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Question: I am forty-six years old and a 34A. Now, I\u2019m a 34BC. My breasts hurt at least two weeks out of the month. Swollen, heavy, painful, have to take ibuprofen. It\u2019s annoying as hell and it\u2019s changed how I view my body. Not to mention, my midsection has changed too. I never wanted large breasts. I know BC cup is not large, but it is to me. And now I need to wear two sports bras to run. And I like to run all the time. And I feel like I did when I was nursing. This totally stinks. Does it get better?\xa0\nShort Answer:\xa0During a woman\u2019s 40\u2019s, there are many hormonal changes that are happening, which lead to a wide variety of symptoms. Progesterone is declining, and estrogen is still being produced and stress levels can be all over the place. These changes can lead to many unwanted symptoms. Breast tenderness and an increase in cup size is generally related to too little progesterone and proportionally too much estrogen. There is not necessarily an increased amount of estrogen production, but really just a lack of progesterone that leads to many of the symptoms of Perimenopause.\nPYHP 115 Full Transcript;\nDownload PYHP 115 Transcript\nDr. Maki: Hello everyone, thank you for joining us for another episode of the Progress Your Health Podcast. I\u2019m Dr. Maki.\nDr. Davidson: And I\u2019m Dr. Davidson. \nDr. Maki: So we\u2019re back, we\u2019re back in the saddle do another podcast. \nDr. Davidson: We sure are. \nDr. Maki: It\u2019s been a little while. We haven\u2019t posted any for a little while. We apologize for that. But we\u2019ve been very busy. We got a new puppy. \nDr. Davidson: We did get a new puppy, a poodle puppy. \nDr. Maki: Alright. So we\u2019ve talked about Bob, our little co-pilot. He is having a little bit of a crisis. He\u2019s kind of having a crisis with the new puppy. About one minute, it was really funny, we brought her into her first grooming sessions placed here in town called Bailey\u2019s and she looked like a little bit of a shaggy mess. And then they just really didn\u2019t do much because this is her first one. She\u2019s only like four weeks old and she came back from the groomer with a nice blowout. She got her hair done. And Bob was all interested and her name is Vivi, Vivian, one of my relatives. Bob\u2019s named after my dad, and Vivi, our new poodle is named after another relative. She was technically my great aunt, but more like my grandmother. So it\u2019s Bob and Vivi. She came back from that groomer, a grooming session. And Bob was, he was very\u2026 he changed his