Common Questions About Fibrocystic Breast Changes in Young Women

Some questions about fibrocystic changes?

I am 25 years old and discovered a hard lump in my right breast in September.
Last month, I went to the hospital for an ultrasound examination, and the doctor said it is a typical fibrocystic change.
I have found a lot of related information online, but I still have some questions that I cannot find answers to.
Please take the time to respond...
1.
Generally, fibrocystic changes seem to cause discomfort mainly during the ovulation period and before menstruation.
However, I seem to experience a slight dull pain in my right breast even outside of my menstrual period.
Is this normal?
2.
I have a habit of taking traditional Chinese medicine such as Si Wu Tang and Shen Hua Tang.
Should I stop taking them?
3.
If I want to have a baby in the future, will pregnancy and breastfeeding cause the cysts to enlarge due to increased breast tissue development?
4.
What nutrients should I focus on in my diet for general health?
5.
Should I consider taking a multivitamin supplement?

mi, 20~29 year old female. Ask Date: 2004/12/11

Dr. Lin Kecheng reply Surgery

In young women, breast lumps are mostly benign fibrocystic changes or fibroadenomas.
If an ultrasound examination shows a typical fibrocystic lesion, you can feel reassured.
Generally, the discomfort associated with fibrocystic changes varies from person to person; some may feel no discomfort at all, while others may experience persistent pain that can be bothersome, often exacerbated during their menstrual period.
There is no research on the efficacy of traditional herbal remedies like Si Wu Tang or Sheng Hua Tang, so I cannot recommend them; however, if they contain hormones, it is advisable to limit their intake.
Typically, a breast surgeon may consider performing a fine needle aspiration (FNA) to send for cytological examination to confirm whether the diagnosis is benign or malignant.
If it is benign, most young women are advised to undergo conservative monitoring.
If the lump is too large, surgical intervention may be recommended.
It is important to inform your physician if you are pregnant or breastfeeding to receive appropriate advice and avoid complications.
Generally, if one does not follow a strict vegetarian diet or suffer from anemia, there is no need to supplement with multivitamins or special nutrients, as fibrocystic changes are not caused by a deficiency in vitamins or nutrients.
Instead, reducing the intake of high-fat and high-calorie foods and avoiding smoking can decrease the risk of breast cancer.
Wishing you good health!

Reply Date: 2004/12/11

More Info

Fibrocystic breast changes are quite common among young women, and they can often lead to confusion and concern regarding breast health. As a 25-year-old who has recently been diagnosed with a typical fibrocystic cyst, it's understandable that you have several questions about this condition and its implications for your health and future plans, such as pregnancy. Let's address your concerns one by one.

1. Pain and Discomfort Outside of Menstrual Cycle: It is indeed common for women with fibrocystic breast changes to experience discomfort or pain, particularly in relation to their menstrual cycle. However, it is also possible to experience breast tenderness or a dull ache at other times. This can be attributed to hormonal fluctuations that occur throughout the menstrual cycle, which can affect breast tissue even outside of the premenstrual phase. If the discomfort is persistent and bothersome, it may be worth discussing with your healthcare provider to rule out any other underlying issues.

2. Herbal Remedies and Supplements: Regarding your use of traditional Chinese medicine, such as Si Wu Tang and Sheng Hua Tang, it is essential to consult with your healthcare provider before making any changes. While these herbal remedies are often used to promote health and balance, they can interact with other medications or conditions. Your doctor can provide personalized advice based on your overall health and specific circumstances.

3. Pregnancy and Breast Changes: When it comes to pregnancy and breastfeeding, hormonal changes can indeed cause fibrocystic changes to fluctuate. During pregnancy, breast tissue undergoes significant changes in preparation for lactation, which may lead to the enlargement of cysts or the development of new ones. However, this is generally not a cause for concern, as many women with fibrocystic breasts successfully breastfeed without complications. It's advisable to maintain regular check-ups with your healthcare provider during this time to monitor any changes.

4. Dietary Considerations: A balanced diet can play a crucial role in managing fibrocystic breast changes. Nutrients that may be beneficial include omega-3 fatty acids (found in fish and flaxseeds), antioxidants (found in fruits and vegetables), and fiber (found in whole grains, fruits, and vegetables). Some studies suggest that reducing caffeine and high-fat foods may also help alleviate symptoms, although individual responses can vary. Maintaining a healthy weight and staying hydrated are also important.

5. Multivitamins and Supplements: Whether or not to take a multivitamin depends on your dietary intake and specific health needs. If you feel that your diet is lacking in certain nutrients, a multivitamin may be beneficial. However, it's best to discuss this with your healthcare provider, who can recommend specific supplements based on your individual health profile and dietary habits.

In summary, while fibrocystic breast changes can be concerning, they are typically benign and manageable with proper care and lifestyle choices. Regular monitoring and communication with your healthcare provider are key to ensuring your breast health and addressing any changes or symptoms you may experience. If you have further questions or concerns, don't hesitate to reach out to your healthcare provider for personalized advice and support.

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