You do sound stressed but symptoms that you are describing are not related to each other. Let me try to explain so you could get a clearer picture. The swelling in the breast associated with tenderness during periods is commonly known as cyclical mastalgia. This usually occurs prior to your menstrual cycle. Here before the onset of menstrual cycle, there is a peak of estrogen levels and progesterone peaks by the 21-st day of the cycle. Due to the fluctuation of the hormones, normal cyclical aberration causing generalized enlargement .It exaggerates hormonal effects on glands and stroma. Breast pain can be due to various causes like fibroadenosis, breast cyst. This is a normal condition so there s nothing to worry about. The fatigue is because of the severe pain. I could suggest a few remedies to reduce the pain such as:

a) Oil of evening primrose oil once a day for six months. It contains gamolenic acid that reverses saturated to unsaturated fatty acids.

b) Capsule Danazol 100mg twice a day for 4- 6 months. However if you are planning on getting pregnant, this should be avoided.

c) Vitamin B6 and E can also be used once a day for 6 months.

d) Painkillers like ibuprofen twice a day during the periods

Try this you should feel better. In regard to your question on hemorrhoids this is probably due to chronic constipation, straining, low fiber diet. You can feel better by increasing the fiber in your diet and using a local anesthetic agent like Lignocaine 2% cream. Hope this helps.