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    Fibrocystic breast changes

    Fibrocystic breast disease; Mammary dysplasia; Diffuse cystic mastopathy; Benign breast disease; Glandular breast changes

    Fibrocystic breastchanges is a commonly used phrase to describe painful, lumpy breasts.

    Causes

    The exact cause is not known. It is believed that hormones made in the ovaries can make awoman's breasts feel swollen, lumpy, or painful before or during menstruation each month.

    Up to half of women have this problem at some time during their life. It is most common between the ages of 20 and 45. It is rare in women after menopause, unless they are taking estrogen.

    Some women feel that eating chocolate, drinking caffeine, or eating high-fatfoods cause their symptoms. But there is no clear proof of this.

    Symptoms

    Symptoms usually get better after you go through menopause.If youtake birth control pills, you mayhave fewer symptoms.If you are on hormone therapy, youmay have more symptoms.

    Symptoms are usually worse right beforeyour menstrual period and improve afteryour period starts.

    Symptoms can include:

    • Pain or discomfort in both breasts
    • The pain commonly comes and goes with the period, butcan last through the whole month
    • Breasts that feel full, swollen, and heavy
    • Pain or discomfort under the arms
    • Thick or lumpy breasts

    You may have a lump in the same area of the breast that becomes larger before each period and shrinks afterward. This type of lump moves when it is pushed with your fingers. It does not feel stuck or fixed to the tissue around it. This lump is common with fibrocystic breasts.

    You mayhave discharge from the nipple. If the discharge is clear, red, or bloody, talk to your health care provider right away.

    Exams and Tests

    Your health care provider will examine you. This will include a breast exam.Tell yourdoctor or nurse if you havenoticed anybreast changes.

    If you are over 40, ask you doctor or nurse how often you should have a mammogramto screen for breast cancer. For women under 35, a breast ultrasound may be used to look more closely at breast tissue.

    You may need further tests if a lump was found during a breast exam or your mammogram result was abnormal. Another mammogramandbreast ultrasound may be done.

    Treatment

    Women who have no symptoms or only mild symptoms do not need treatment.

    Your health care provider may recommend the following self-care measures:

    • Take over-the-counter medicine such as acetaminophen or ibuprofen
    • Applyheat or ice on the breast
    • Wear a well-fitting or sportsbra

    Some women believe that eating less fat, caffeine, or chocolate helps with their symptoms. Butthere is no good evidence that these measureshelp.

    Vitamin E, thiamine, magnesium, and evening primrose oil are not harmful in most cases. But studies have not showntheseto be helpful. Before taking any medicine or supplement, talk with your health care provider.

    For more severe symptoms, your health care provider may prescribe hormones, such as birth control pills or other medicine. Take the medicine exactly as instructed. Be sure to let your provider know if you have side effects from the medicine.

    Surgery is never done to treat this condition.

    Outlook (Prognosis)

    If your breast exams and mammograms are normal, you do not need to worry about your symptoms. Fibrocystic breast changes do not increase your risk of breast cancer. Symptoms usually improve after menopause.

    When to Contact a Medical Professional

    Call your health care provider if:

    • You find new or different lumpsduring your breast self exam
    • You have new discharge from the nipple or any dischargethat isbloody or clear
    • You have redness or puckering of the skin, or flattening or indentation of the nipple

    References

    Miltenburg DM, Speights VO Jr. Benign breast disease. Obstet Gynecol Clin North Am. 2008;35:285-300.

    Katz VL, Dotters D. Breast diseases: diagnosis and treatment of benign and malignant disease. In: Lentz GM, Lobo RA, Gershenson DM, Katz VL,eds. Comprehensive Gynecology. 6th ed. Philadelphia, PA: Elsevier Mosby; 2012:chap 15.

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      A Closer Look

      Self Care

        Tests for Fibrocystic breast changes

          Review Date: 11/5/2012

          Reviewed By: Shabir Bhimji, MD, PhD, General Surgery, Midland, TX. Review provided by VeriMed Healthcare Network. Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, David R. Eltz, Stephanie Slon, and Nissi Wang.

          The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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