A difference in breast size is common and normal. Wear a good quality sports bra when you exercise. Large breasts may also cause back pain. Most common in girls with large breasts. Cause: stretching of ligaments inside the breast. Breast pain during or following hard exercise is common. You miss a period or pregnancy test is positive. Breast pain doesn't go away between periods. Best time for BSE is at the end of each menstrual cycle. If you are over 18, make an appointment to discuss this with your provider. BSE is best learned in person from a health care provider. Reason: incidence of breast cancer between age 15 and 19 years is low (2 cases per million girls). The American College of Obstetricians and Gynecologists (ACOG) does not recommend teaching teens BSE until age 18 years. If symptoms are not better between periods, make an appointment to see your doctor. Should go away between menstrual periods. If that applies to you, avoid caffeine or reduce your intake. Some women report increased breast pain after drinking coffee or colas. Some women with large breasts are more comfortable wearing a bra even when sleeping. This is especially important when you exercise. Wear a well-fitted support bra or sports bra when breast pain occurs. If you don't have ibuprofen, give acetaminophen every 4 hours. Ibuprofen is best for this type of pain. Cause: normal changes caused by hormone cycles. Pain and swelling goes away between menstrual periods. The discomfort can range from mild to moderate. This occurs just before their menstrual period. Some teens (10%) have breast pain and fullness on a monthly basis. Breasts are not the same size, questions about (normal breast asymmetry)īreast Pain or Tenderness Before Menstrual Periods. Breast pain in both breasts occurs monthly before menstrual periods. Age 13 or older with no breast buds or breast tissue. Exception: continue if only occurs before menstrual periods or with vigorous exercise. Nipple discharge that is clear or milky. Change in shape or appearance of breast. Could be pregnant (breast fullness/tenderness and missed menstrual period). You think your teen needs to be seen, but the problem is not urgent. You think your teen needs to be seen, and the problem is urgent. Nipple discharge that is pus (thick green or yellow) or bloody. When to Call for Breast Symptoms-Teen Call Doctor or Seek Care Now Breast collections of blood (hematomas) from injury: may take weeks or months to resolve. Needs oral antibiotics and needle removal of the pus. Main triggers are nipple injury, nipple piercing or lactation (producing breast milk). Breast abscess: this is a red, painful lump. Benign, but need to be removed by surgery. Juvenile fibroadenomas: breast masses that are larger than 2 inches (5 cm) in size. Natural course: 50% go away within 5 years, others need removal. Most often in upper-outer quadrant of breast. They are 1 inch (2.5 cm) oval or round, rubbery, non-tender mass. Fibroadenoma: most breast masses in teens are fibroadenomas. Breast cancer is very rare in teens (2 cases per million in young women). 
Breast masses in teens are almost always benign (not cancer).Other treatments: daily exercise and getting enough sleep.If breast pain can't be controlled with ibuprofen, 80% can be improved by birth control pills. Treatment: mainly ibuprofen and support bra.Frequency: 10% of teens and 50% of adult women.Onset: usually 2 years after onset of periods (with onset of ovulation).
Physical Findings: fullness that can be felt throughout both breasts.Course: improves during menstrual period and goes away between menstrual periods.Timing: mainly noticed in the week prior to menstrual periods.Other symptoms: headache, swollen feet (edema).Cause: extra body fluid from female hormone cycles.Main Symptom: breast fullness and pain.Chronic breast pain, unrelated to menstrual period and usually just one side: fibroadenoma, cyst.Recurrent breast pain with menstrual periods: cyclic mastalgia.Acute breast pain and fullness without redness (same on both sides): always consider pregnancy.Acute breast pain with redness (only on 1 side): often an infection.Nipple discharge: milk, blood, pus, clear fluid.Breast size, shape or symmetry questions.Breast development (and puberty) has begun or is completed.Breast symptoms in an older girl or teen.
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