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In addition to hot flashes and insomnia, perimenopause also brings about breast pain. “Changes in estrogen and progesterone levels are the usual culprits of breast pain in [peri]menopause,” said Kyle Graham, M.D., a board-certified OBGYN and medical director at Obstetrics and Gynecology of San Jose, part of Pediatrix® Medical Group. “The fluctuations in hormones can be quite unpredictable in perimenopause, and that results in breast pain.” He noted that cyclical pain can be attributed to your menstrual period whereas breast pain during perimenopause is more erratic than constant. “Menstrual breast pain is usually cyclical, whereas perimenopausal breast pain is unpredictable,” explained Dr. Graham.
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