Chest Pain During Pregnancy

Chest pain during pregnancy is common , as the hormonal balance in pregnancy changes, the glandular tissue in the breast increases and towards the end of pregnancy milk production begins . Not infrequently, chest pain is an early indication of pregnancy. The most pronouncedsymptoms are usually in the first months of pregnancy. The pain can be very uncomfortable for affected women , but are usually harmless and conditioned by the circumstances of the pregnancy.

Chest Pain During Pregnancy

Most chest pain during pregnancy is due to hormonal changes . During pregnancy, the female sex hormones estrogen and progesterone in the blood rise . Also, the hormone prolactin is during pregnancy distributed increased . This promotes the structure of the mammary tissue and ensures the milk injection .

Chest Pain During Pregnancy

Chest Pain During Pregnancy causes

The breasts are represented by the hormonal influences consequently greater and the tissue swells rapidly . This strong increase in tissue in a relatively short time leads to the typical tightening and pulling in the chest. In addition, the blood circulation of the breast is strengthened.

Theoretically, chest pain can also be an expression of breast tissue disease , but this is rarely the case , especially in pregnancy .

As a precaution, especially one-sided pain should be clarified by a doctor , because potentially a malignant disease or an inflammation of the mammary gland could be considered.

Chest Pain During Pregnancy symptoms

Women with Chest Pain During Pregnancy usually take this as unpleasant pull in the chest or stinging in different areas was within the breasts. In hormonally induced pain these occur usually in both breasts on.

In addition, the aching breasts and nipples are very sensitive to touch and pressure . In general, there are also changes in the nipples during pregnancy .

Often the breasts are bulging and tense . In very pronounced cases, even light touches of the chest , for example, by a T-shirt already very uncomfortable for the woman. In addition to the pain, a throbbing or tingling in the chest area can be perceived . In addition, during breast growth and breast growth notice darker discoloration of the nipple ( mamille ).

Approximately from the second third of the pregnancy it can come to the exit of milky liquid from the nipples. This is the so-called pre – milking , which indicates that milk production has begun in the mammary glands , which will soon be a prerequisite for breastfeeding the child.

Come in addition to the pain but other symptoms of, for example, a significant redness , warmth and swelling of the breast , so it might be a mastitis ( mastitis ) act. In this case, a doctor should be consulted . The same applies if in addition to the chest pain, a feeling of sickness, fever , vomiting or diarrhea occur .

When do Chest Pain During Pregnancy occur?

Chest Pain During Pregnancy often occurs at the very beginning of pregnancy. Not infrequently, they are even the first sign of an existing pregnancy . Due to the hormonal influences(increasing levels of estrogens, progesterone and prolactin) there is a considerable growth of the mammary glands and later on milk production . Until the breast tissue has adjusted to the pregnancy , it can therefore come to unpleasant pain .

As a rule , the pain subsides from the second trimester of pregnancy . In lactationit may again be Chest Pain During Pregnancy come through breastfeeding. The breast is unaccustomed to the burden of the sucking child , the nipples can hurt and the breasts are sensitive . These complaints, however, are usually self-evident over time.

Chest Pain During Pregnancy Diagnosis

The diagnosis for chest pain caused by pregnancy, secure , are no specific diagnostic measures required . The attending gynecologist knows the phenomenon very well and can detect pregnancy-related tension conditions and tissue growth by palpating the breasts.

In case of persistent or suspicious symptoms that provide evidence of another cause of the pain, an ultrasound scan of the breast may be made. This is the breast tissue traced with a transducer so that the doctor can see tissue changes on a screen . Depending on findings, further measures may be initiated .

In exceptional cases an MRI of the breast can be discussed. An MRI is a radiation-free examination method that can be carried out under severe restrictions during pregnancy.

Chest Pain During Pregnancy therapy

Since the breasts can be very sensitive for several months of pregnancy , it is important to wear a matching bra . The cup size can during pregnancy significantly change should therefore well-fitting bras purchased time are. In maternity wear stores, well-supportive soft bras are also available to help relieve aching breasts .

Even thin bras , which are comfortable to wear at night, can reduce strong touch sensibilities . atIt is particularly important to exercise a sufficiently supportive bra . Due to the strong growth of the breast, it becomes heavier and requires more support , as vibrations such as in sports can otherwise lead to an increase in symptoms . Other measures that can relieve Chest Pain During Pregnancy must be tested by each pregnant woman for herself .

Some women benefit from cooling the breast with cool compresses, others prefer warmth , for example in the form of a warm bath . Often, a light massage can also be donethe breasts be pleasant. In this case, for example, pregnancy oils can be used, which can improve the feeling of tension.

home remedies for Chest Pain During Pregnancy

In order to ease the chest pain during pregnancy a little and to reduce the feeling of tension, simple means and simple rules can be a good remedy. It is advisable to wear light, non-constricting bras , the most suitable are often sports bras without straps or special pregnancy bras, so that no or less pressure is exerted on the chest.

Often also supportive bustiers, which can be worn in addition to the bras. Furthermore, cooling envelopes (eg quark or lavender envelopes ) relieve the pain in the mammary tissue, decongestant and soothing.Also light massages with pregnancy-suitable massage oils can be tried.

Chest Pain During Pregnancy homeopathy 

Folliculinum (homeopathic estrogen), Bryonia alba (white turnip) and Hydrastis canadensis (goldenseal), Arnica montana (mountain charter), Asterias rubens (common starfish), Conium maculatum (Folliculinum (homeopathic estrogen), among others, among the common homeopathic remedies for painful breasts in pregnancy spotted hemlock), Lac caninum (dog milk) or Phytolacca decandra (American pokeweed).

Special feature of nocturnal chest pain

Some pregnant women also suffer at night from the annoying chest pain . This is particularly unpleasant because the sleep can often be greatly disturbed or even impossible by the symptoms . With strong touch sensitivity of the breasts, it may be almost impossible to find a suitable painless sleeping position .

Women with very sensitive breasts often benefit from wearing a thin bra at night that sits well and does not scour the skin . This will be thesensitive nipples protected from rubbing the nightgown or the bedspread . A light massage of the breasts with pregnancy oil , the application of cool or warm compresses and a warm bath before going to sleep can also provide relief .

For the nocturnal chest pain as well as for the daytime existing pain, they usually improve from the second trimester of pregnancy on , as the body then gets used to the pregnancy and the breast tissue has adapted to the new requirements.


Pregnancy-related Chest Pain During Pregnancy is usually most pronounced in the first trimester of pregnancy . The body has to adjust to the pregnancy during this phase . The breasts grow larger , the glandular tissue proliferates, soon the milk production begins . Once the remodeling largely expired , are taking the usually pain from . From the third to fourth month of pregnancy is therefore expected to improve the symptoms .

Chest Pain During Pregnancy Duration

Whether and how long Chest Pain During Pregnancy can occur during pregnancy, is not always sweeping, but individually very different .
The fact is that the mammary gland tissue throughout the pregnancy by the hormone changes grows and prepared for the upcoming lactation and is changed, so it may well during the entire pregnancy and even during lactation can cause chest pain.


To prevent pregnancy-related Chest Pain During Pregnancy , it is advisable to buy well-fitting bras , which have a sufficient supporting function , but no restrictive effect . The growing breast needs support and enough space . Underwired bras can be uncomfortable for many women at this stage and cause pain . Better are special pregnancy bras that are soft but holding .

Wider straps improve also the supporting force . at very sensitive breasts , soft bras can be worn preventively even at night . Sports bras should be worn especially during sports , since the vibrations can additionally irritate the chest and contribute to the development of chest pain. Otherwise, breast pain during pregnancy due to the hormonal changes of the body are unfortunately not always avoidable .

Once the body gets used to the pregnancy has mend the complaints but mostly on their own again.

Chest pain as a sign of pregnancy versus chest pain due to PMS / period

Whether an onset of chest pain is a sign of pregnancy or if it occurs as part of a premenstrual syndrome (PMS) or period can be distinguished by whether the symptoms occur cycle-dependent or not.

If the chest pain is associated with a particular cycle time – usually just before the onset of the period or during the period – the chest complaints are usually a hormone-dependent feeling of tightness in the breast tissue, which can be more or less pronounced individually.

If the chest pain occurs on a cycle-independent basis and the period is completely absent, this can be a sign of pregnancy and should be clarified by a doctor as soon as possible.

The hormonal changes in the mammary tissue during pregnancy prepares for breastfeeding and grows, resulting in breast tenderness and chest pain throughout the pregnancy, which may even continue until breastfeeding.

Chest Pain During Pregnancy Unilateral

Breast pain during pregnancy , which is caused by the hormonal change, usually occur on both sides . However, it can also lead to unilateral chest pain . The general rule is that one-sided chest pain , over a last extended period of time , clarified physician should be, since other cause for the symptoms can not be excluded.

In particular, if the breast additionally stands out due to overheating, redness or other signs of inflammation , it could be a breast infection (Mastitis ), which should be treated . Furthermore, there may be changes in the breast tissue , for example benign nodules or even malignant diseases of the breast tissue ( breast cancer , breast cancer).

With only one-sided chest pain , it is always advisable therefore to provide a medical evaluation to make to leave, so depending on the findings an appropriate therapy can be initiated.

What is Chest pain in pregnancy ?

Chest pain in Pregnancy is the most common complaint in the area of ​​the breasts. In the jargon , chest pain ( cyclical ) occurring at the rhythm of the menstrual cycle is also referred to as mastodyny , whereas cycle-independent ( acyclic ) chest pain is referred to as mastalgia .

As part of pregnancy occurring unilateral or bilateral breast pain are among the cyclicals chest pain. Chest pain , pulling in the chest , a tenderness and a feeling of tension are typical of an existing regnancy. Therefore, the tightening of the breasts is also counted among the probable pregnancy signs.

However, it is not expected to be a safe pregnancy sign, as it may also speak in favor of the early onset of menstrual bleeding . Responsible for the complaints in the breasts is the hormonal change in pregnancy .
One in five women with chest pain states that chest pain was key to conducting a pregnancy test, such as Clearblue®, and that they have been diagnosed with pregnancy due to these complaints.

When will the Chest pain in Pregnancy start?

Chest pain, a tautness in the breasts and tautness of the breasts are typical for an existing pregnancy. These symptoms can occur at an early stage ( 5-8 weeks gestation ).

Changes in breasts (mammae) during pregnancy

Due to the hormonal changes an increase in volume of the breasts occurs at an early stage (5th to 8th week of pregnancy) , which the pregnant woman perceives with a feeling of tension. In addition, there is an enlargement of the superficial veins and pigmentation of the nipples and areola ( areola ) strengthened so that they appear darker. By enlarging the mammary glands, the connective and fatty tissue of the breasts is displaced, this development is called ” pregnancy adenosis “. This change is caused by a variety of hormones promoted.

As a result, the breasts feel a bit changed when they are touched . This palpation can lead to the discharge of a secretion droplet as early as the 12th week of pregnancy . These are first milk ( colostrum ), whose ingredients are water , minerals , fat droplets , shed gland epithelial cells and foam cells ( lipid macrophages ).

The hormone prolactin , which is formed in the anterior lobe of the pituitary gland , is responsible for theProduction and excretion of breast milk . All the changes described are individually different in magnitude and dependent on the initial size of the breast and the number of glandular lobes. At the end of pregnancy, however, each breast has increased by about 400g .

What to do? What helps? What kind of relief?

It is reassuring that the pronounced chest pain that a large number of women complain about at the beginning of pregnancy after the first three months left . Despite this, there are some supportive measures that can remedy the symptoms and make it easier to give birth .

This includes a maternity bra with a good fit that ideally supports the breast. This should be made of cotton or silk, as lace bras that additionally irritate sensitive nipples and can promote the development of inflammation. Even wearing too small, constricting bras should be avoided.

Depending on the severity of the discomfort, it may be advisable to wear a light pregnancy bra even at night , so that the breasts are optimally supported even during this time . In order to find a suitable and well-fitting pregnancy bra, a visit to a specialty store, for example a maternity wear shop, is recommended.

Movements that provoke the onset of chest pain should be avoided if possible. In addition, cool envelopes are perceived by many sufferers as pleasant and can provide for a slight swelling of the breast tissue. Even gentle chest massages with a soothing pregnancy oil or a creamy cream can help with chest pain during pregnancy.

Unilateral Chest pain in Pregnancy

Chest pain that occurs during pregnancy may well be more pronounced on one side than on the other side. Typically, however, is one-sided occurring an acute mastitis ( mastitis ) in the postpartum period , in this period as puerperal mastitis is referred to. This can cause pronounced unilateral chest pain, so even the careful palpation of the affected breast is not tolerated by the woman in the puerperium.

The mastitis puerperalis occurs most often after the second week after birth and is caused by infection with one of the following pathogens: Staphylococcus aureus , more rarely streptococci , Proteus , Escherichia coli (E. coli), pneumococci and Klebsiella .

The diagnosis of this mastitis is rarely associated with difficulties, since usually the cardinal symptoms of inflammation exist ( redness , overheating , swelling , pain , limited nursing function ). Typically, inflammation begins in the upper outer quadrant of a breast. In case of suspected mastitis in the puerperium, a doctor should always be consulted.

In the early stages of puerperal mastitis, it is recommended to immobilize the chest with a firm bra and to cool the chest. The breast milk must be pumped out and discarded . The gift of germ-containing breast milk to the infant is prohibited. Initially, antibiotic therapy may be useful. In case of advanced inflammation must be weaned. Depending on the inflammation with heat therapy such as red light or short waves must be promoted, so that the mature abscess can be opened.

Are chest pains a sign of pregnancy?

Clinical signs of pregnancy can be broken down into uncertain, probable and sure signs. All safe signs of pregnancy are from the unborn child and are not noticeable until the second half of the pregnancy .

To safe pregnancy signs include the Sense or feeling childlike movements, the feeling of childlike body parts and listening to the fetal heart tones.

Probable signs of pregnancy are noticeable much earlier and are therefore more important for the early diagnosis of pregnancy.

Probable pregnancy signs include: absence of monthly menstruation ( amenorrhoea ), breast changes ( enlargement, tightness, pain, pulling, increased sensibility ), increased pigmentation of the nipples , nipples and median line of the abdomen ( linea fusca ) and changes in the abdominal wall Size and consistency (softer) of the uterus .

Also changes of the vagina can be observed. These include: increased extensibility of the vagina, velvety appearance of the vaginal membrane , discoloration of the vaginal membrane and the vaginal entrance ( bluish-purple ) by an increase in blood flow.

Furthermore, there are still unsafe signs of pregnancy, which may make any existing pregnancy more or less likely. These include: morning sickness and morning sickness ( vomiting ), changes in appetite possibly with abnormal appetites, constipation ( constipation ), urinary frequency ( pollakiuria ), increased vaginal discharge ( vaginal discharge ) without an underlying infection.

Typical complaints in early pregnancy are breast tenderness ( 70-80% ) and vomiting ( 50-70% ).
More than 50% of pregnant women also complain of increased urination, increased salivation, increased vaginal discharge, constipation and abnormal cravings in early pregnancy.

Chest Pain During Pregnancy
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