Why do your breasts get tender before your period?

The same thing that causes increased hunger, mood swings, and all the other things associated with menstrual cycle: Hormonal fluctuations. They're what cause changes in the breast ducts and the breast lobules. The breast pain usually occurs during the second half of the menstrual cycle when estrogen production increases and peaks just prior to middle of your cycle; it causes enlargement of the breast ducts, which then causes the pain.

Simple anti-inflammatory medications like aspirin can help take the pressure off.

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