the expectant mother begins to feel pain in her breasts and nipples.

Important! Often, expectant mothers are advised to prepare in advance the nipples for the upcoming baby feeding, regularly rubbing them with a hard towel. But this procedure is strictly contraindicated in cases of miscarriage. Stimulation of the nipples can affect the increase in uterine tone. Therefore, to perform such training is necessary only on the recommendation of a doctor. In addition, rubbing the nipples threatens with the appearance of cracks and infection of the mammary glands, which is extremely unfavorable during pregnancy.

The nipples during this period may increase in size, their pigmentation increases. A woman in some cases may feel a burning sensation or notice a clear discharge from the nipples. All these manifestations depend on the individual characteristics of the female body.

Breastfeeding pain

During lactation, the super-sensitive skin on the nipples is easily injured. Therefore, it is very important for established mothers to follow the correct technique of applying the baby to the breast and feeding it. The main condition for safe feeding is that the baby captures the nipple of the breast along with the areola.

The main causes of nipple pain during lactation:

  • congenital malformations of the nipple shape (drawn in, growths, moles or folds in this area),
  • too frequent washing of the breast using alkaline hygiene products,
  • tight underwear
  • the appearance of cracks due to the dryness of the dermis,
  • wiping nipples with alcohol-containing compounds,
  • rapid lactation and stretching of breast tissue with excess milk,
  • injury due to improper use of the breast pump,
  • breast biting as a baby.

All of these factors can lead to damage to the tender zone of the papillae. Proper care of this area includes:

  • hygiene to prevent complications in the form of fungal and bacterial infections,
  • treatment of cracks with a special nourishing cream or sea buckthorn oil, which are safe for the baby,
  • the use of specialized nipples during feedings.

Nipple pain before menstruation

1-2 weeks before menstruation, the nipples swell and begin to hurt. In the second half of the cycle, increased hormone production begins in the female body. These hormones are found in the fatty tissue of the mammary glands. Due to the influx of fluid to the mammary glands and stretching their walls, pain appears.

Important! The soreness of the mammary glands and nipples persists after the cessation of menstruation in case of serious diseases. It is therefore necessary in the presence of pain after the termination of the month to consult with a specialist.

Hormonal surge begins in the middle of the cycle and can last up to 15 days depending on the total length of the menstrual cycle.

Acute pain in the nipples before menstruation may be accompanied by their increase and increased pigmentation. At the same time one: the right or left nipple can hurt more than the other. Progesterone prepares the female body for a possible pregnancy. As soon as ovulation occurs and menstruation occurs, the body returns to normal. The pain stops with the onset of menstruation.

Pathological causes

In the case of the emergence of pathology of the breast, a woman may notice a burning or stabbing pain on one side only. In the event of illness, these sensations become permanent. At the same time, changes in external signs and the presence of discharge from the nipple of the diseased breast can be observed.

Possible pathology options:

  • oncological diseases,
  • endocrine pathology,
  • fungal or bacterial infection of the skin in the nipple area,
  • mastopathy,
  • psoriasis,
  • allergic reactions.

The clinical picture of breast disease may be accompanied not only by pain and the presence of discharge. The nipple of the affected breast can change color and shape. Often the nipple sinks inward, itching or burning begins. Menstruation is gone, and nipples are sore. All these indicators can be signs of a serious pathology.

Breast Tumor

Benign tumors of the mammary glands have a common name "mastopathy". Depending on the characteristic changes in the tissues of the gland, mastopathy can be fibrous, cystic or mixed.

Malignant damage to the nipple has the name "Paget's disease." At the first suspicion of the presence of pathology, it is necessary to undergo an examination in the form of ultrasound and mammography.

If the tumor is located inside the gland itself, then the symptom in the form of pain may appear too late. Therefore, you should always pay attention to any changes in the shape of the mammary glands and the color of the skin above them. The presence of seals in the chest - a sure sign to pass the necessary examination by a specialist.

Reception OK, which is based on the work of hormones

Very often, burning and itching in the nipple area are caused by taking oral contraceptives as side effects. Gynecologists say in this case about the presence of a period of habituation of the organism during the first few months. During this period, nipples may swell and stand, their tips hurt.

The work of oral contraceptive drugs is based on the work of the same hormones that cause nipple soreness in premenstrual syndrome. If the pain causes serious discomfort, then you should consult with your doctor about changing the drug.

Psychological background

During stress, significant changes occur in the human body. Including changing hormones. The concentration of the hormone prolactin increases dramatically in stressful situations. Due to an excess of prolactin in the body of a woman, mastopathy or simply pain in the region of the breasts and nipples can occur.

In an emotional overstrain, a girl may notice how she bakes or breaks her nipples.

Malfunction of the endocrine or central nervous system

Absolutely all the hormones in the human body are interconnected with each other. A change in the concentration of some substances in the blood immediately leads to a change in others. The consequence of a change in the usual hormonal background may be a violation of the menstrual cycle and the appearance of pain in the mammary glands. A similar situation may occur due to disruption of the pituitary, adrenal glands or thyroid gland. Inflammatory diseases of the ovaries also contribute to the improper production of female sex hormones.

Disorders of the central nervous system manifest pain. Tension and soreness in the nipples can be observed when peripheral nerves of the thoracic spine are affected.

In this case, the pain just goes into the breast glands. Localization of pain can successfully identify the doctor during the examination and interview of the patient.

When you need to see a doctor

There are some dangerous situations of pain in the nipples. These conditions are always accompanied by other severe symptoms.

Consult a doctor is necessary in the case of:

  1. The presence of any discharge from one or two nipples can be a sign of breast disease.
  2. Changing the shape and size of the breast indicates the presence of pathology.
  3. The appearance of a rash, redness or peeling on the surface of the breast should be a cause for concern of the woman.
  4. The skin over the mammary gland in the form of lemon peel and there is a lump in the breast tissue is an alarming symptom.
  5. Change the color and shape of the nipples.

Ways to eliminate pain

Depending on the cause of the onset of pain, the doctor may prescribe hormone therapy and painkillers. For pain in the nipples, it is advisable to use an analgesic in the form of an ointment on the breast area.

Nipples with cracks should be lubricated with nourishing creams. Temporary refusal of products containing caffeine has a beneficial effect on reducing pain.

Causes of nipple pain in men

The mammary glands in men and women have a similar structure. And the pathology of this organ in men also has similarities with female breast diseases. The swelling and tenderness of the mammary glands in men is called gynecomastia.

Risk factors for gynecomastia:

  • obesity,
  • diabetes,
  • chest injuries,
  • adolescence,
  • alcoholism,
  • liver disease,
  • burdened heredity.

Diagnosis of this disease is carried out by an endocrinologist. Treatment of gynecomastia hormonal and symptomatic. In some cases, surgery will be appropriate.

Breast cancer can affect the mammary glands in men. The clinical picture of the disease of a man develops rapidly and requires immediate treatment. The risk group for breast oncology includes men taking anabolic steroids to increase muscle mass.

Mastodynia and its types

Can nipples cause soreness other than menstruation? These factors include mastodynia - a disease characterized by a wide range of symptoms caused by various conditions: from disruptions in hormonal balance to malignant tumors in the tissues of the mammary glands.

Manifestations of the disease can be expressed in two forms: cyclic, hormone-related emissions during the monthly cycle, and non-cyclical - not caused by fluctuations in hormonal levels. In addition, you can get sick mastodini physiological or pathological nature. In the first case, the violation is associated with the natural processes in the female body: puberty, childbearing, menopause.

The pathological type of mastodynia is triggered by a failure in the activity of the reproductive system, gynecological diseases and other organs that affect the state of the mammary glands. These include mastopathy, mastitis, inflammatory diseases, thyroid dysfunction, and so on.

It can provoke mastodynia and conditions that are called borderline, when neither pathological nor natural causes are noted. Genetic predisposition to mastodynia, taking contraceptive drugs that stimulate ovulation and other factors that can cause signs of mastodynia can be considered as such situations.

Breast sensitivity

If discomfort occurs every month not because of nipple soreness, but because of their increased sensitivity, then there is no reason for concern. This is due to the fact that on the nipples there are many nerve endings, the sensitivity of which increases before menstruation due to the increased hormone production characteristic of this period.

Nipple pain can also occur as a result of pregnancy. In the first trimester, there are sharp jumps in the hormonal background, which causes sore nipples.

Useful recommendations

In some cases, the nipples hurt so much that the woman’s usual way of life changes, her working capacity decreases, her mood worsens. To relieve pain, arising before menstruation, you can use these methods:

  • take a warm shower
  • limit caffeine intake,
  • to refuse from bad habits,
  • add to the diet foods that contain large quantities of magnesium,
  • exclude foods salty, spicy,
  • avoid overwork, stressful situations, stress, heavy loads,
  • choose the right clothes, comfortable and made of natural fabrics.


If nipple soreness occurs before menstruation, but with their onset passes, this is not considered a pathology requiring intervention or treatment. But in the case when the pain appears regardless of the phase of the cycle, careful examination is required.

Chest pain can be a warning sign indicating an infectious process, inflammation, mastopathy, endocrine system diseases, cyst development, or oncology.

The cause of nipple soreness can also be the onset of pregnancy, non-compliance with hygienic standards in breast care, wearing uncomfortable underwear made of synthetic materials, taking hormonal preparations, including birth control pills.

If the examination of the breast has identified the existing seals, strange discharge, a violation of the shape of the nipple (most often its hollow), redness, this may indicate a serious illness. In this case, you should immediately consult a doctor to find out the cause and determine the effective treatment. Many problems are successfully eliminated in the early stages, without affecting the state of health.

Why do chest pains occur?

Chest pain is familiar to every woman. Unpleasant sensations usually appear a week before menstruation and are manifested by swelling of the mammary glands, sore nipples. A woman feels that her chest is full and any touch gives her discomfort. When the active production of the female sex hormone, estrogen, occurs on a certain day of the cycle, the mammary glands respond to this process as a signal to prepare for pregnancy. Therefore, the chest is poured and nipples hurt before menstruation, because estrogen is concentrated mainly in adipose tissue. After the onset of menses, the pain goes away.

It is also worth noting that this process takes place for each woman individually. Some representatives absolutely do not feel it, others feel a little discomfort, and in others the pain appears a week before the critical and days and becomes just unbearable a couple of days before the “X”.

How to reduce painful symptoms

Chest pain is another symptom of the premenstrual symptom, the severity of which also depends on the individual characteristics of the organism, and on external factors that affect it. Sometimes the pain is so intense that it prevents a woman from leading a normal life. Then there is a need to reduce the symptoms of PMS. In this case, a set of measures is needed, which will include proper nutrition (alcohol, coffee, smoked foods, spicy and salty foods, cigarettes should be excluded from your diet during this period). It should be noted that the designated bad habits, enhance the production of hormones, after which the pain in the nipples before menstruation is further enhanced. Therefore, it is better to give preference to natural products and juices, vitamins.

Now a few words about the temperature regime. Female breast is sensitive enough, it is in equal parts afraid of cold and heat. Hypothermia is contraindicated, but a cool washing of the glands has a beneficial effect on them. Heat also has a beneficial effect, it helps to reduce pain, by the way there will be a hot shower or a hot water bottle. However, you should not get involved in such procedures either, since there may be other, pathological reasons that can only be determined after examination by a doctor, therefore self-treatment is quite dangerous and requires special care.

If the pain is completely unbearable, then you can use analgesics and vitamins of groups B and E.

As a rule, in eight out of ten cases, pain in the nipples before menstruation is a natural process, but if it has uncharacteristic symptoms, lasts a long time, there are discharges or there is a delay in the onset of menstruation, then it will always be necessary to consult a specialist. risk of developing severe pathologies. Today, one of the most common diseases of the mammary glands is oncology, and the earlier malignant changes are diagnosed, the higher the chance of a complete cure.

Therefore, to answer the question "why the chest hurts and how to help" can only a doctor, after the diagnosis.

What can be considered the norm, and what should be attributed to the pathology

And so, as we have already described above, the painful sensations in the breast of a woman are due to hormones, the production of which is greatly enhanced before menstruation. When they begin, the level of estrogen is reduced and the pain in the mammary glands passes. However, if the nipples are sore enough and this phenomenon is observed every critical days, then you need to be examined, the same applies to those cases where the unpleasant symptoms do not leave a woman during menstruation and after them.

In addition to the natural physiological processes that cause soreness in the nipples, the cause may be hormonal disorders, problems with the endocrine system, infectious diseases, oncology and many other pathologies. The reasons may be many, so you need to be examined by a mammologist and a gynecologist.

Separately, it must be said that if a woman has a chest and has ache, and there is also a delay, then there is a high probability of pregnancy. The process is natural, but still requires the advice of a doctor. After all, the delay itself can also be triggered by pathological disorders that entail serious consequences.

The female body is a unique and fragile system, so it is necessary to respond to any changes in well-being in a timely manner. Remember, any violations identified at the initial stage are much easier to repair and restore health than to treat a neglected pathology. Take care and be healthy.