[18F] Experiencing severe breast soreness

Patient Description

An 18-year-old female is reporting severe soreness in the breast area, particularly around the nipples, for the past week. The soreness is described as a 9 out of 10 in severity and is exacerbated by any contact, including that from clothing. The patient has not found any relief from this discomfort. She has no history of recent breast injury or trauma. The patient's medical history is unremarkable with no known chronic illnesses or allergies to medications. She is currently on a daily regimen of Errin, a birth control medication, and is not taking any other medications. There is no indication of pregnancy, although it has been 4 weeks since the onset of her last menstrual period.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be causing your symptoms:

  • Hormonal changes: Breast tenderness is a common symptom of hormonal fluctuations, which can occur naturally throughout your menstrual cycle. This is especially likely given that you're experiencing this symptom around the time you might expect your period. Hormonal birth control, like Errin, can also cause breast tenderness.

    • Treatment typically involves over-the-counter pain relievers, such as ibuprofen or acetaminophen. Applying a warm or cold compress to your breasts may also provide some relief.
  • Pregnancy: Breast tenderness is often one of the first signs of pregnancy. Although you mentioned that you don't think you're pregnant, it might be worth taking a home pregnancy test just to be sure.

    • If you are pregnant, you should schedule an appointment with a healthcare provider for prenatal care.

What you can do

  1. Try taking over-the-counter pain relievers, such as ibuprofen or acetaminophen, to help with the breast tenderness.
  2. Apply a warm or cold compress to your breasts for 15 minutes at a time to help relieve the pain.
  3. Wear a supportive bra to help reduce breast movement, which can sometimes aggravate the pain.
  4. If you're not already doing so, try to avoid caffeine, as it can sometimes make breast pain worse.
  5. Consider taking a home pregnancy test, especially if your period is late or you've had unprotected sex recently.

What you should look out for

You should seek medical attention if:

  • The pain becomes severe or doesn't improve with over-the-counter pain relievers.
  • You notice a lump or other changes in your breasts, such as skin changes or nipple discharge.
  • You have other symptoms of pregnancy, such as missed periods, nausea, or increased urination.
  • You have any other symptoms that concern you.

Remember, I'm an AI and this advice is based on the information you've provided. It's always a good idea to consult with a healthcare provider for a formal diagnosis and treatment options.

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11 mo ago

People Also Ask


Can hormonal birth control like Errin cause breast tenderness?

Yes, hormonal birth control like Errin can cause breast tenderness as a side effect due to changes in hormone levels.


What are some home remedies to alleviate breast soreness?

Home remedies for breast soreness include taking over-the-counter pain relievers like ibuprofen or acetaminophen, applying warm or cold compresses, wearing a supportive bra, and avoiding caffeine.


Is breast tenderness a common early sign of pregnancy?

Yes, breast tenderness is a common early sign of pregnancy due to hormonal changes that occur after conception.


When should I seek medical attention for breast pain?

You should seek medical attention if the pain becomes severe or doesn't improve with over-the-counter pain relievers, if you notice a lump or other changes in your breasts, or if you have other concerning symptoms such as missed periods or nausea.


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