Breast Cysts: Causes, Symptoms, and When to Seek Help

Breast blisters

Hello, Doctor.
Last September, during a self-examination, I suddenly discovered a movable spherical object located in the lower right side of my breast.
I subsequently visited a breast surgeon for an examination, and the doctor diagnosed it as a cyst, approximately 1 cm in size.
Since I tend to develop cysts in both breasts, which often change (some disappear by the next check-up, while others are newly formed), I have scheduled regular check-ups every six months.
In January of this year, I noticed that the cyst felt larger when I touched it, so I went for another examination.
The doctor said there were no abnormalities, explaining that because the cyst was located more superficially, it might feel larger, but its actual size had not changed.
Another check-up was scheduled for July.
I have a concern: during my menstrual period in February, I experienced significant breast tenderness (it was painful even with gentle touch), which was more intense than in previous cycles when I would feel breast fullness but not as much pain.
The cyst's location transformed into a larger lump, which was very painful to press.
After my menstrual period ended, the lump completely disappeared, and the cyst also vanished! The cyst had been present from last September until February of this year, but it completely disappeared after my menstrual period in February.

Is this a normal phenomenon? Is it possible for it to suddenly disappear? Should I schedule a check-up soon, or can I wait until July? Or could it be related to my recent consumption of red dates and goji berries? 🤣 P.S.
Before my February menstrual period, I started drinking red dates and goji berry tea (which I had not consumed before) to help regulate my cycle, and since February, I have maintained this habit.
My menstrual period has indeed been smoother, and the breast tenderness has not been as pronounced.
Thank you for your response, Doctor.

Niming, 20~29 year old female. Ask Date: 2023/04/08

Dr. Chen Jiaming reply Surgery

Women aged 20 to 30 are indeed susceptible to dietary influences on hormone secretion, which can lead to changes in breast fibrocysts (fibrocystic changes).
It is possible that the red date and goji berry tea may alter your endocrine status, causing the fibrocysts in your breasts to stop increasing in size.
You can wait until July for a follow-up examination.
Congratulations!

Reply Date: 2023/04/08

More Info

Understanding breast cysts is crucial for maintaining breast health and addressing any concerns that may arise. Breast cysts are fluid-filled sacs that can develop in the breast tissue, and they are quite common, especially among women of reproductive age. Here’s a comprehensive overview of their causes, symptoms, and when to seek medical help.

Causes of Breast Cysts
Breast cysts are primarily influenced by hormonal changes in the body. They often develop in response to fluctuations in estrogen and progesterone levels during the menstrual cycle. These hormonal changes can cause the breast tissue to swell and form cysts. Other factors that may contribute to the development of breast cysts include:
1. Age: Women between the ages of 30 and 50 are more likely to develop breast cysts.

2. Family History: A family history of breast cysts or breast cancer may increase your risk.

3. Hormonal Imbalances: Conditions that affect hormone levels, such as polycystic ovary syndrome (PCOS), can lead to the formation of cysts.

4. Diet and Lifestyle: Some studies suggest that high caffeine intake and a diet high in fat may be linked to the development of breast cysts.

Symptoms of Breast Cysts
Breast cysts can vary in size and may or may not cause symptoms. Common symptoms include:
- A palpable lump or mass in the breast that feels like a soft, movable ball.

- Tenderness or pain in the breast, especially before menstruation.

- Changes in the size of the cyst, which may fluctuate with the menstrual cycle.

- Discomfort or pain when pressure is applied to the cyst.

In your case, the cyst you discovered was described as movable and approximately 1 cm in size. The fact that it increased in size during your menstrual period and then disappeared afterward is consistent with the behavior of breast cysts, which can change in response to hormonal fluctuations.

When to Seek Help
While many breast cysts are benign and do not require treatment, there are certain situations where you should seek medical advice:
1. Persistent Changes: If you notice any new lumps or changes in existing lumps that persist beyond your menstrual cycle, it’s important to consult a healthcare provider.

2. Severe Pain: If the pain associated with a cyst becomes severe or is not relieved by over-the-counter pain medications, further evaluation may be necessary.

3. Changes in Appearance: If the lump changes in shape, size, or texture, or if you notice any unusual discharge from the nipple, you should seek medical attention.

4. Regular Monitoring: Since you have a history of breast cysts and have been advised to have regular check-ups, it’s wise to adhere to this schedule. If you feel uncertain about the changes you’ve experienced, it may be beneficial to schedule an earlier appointment rather than waiting until July.

Conclusion
In summary, breast cysts are generally benign and can fluctuate in size and tenderness due to hormonal changes. Your experience of the cyst disappearing after your menstrual period is not uncommon and can be considered a normal phenomenon. However, it’s essential to maintain regular check-ups and communicate any new or concerning symptoms to your healthcare provider.
As for the consumption of red dates and goji berries, while they are often praised for their health benefits, there is no direct evidence linking them to the disappearance of breast cysts. However, maintaining a balanced diet can contribute to overall hormonal balance and health.

If you have any lingering concerns or if the symptoms change, don’t hesitate to reach out to your healthcare provider for further evaluation and peace of mind.

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