Dietary and Herbal Impacts on Fibrocystic Breasts and Uterine Fibroids - Traditional Chinese Medicine

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Uterine fibroids and breast fibrocystic changes?


Hello, Doctor.
I would like to ask about dietary and medication issues related to breast examinations.
I have several fibrocystic masses, with the largest being four centimeters.
I have also had fluid drained from uterine fibroids, three of which are approximately five to seven centimeters.
One doctor mentioned that they can grow larger during menstruation.
Is this true? I have heard that consuming excessive soy products can cause tumors to grow larger.
Is that true? What quantity would be considered excessive? After menstruation ends, should I drink anything to replenish my body? I have heard that those with fibroids should avoid herbal remedies like Si Wu Tang and Angelica, and some doctors say to avoid coffee.
What are the reasons for these recommendations? I have many questions and would greatly appreciate your guidance.
Thank you very much!

nickname, 30~39 year old female. Ask Date: 2021/02/27

Dr. Zhang Weidong reply Traditional Chinese Medicine


Hello: Regarding the educational article on soy milk and estrogen, you can search for these two keywords to find detailed articles that explain the topic more clearly than I can type here.
The other two questions can also be researched in the same way; reading several articles will give you a better understanding.
These questions are all controversial.
The first question has less controversy now, and the articles online are quite clear.
For the second question, there is currently not enough clinical evidence to prove a direct relationship between Dong Quai and fibroids, so a cautious approach is recommended.
As for the last question, only a few studies have suggested a possible correlation, so the current stance is to take a wait-and-see approach, meaning it's up to you whether to believe it or not.
Your physician has seriously informed you of all the risks, hoping you can avoid any risky foods.
I hope this answers your questions clearly.
Changhua Hospital, Department of Traditional Chinese Medicine, Dr.
Chang Wei-Dong.

Reply Date: 2021/02/27

More Info


When it comes to managing fibrocystic breasts and uterine fibroids, dietary choices and herbal supplements can play a significant role. Fibrocystic breast changes are common and often benign, characterized by the presence of multiple cysts in the breast tissue. Uterine fibroids, on the other hand, are non-cancerous growths in the uterus that can cause various symptoms, including heavy menstrual bleeding and pelvic pain. Understanding how diet and certain herbal remedies can influence these conditions is crucial for effective management.


Dietary Considerations
1. Soy Products: There is a common belief that consuming soy products, which contain phytoestrogens (plant-derived compounds that mimic estrogen), can exacerbate fibrocystic breast changes and fibroids. However, research on this topic is mixed. Some studies suggest that moderate consumption of soy may not significantly impact the size of fibroids or breast cysts. The key is moderation; excessive intake of soy products, such as tofu or soy milk, might not be advisable, especially if you have a history of hormone-sensitive conditions. A general guideline could be to limit soy intake to a few servings per week, but individual tolerance can vary.

2. Caffeine: The relationship between caffeine and fibrocystic breasts is also debated. Some studies have suggested that high caffeine intake may worsen breast tenderness and cyst formation. Therefore, it might be beneficial to limit caffeine consumption, particularly during the luteal phase of your menstrual cycle when symptoms may be more pronounced. Reducing coffee, tea, and caffeinated sodas could help alleviate some discomfort.

3. Herbal Remedies: Certain herbal remedies, such as Dong Quai and Four Substance Decoction (Si Wu Tang), are traditionally used in Chinese medicine for women's health. However, these may not be suitable for individuals with fibroids, as they can potentially stimulate uterine contractions or hormonal activity. It’s essential to consult with a healthcare provider before starting any herbal supplements, especially if you have fibroids.

4. Nutrient-Rich Foods: Incorporating a diet rich in fruits, vegetables, whole grains, and lean proteins can support overall health and may help manage symptoms. Foods high in fiber can aid in hormone regulation, while antioxidants found in fruits and vegetables can combat oxidative stress.


Menstrual Cycle and Fibroids
It is true that fibroids can change in size during the menstrual cycle. They often grow larger due to hormonal fluctuations, particularly estrogen, which can stimulate their growth. After menstruation, fibroids may shrink slightly, but they can still cause symptoms depending on their size and location. Regular monitoring through ultrasound can help track changes in fibroid size.


Post-Menstrual Care
After your menstrual period, focusing on replenishing your body with nutrient-dense foods can be beneficial. While there is no specific requirement to drink herbal tonics or supplements, ensuring adequate hydration and nutrient intake is essential for recovery. Foods rich in iron, such as leafy greens and legumes, can help replenish any lost nutrients due to menstruation.


Conclusion
In summary, while dietary choices can influence fibrocystic breasts and uterine fibroids, moderation is key. Avoiding excessive soy products and caffeine, while focusing on a balanced diet rich in nutrients, can help manage symptoms. Always consult with your healthcare provider before making significant dietary changes or starting new supplements, especially if you have existing health conditions like fibroids or fibrocystic breast changes. Regular follow-ups and monitoring are essential for managing these conditions effectively.

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