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Premenstrual tenderness and swelling of the breasts; Breast tenderness - premenstrual; Breast swelling - premenstrual
Self-care tips include:
You should perform a breast self-examination every month.
A well-fitting bra should be worn day and night to provide good breast support.
The effectiveness of vitamin E, vitamin B6, and herbal preparations such as evening primrose oil are somewhat controversial and should be discussed with your health care provider.
Birth control pills may be prescribed to decrease symptoms.
Diuretics (water pills) taken in the premenstrual phase may reduce breast swelling and tenderness.
A prescription medicine called Depo-Provera is available for those who experience premenstrual breast swelling and tenderness. This drug relieves symptoms by eliminating menstrual periods.
Danazol, a synthetic androgen (male hormone), may be used in severe cases when the potential benefit is thought to outweigh the possible bad side effects. If Danazol does not work for you, bromocriptine or tamoxifen may be prescribed.
Call your health care provider if:
The medical history will be obtained and a physical examination performed. Medical history questions documenting premenstrual breast tenderness may include:
Your health care provider will check for breast lumps, and note the qualities of the lump (firm or soft, smooth or bumpy, and so on).
Valea F, Katz V. Breast diseases. In: Katz VL, Lentz GM, Lobo RA, Gershenson DM. Comprehensive Gynecology. 5th ed. Philadelphia, Pa: Mosby Elsevier; 2007:chap 15.
Braverman PK. Premenstrual syndrome and premenstrual dysphoric disorder. J Pediatr Adolesc Gynecol. 2007; 20(1):3-12.
Yonkers KA, O'Brien PM. Premenstrual syndrome. Lancet. 2008;371(9619):1200-1210.
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