Menopause brings a variety of changes, from hot flashes to mood swings, but one often-overlooked symptom is breast tenderness. Many women experience soreness, throbbing, or sharp pain, which can be frustrating and uncomfortable. Fortunately, breast pain during menopause is typically harmless, and there are many natural ways to find relief.

Why Does Menopause Cause Breast Pain?

Breast pain, also known as mastalgia, can feel like aching, burning, or tenderness in one or both breasts. It commonly occurs during perimenopause, when estrogen and progesterone levels fluctuate significantly. However, it can persist after menopause as well.

“About 40% of menopausal women experience breast pain or tenderness,” says Madison Bennert, PA-C, a specialist in menopausal health.

Hormonal changes can also lead to:
✅ Breast swelling, causing discomfort
✅ Fibrocystic breast changes — benign fluid-filled cysts that may press on nerves, leading to pain
✅ Loss of connective tissue, which causes sagging and contributes to discomfort

Can Breast Pain Be a Sign of Cancer?

Breast pain alone is rarely a symptom of breast cancer. “Pain is present in only 0.5% to 2% of breast cancer cases,” says Dr. Samantha Dunham, director of NYU Langone Health’s Center for Midlife Health and Menopause.

However, certain symptoms should prompt a doctor’s visit, including:
🔹 Nipple changes — retraction or unusual discharge
🔹 Skin changes — redness, dimpling, or thickening
🔹 A lump that feels firm or irregular

Doctor-Approved Remedies for Breast Pain Relief

1. Try Evening Primrose Oil

Studies show evening primrose oil (EPO) helps balance fatty acids, reducing breast tenderness. Dr. Dunham recommends starting with 500 mg per day and gradually increasing to 1,000 mg three times daily for three months to assess effectiveness.

2. Wear a Supportive Bra

A well-fitting bra can make a significant difference. “The main thing is to find a bra that minimizes breast movement,” advises Dr. Dunham. She also suggests wearing a wireless bra while sleeping for added support.

3. Cut Back on Caffeine

“Caffeine sensitivity increases during menopause,” says Dr. Todd Liu, an ob-gyn at Hackensack Meridian Southern Ocean Medical Center. Research shows 61% of women who reduce coffee, tea, and soda consumption notice an improvement in breast pain.

4. Use Heat or Cold Therapy

Applying a warm compress, heating pad, or taking a hot bath can increase circulation and relax breast tissue, easing discomfort. If heat doesn’t work for you, try an ice pack to reduce swelling and numb pain receptors.

Whether you use heat or ice, apply the compress for 10 to 20 minutes at a time, several times a day. You can also try alternating between the two to determine which provides the best relief.

Final Thoughts

While breast pain during menopause is common, these simple lifestyle changes and remedies can bring relief. However, if you notice any unusual changes, consult your doctor for evaluation.