Fibrocystic Breast Changes: Treatment Options and Remedies

Q: Fibrocystic Breast Changes: Treatment Options and Remedies

Hello Yu： You can actually refer to the obstetrics and gynecology health education information from our hospital (Changhua Hospital), which includes detailed perspectives from both Western and traditional Chinese medicine. <br>Evening primrose oil is a health supplement related t

Breast cyst

Hello, doctor.
I recently discovered a hard lump in my chest and went for an examination.
The physician informed me that it is a fibrocystic breast condition, and there are two lumps: one is about 1 cm and the other is about 2 cm.
I would like to ask if daily massage of the breast can lead to improvement.
Can traditional Chinese medicine help to resolve this condition? I also found information online suggesting that taking evening primrose oil is very effective; is that true? What about acupuncture? Additionally, there is no family history of fibrocystic breast condition or breast cancer, but I have a strong preference for ice cream, often work late, and experience menstrual pain.
I also have iron deficiency anemia.
I would like to know if these cysts can be completely treated and disappear.
Thank you, doctor.

yu, 10~19 year old female. Ask Date: 2016/10/01

Dr. Zhang Weidong reply Traditional Chinese Medicine

Hello Yu: You can actually refer to the obstetrics and gynecology health education information from our hospital (Changhua Hospital), which includes detailed perspectives from both Western and traditional Chinese medicine.
Evening primrose oil is a health supplement related to women's hormones and should be regarded as an adjunctive supplement rather than a medication for symptom relief.
Traditional Chinese medicine and acupuncture cannot guarantee the complete disappearance of fibrocystic changes, but they can help alleviate discomfort.
If you do not have any physical discomfort, it is recommended to engage in more exercise to improve circulation; massage can also enhance local circulation, but neither can guarantee the disappearance of cysts.
Generally, most cysts are benign, and as long as you take care of your body by avoiding late nights, exercising regularly, and maintaining a balanced diet, the likelihood of them becoming malignant is low, so there is no need to worry too much.
Additionally, cold foods and drinks are generally not advisable as they can affect the body's circulation, so it is best to limit their consumption.
Wishing you good health.
Zhang Wei-Dong, Department of Traditional Chinese Medicine, Changhua Hospital.

Reply Date: 2016/10/01

More Info

Fibrocystic breast changes, often referred to as fibrocystic breast disease, are a common condition characterized by the presence of lumps or cysts in the breast tissue. These changes are typically benign and can cause discomfort, particularly in relation to the menstrual cycle. The condition is influenced by hormonal fluctuations, particularly estrogen and progesterone, which can lead to the development of fibrous tissue and cysts in the breast.

In your case, you mentioned that you have two fibrocystic lumps, one measuring about 1 cm and the other about 2 cm. It is important to note that fibrocystic changes are generally not associated with an increased risk of breast cancer, and many women experience these changes without any significant health issues. However, they can cause pain and discomfort, which is often cyclical and related to hormonal changes.

Regarding treatment options, the management of fibrocystic breast changes typically focuses on symptom relief rather than complete removal of the cysts or lumps. Here are some common approaches:
1. Lifestyle Modifications:
- Dietary Changes: Some women find relief by reducing caffeine and fat intake, although scientific evidence on this is mixed. A balanced diet rich in fruits, vegetables, and whole grains is generally recommended.

- Heat Therapy: Applying warm compresses to the affected area can help alleviate discomfort.

- Regular Exercise: Engaging in regular physical activity can help manage symptoms and improve overall well-being.

2. Medications:
- Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage pain associated with fibrocystic changes.

- Hormonal treatments, such as birth control pills, may be prescribed to help regulate hormonal fluctuations and alleviate symptoms.

3. Alternative Remedies:
- Herbal Supplements: Some women consider herbal remedies, such as evening primrose oil (月見草油), which is thought to help with breast pain. However, scientific evidence supporting its effectiveness is limited, and it is essential to consult with a healthcare provider before starting any new supplement.

- Acupuncture: Some individuals report benefits from acupuncture, although more research is needed to establish its effectiveness for fibrocystic breast changes.

4. Monitoring:
- Regular follow-ups with your healthcare provider are crucial. They may recommend periodic imaging studies, such as ultrasounds or mammograms, to monitor the cysts and ensure they do not change in character.

5. Surgical Options:
- In rare cases, if a cyst is particularly large or painful, or if there is uncertainty about the diagnosis, aspiration (removal of fluid) or surgical excision may be considered.

As for your question about whether daily breast massage can help, while some women find that gentle massage can provide temporary relief from discomfort, it is unlikely to reduce the size of the cysts or lead to their disappearance.
In conclusion, while fibrocystic breast changes can be bothersome, they are typically manageable with lifestyle adjustments and symptom relief strategies. It is essential to maintain open communication with your healthcare provider about your symptoms and any treatments you are considering. If you have concerns about your condition or if symptoms worsen, seeking medical advice is always the best course of action.

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