when does breast tenderness start in pregnancy
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Breast Pain in Pregnancy: As Early Sign, vs. During Period, More
Breast pain in pregnancy is very common, especially in the first trimester. It's sometimes even considered a symptom of pregnancy. We'll tell you all about it.
Do Sore Boobs Mean I’m Pregnant? Plus, Why This Happens
Medically reviewed by Carolyn Kay, M.D. — Written by Corinne O'Keefe Osborn on July 15, 2019
Sore boobs can be — well, a pain. But if you’ve been trying to get pregnant, you may be thinking that the ache in your bra is the sign you’ve been waiting for. Could this be it? Am I pregnant?!
Already gotten those two pink or blue lines on a home pregnancy test? Alas, this sore feeling could last a while. But try not to worry — most of the changes your girls are going through are totally normal. We’ll talk about this more in a minute.
Wondering if you’re pregnant? Well, what’s frustrating is that sore boobs can occur for so many different reasons. Some relate to hormones that ebb and flow not just during pregnancy, but also during your regular cycle.
Before you let your disappointment settle in at another inconclusive sign, though, let’s look a little closer — there are some distinguishing features that often make sore boobs a little different in pregnancy.
What it feels like during pregnancy
Like breasts themselves, breast pain comes in many varieties. It can happen in one or both breasts. You may feel it all over, in a specific spot, or moving outward into your armpits. The soreness can be constant, or it can come and go.
During the earliest weeks of pregnancy, breast pain tends to be dull and achy. Your boobs may feel heavy and swollen. They can be super sensitive to the touch, making exercise and sex play very uncomfortable. (Pro tip: Wear a reliable sports bra and also communicate with your partner to explore other areas during this time.) If you’re a stomach sleeper, the pain can keep you up at night.
For many women, the nipples are particularly sensitive in these early weeks. They can be so tender to the touch that it hurts to dry off after a shower or put on a bra (go braless with confidence!). But extreme nipple sensitivity typically passes within a few weeks.
As the first trimester progresses, you may notice fullness and heaviness rather than tenderness. Some women also experience a tingling sensation in the nipples and areolas during the first trimester.
Sharp breast pain — which can feel like a knife being stabbed into a specific area of one breast — isn’t common during pregnancy. While it can happen, this type of pain is less common with pregnancy.
Why breast pain occurs in early pregnancy
Breast pain is often the first symptom of pregnancy, occurring as early as one to two weeks
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after conception — technically, weeks three and four of pregnancy. That sore boob sensation peaks in the first trimester because your body is flooding with hormones. These hormones have an important job, preparing your body to grow a tiny human — a hungry little human.
To feed that hunger, hormones work quickly to prepare your breasts for breastfeeding. Blood flow to the area increases and your boobs grow larger. The cleavage may be pretty great — but this growth can also be painful, even causing skin irritation and itching. Ouch!
The milk ducts in your breasts also grow to prepare for breastfeeding. And hormones stimulate the growth of milk-producing glands. Basically, your boobs go through a massive growth spurt.
Other breast changes in pregnancy
Pain is not the only breast-related symptom you can expect during your pregnancy. During your first trimester, you may also notice blue veins pumping extra blood into your breasts and changes to the size or shape of your nipples.
During your second trimester (weeks 13–26), you may notice that your areolas — the pigmented areas around your nipples — have grown darker. And they’ll continue darkening throughout the second and third trimesters , too.
You may also notice tiny bumps on the areolas and wonder what is going on — but again, this is completely normal. These are called Montgomery’s tubercles. They’re oil-producing glands that lubricate the breasts during breastfeeding and make the process a little more comfortable for you and your little one!
During the second and third trimesters you may also begin leaking a yellowish fluid called colostrum. This can be a little disconcerting, but don’t worry! This is the good stuff. Colostrum is an immune-boosting fluid that your baby will drink in the days following delivery, before your milk comes in. This super nutritious fluid is sometimes called “liquid gold” because it’s so good for your baby!
Nipple discharge can happen anytime, but it’s particularly common during nipple stimulation. Nipple discharge can vary in color from creamy white to, yellow, green, or brown (might want to warn your partner about that one).
Bloody nipple discharge can also happen during pregnancy. Usually, it is the result of growing milk ducts, but sometimes it can be a sign of a blocked duct.
Although all this may sound horrifying — and potentially pretty embarrassing if it happens at the wrong time — leaked fluid and discharge actually happen in really small amounts. Concerned about discharge or a leak interrupting your day? Breast pads (inserted into your bra), designed to soak up any leaks during breastfeeding, also work like a charm during pregnancy.
In the final weeks of your pregnancy, you may notice that your breasts have become even larger and heavier than before. Nipple discharge may become more frequent. And you may notice red streaks known as — you guessed it — stretch marks. You’re about to meet your little one!
14 Very Early Signs of Pregnancy
Think you're pregnant? Check out these very early symptoms of pregnancy that can show up one week before your missed period. If you've already experienced a few, it may be time to head to the drugstore to pick up a pregnancy test or schedule an appointment with your OB-GYN.
14 Very Early Signs of Pregnancy
By Lauren Wiener
Updated March 02, 2021
SKIP GALLERY SLIDES Pin
CREDIT: RAWPIXEL.COM/SHUTTERSTOCK
Think you might be pregnant? Check out these early symptoms of pregnancy that can show up one week before your missed period. If you've already experienced a few, it may be time to head to the drugstore to pick up a pregnancy test or schedule an appointment with your OB-GYN.
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Sore Breasts
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Your breasts may be extra tender as early as one or two weeks after conception. "You're making so much estrogen and progesterone in early pregnancy that the glands in the breasts start growing," explains Jasbir Singh, M.D., an OB-GYN at Baylor Medical Center at Waxahachie in Texas. This hormone surge causes breasts to retain more fluids and feel heavy, sore, or more sensitive than normal PMS tenderness.
Solutions for Breast Pain and Soreness
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Cramping and Backaches
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Many women mistake these early signs of pregnancy for PMS symptoms, but they're actually caused by hormonal changes and the growth of the uterus. About 30 percent of women experience cramping after conception, which is triggered by implantation—when the fertilized egg attaches to the uterine wall. Your uterus may be stretching a little now (hence the cramps) to prep for its massive expansion over the next nine months
Implantation Cramps vs PMS Cramps: How to Tell the Difference
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Implantation Bleeding
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When a fertilized egg implants into the plush lining of the uterus about six to 12 days after conception, light vaginal spotting may occur. You might mistake this "implantation bleeding" for your period, but it's generally lighter than menstruation and brown or pink (instead of red) in color.
While this super early sign of pregnancy is harmless, you should always let your doctor know if you think you're expecting, so they can rule out other causes of bleeding. "In the first trimester, bleeding should be evaluated for three things in particular—miscarriage, an ectopic pregnancy, or certain types of infections," Dr. Singh says. "Implantation bleeding is sort of a diagnosis of exclusion. That means we rule out the bad things before we can determine this is what it is."
Is It Implantation Bleeding or Your Period? Here's How to Tell
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Fatigue
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During the first few weeks, your body is working 24/7 to support the pregnancy, and fatigue is a normal response. The extra progesterone produced after conception causes your basal body temperature to rise, which in turn contributes to a lack of energy, explains Karen Perkins, M.D., an OB-GYN with A Woman's Choice at Mercy Medical Center in Baltimore. Your heart also pumps faster, as it has to deliver extra oxygen to the uterus; this, too, can make you feel tuckered out.
So what should you do? "Take prenatal vitamins early on, eat a healthful diet, drink plenty of fluids to keep your blood pressure high enough, and rest when you can," Dr. Singh says.
PMS or Pregnancy? What to Know About the Two-Week Wait
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Pregnancy Nipples
Are your nipples looking darker these days? Pregnancy hormones also affect the activity of melanocytes, or cells in the nipples responsible for their color. "Darker-complexioned women may not notice this until later in pregnancy—say, around 10 weeks or so," says Melissa M. Goist, M.D., Assistant Professor of Obstetrics and Gynecology at The Ohio State University Medical Center.
9 Crazy Ways Your Breasts Change During Pregnancy
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Breast tenderness, sore nipples, and other breast changes during pregnancy
Learn about breast changes during pregnancy, such as why your breasts feel sore and tender, how to ease the pain, and what other breast changes to expect during pregnancy.
Pregnancy Your Body
Breast changes during pregnancy
By Karisa Ding | Medically reviewed by Cheryl Axelrod, M.D., ob-gyn | March 8, 2021
Sore nipples and tender breasts can be one of the earliest signs of pregnancy. Your breasts may feel swollen, sore, or tingly – and your nipples may be extra sensitive and uncomfortable. It's all thanks to the pregnancy hormones estrogen and progesterone, which surge during early pregnancy. As your body prepares for breastfeeding, you'll likely see other changes – growing breasts, visible veins and pigment changes, bumps on your areolas, leaking colostrum, and perhaps new lumps and bumps. (These are usually harmless, but tell your provider about any new persistent hard masses.)
Photo credit: Thinkstock
IN THIS ARTICLE
Is breast tenderness a sign of pregnancy?
Why are my breasts so sore and tender now that I'm pregnant?
Are sore nipples a sign of pregnancy?
What other breast changes can I expect during pregnancy?
What can I do during pregnancy to ease breast pain and discomfort?
I haven't noticed any breast changes during my pregnancy. Does that mean something's wrong?
Is breast tenderness a sign of pregnancy?
Yes, breast tenderness can be one of the earliest signs of pregnancy. It usually starts around 4 to 6 weeks and lasts through the first trimester.
Why are my breasts so sore and tender now that I'm pregnant?
Like so many pregnancy symptoms, sore and tender breasts and nipples are due to surging hormones. The hormones estrogen and progesterone, as well as prolactin (the brain hormone associated with lactation) boost blood flow to the breasts and cause changes in breast tissue to prepare for breastfeeding.
Pregnancy by BabyCenter
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Pregnancy symptoms you should
never ignore
The result? Your breasts may feel swollen, sore, tingly, and unusually sensitive to touch. Some women find the sensation painful. Others say it's like an extreme version of how their breasts feel right before their period.
Are sore nipples a sign of pregnancy?
Yes. Some women find that their nipples feel extremely sensitive and uncomfortable during early pregnancy. You may hate the feeling of any sensation on your nipples – even your shirt brushing up against them. This is a temporary but possibly recurring situation. Many women experience relief from sore nipples after the first trimester, but may have sore nipples again later in pregnancy.
What other breast changes can I expect during pregnancy?
Your breasts go through many changes to prepare for nursing your baby. You may notice:
Breast growth. Starting around 6 to 8 weeks, you may notice your breasts getting bigger, and they'll continue to grow throughout your pregnancy. It's common to go up a cup size or two, especially if it's your first baby. Your breasts may feel itchy as the skin stretches, and you may develop stretch marks on them.Veins and pigment changes. You may be able to see veins under the skin of your breasts, and after the first few months, your areolas (the pigmented circles around your nipples) will also get bigger and darker.Bumps on the areola. You may not have noticed the little bumps on your areolas before, but they may become much more pronounced now that you're pregnant. These bumps are a type of oil-producing gland called Montgomery's tubercles.Leaky breasts. During pregnancy your breasts start producing colostrum, the immune-boosting milk your baby will get when you first start nursing. During the last few months of pregnancy, you may leak a small amount of this thick yellowish substance, although some women start to leak earlier, and some never leak at all.Lumpy breasts. Sometimes pregnant women develop lumps and bumps in their breasts. These are usually harmless and could be milk-filled cysts (galactoceles) or benign breast tumors (fibroadenomas). It's unusual for a woman to develop anything serious (like breast cancer) during pregnancy. But let your healthcare provider know about any lumps that are hard, persistent, or otherwise concerning.
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