[19F] Experiencing breast soreness and irregular menstrual cycle

Patient Description

A 19-year-old female presents with persistent soreness in the breasts and nipples, with the nipples also appearing enlarged. The soreness, rated at a severity of 7 out of 10, is constant and exacerbated by wearing a bra. The patient has not experienced any recent breast trauma. Alongside this, the patient reports less vaginal discharge than normal, which is white and creamy. The patient's menstrual cycle has not occurred since mid-December, and it is typically irregular. The patient has also noted an increase in breast size over the past month or two, with a history of transient lumps beneath the nipples that resolved within a week. Additional symptoms include nausea associated with fast food, increased fatigue, and heightened irritability, particularly when hungry or tired. The patient has a history of asthma, treated with an albuterol inhaler and occasionally a nebulizer, and had pneumonia in childhood. Seasonal allergies are present, and there is a known allergy to ibuprofen. No current medications have been reported.

Arora's Assessment

What might be happening

Based on your symptoms, there are several possibilities:

Pregnancy: Given your symptoms of breast tenderness, nipple enlargement, irritability, and missed period, pregnancy is a possibility. These symptoms can be early signs of pregnancy. A home pregnancy test can help confirm or rule out this possibility.
- If you are pregnant, prenatal care is important for the health of both you and the baby. Regular check-ups, a balanced diet, and avoiding harmful substances like alcohol and tobacco are key.
Premenstrual syndrome (PMS): This is a group of symptoms that occur in women, typically between ovulation and a period. Symptoms can include breast tenderness, mood swings, and fatigue. However, the absence of your period since mid-December makes this less likely.
Hormonal imbalance: Hormones regulate many functions in the body, including menstruation and mood. An imbalance in hormones can cause symptoms like breast tenderness, mood changes, and irregular periods.

What you can do

Take a home pregnancy test: Given your symptoms and sexual history, it would be a good idea to take a home pregnancy test. These are available at most pharmacies and are easy to use. Follow the instructions on the package carefully.
Consult a healthcare professional: Regardless of the result of the pregnancy test, it's important to consult a healthcare professional about your symptoms. They can provide a more accurate diagnosis and appropriate treatment.
Maintain a healthy lifestyle: Regular exercise, a balanced diet, and adequate sleep can help manage some of your symptoms and improve your overall health.

What you should look out for

If you develop severe abdominal pain, heavy vaginal bleeding, or severe nausea and vomiting, seek immediate medical attention.
If your symptoms persist or worsen, consult a healthcare professional.

Remember, while I strive to provide accurate information, I'm not a doctor. Please consult a healthcare professional for a formal diagnosis and treatment.

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11 mo ago

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[19F] Experiencing breast soreness and irregular menstrual cycle

What might be happening

What you can do

What you should look out for

Experiencing symptoms?