Review your medication. During perimenopause, PMS-like symptoms such as breast tenderness often worsen. A woman taking hormones who continues to experience breast soreness should evaluate her regimen. You don't have to stop taking HRT or oral contraceptives if you have breast soreness, Dr. Bachmann notes. Dosages can be adjusted or the delivery system changed.
Natural progesterone can also help alleviate breast soreness.
Synthetic progestins in birth control pills or in HRT may cause breast pain. Natural progesterone, identical to the hormone the body produces, is often easier to tolerate. Cause for Concern Intense or prolonged breast soreness, or pain occurring at unexpected times of the month should be evaluated, says Dr. Bachmann. Irregular menstruation during perimenopause can make it difficult to tell if breast pain is cyclical or something out of the ordinary. She also advises examining your breasts carefully.