Breast Pain When On Birth Control Pills

Breast pain or as your gyno would say, mastalgia,  is a common complaint when on birth control pills. It is not related to the size of your breast, even women with gynecomastia (big breasts) don't necessarily suffer from breast pain when on birth control pills.  It was one of our top 10 questions on breast pain. In general, breast pain is common. If you had it prior to starting your pills, the birth control pills might be a successful way of managing your pain. If you have pain that is cyclic it is manged differently than pain that is non-cyclic. Patients may even have breast pain that has a non-breast origin, like if you have too much pain in the underlying muscles from a new workout regimen. Other causes of breast pain that aren't directly related to the breast can be a fractured rib, shingles or cartilage inflammation of the ribs. Women with hormonal breast pain are usually experiencing cyclic complaints, and it may be worse just as a period is approaching. Without cyclic breast pain, you may complain that the breasts are burning. If you have that symptom you should get a gyno visit to see if you can be treated effectively. New starts on BC have to adjust to the hormone levels. In the beginning your ovaries are still producing hormones and you are adding in hormones, after a time, the overall level of hormones decrease and you are less likely to get pain. Give it 3-4 months to adjust, then it may be time for a pill switch.


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