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Monday, January 26, 2015

Don't Touch Me There: Breasts Untouchable? That's Hormonal

A patient was complaining of not wanting her breasts to be touched. For some women it has nothing to do with pain, lots of people don't like body parts touched. For some women it does have to do with breast pain, and that pain may be cyclic and there are those that have this pain all the time. Breast pain or as your gyno would say, mastalgia,  is a common complaint when on birth control pills or hormone replacement therapy. It may be reported from use of vaginal estrogens as well. 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 could be related to how your bras fit. And some women have persistent fat around the edge of their breasts that doesn't seem to resolve with dieting, but might resolve with treatment such as fat cell elimination with cold such as with Coolsculpting. The hormonal link between our hormones, and birth control pills was one of our top 10 questions on breast pain. In general, breast pain is common. If you had breast pains prior to starting your pills, the birth control pills might be a successful way of managing your pain as some pills are formulated to decrease the amount of hormonal swings. 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, and watching nutrition as your menstrual cycle approaches is important. 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 have an infection or blocked milk duct that shouldn't be ignored.. 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. And that is something your gyno is particularly knowledgeable about.

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Thank you for your comments and questions. This blog is not intended to replace medical care, but is informational only. We hope you will become a follower or visit Womens Health Practice. We offer a variety of unique services including MonaLisa Touch, Coolsculpting, Labiaplasty, and Gynecoloigic Clinical Research Trials. For more information on menopause see http://www.amazon.com/Menopause-Make-Peace-Change

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