Fibrocystic Breast Changes: What You Need to Know

Fibrocystic changes

1.
Hello, my menstrual period started on October 9th.
On October 24th, I noticed some slight pain in my left breast and found a lump upon touching it.
I immediately went to the hospital for an ultrasound examination.
The doctor assessed that it might be a cyst, but it seems to have some slight irregularities, and I was advised to return for a follow-up in three months.
Should I be concerned about this? What should I pay attention to?
2.
I am currently taking oral contraceptive pills; should I stop taking them? Thank you.

Ling, 30~39 year old female. Ask Date: 2022/10/31

Dr. Chen Bingze reply Surgery

Benign fibrocystic changes are indeed the most common breast tumors.
They can be monitored for changes over a short period, or a biopsy can be performed for testing, or even surgical excision for examination (if you feel more comfortable having it removed).
The primary concern, of course, is breast cancer, but to confirm whether it is cancerous, a tissue biopsy is necessary.
It is true that hormonal medications can contribute to the development of fibrocystic changes; discontinuing these medications may be an option, but it is likely that the cysts will remain even after stopping.

Reply Date: 2022/10/31

More Info

Understanding fibrocystic breast changes is essential for women, especially when they notice changes in their breast tissue. Fibrocystic breast changes are common and often benign, characterized by the presence of lumps, tenderness, and sometimes pain in the breast tissue. These changes are influenced by hormonal fluctuations, particularly during the menstrual cycle, and can lead to the formation of cysts or fibrous tissue.

1. Understanding Your Symptoms: Based on your description, it seems that you have experienced breast tenderness and discovered a lump in your left breast. The ultrasound examination indicated that it might be a cyst, which is a fluid-filled sac. The fact that the cyst appears slightly irregular may warrant further observation, but it does not necessarily indicate a serious condition. Many women experience fibrocystic changes, and these can fluctuate with hormonal changes, particularly around the menstrual cycle.
It is important to monitor the lump for any changes in size, shape, or associated symptoms such as increased pain or discharge. If the lump remains stable and does not exhibit concerning features, it may not require immediate intervention. However, your doctor has recommended a follow-up in three months, which is a standard practice to ensure that any changes can be assessed over time.

2. What to Watch For: While waiting for your follow-up appointment, it is advisable to keep track of any changes in your breast tissue. This includes noting any new lumps, changes in the existing lump, or any unusual discharge from the nipple. If you experience significant changes, such as increased pain, swelling, or if the lump becomes hard or fixed in place, you should contact your healthcare provider sooner.

3. Impact of Birth Control Pills: Regarding your use of oral contraceptives, these medications can sometimes influence breast tissue changes. Birth control pills often stabilize hormonal fluctuations, which may help alleviate some symptoms associated with fibrocystic changes. However, if you have concerns about the impact of the pills on your breast health or if you notice any changes after starting them, it would be wise to discuss this with your healthcare provider. They can provide personalized advice based on your medical history and current health status.

4. When to Seek Immediate Care: While most fibrocystic changes are benign, you should seek immediate medical attention if you notice any of the following:
- A sudden increase in the size of the lump.

- Persistent pain that does not improve with over-the-counter pain relief.

- Any discharge from the nipple that is bloody or clear and persistent.

- Changes in the skin over the breast, such as redness, dimpling, or puckering.

5. Conclusion: In summary, while fibrocystic breast changes can be concerning, they are often benign and manageable. Regular follow-ups with your healthcare provider are essential to monitor any changes. Continue to be vigilant about your breast health, and do not hesitate to reach out to your doctor with any new concerns. Your health and peace of mind are paramount, and staying informed about your body is a crucial part of that process.

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