Fibrocystic changes and fibroadenoma?
Hello Dr.
Lin: I would like to ask, last year I experienced breast tenderness and went for a surgical examination, which revealed a fibrocystic change and a fibroadenoma (0.5 cm).
The doctor advised that I only need to have regular check-ups every six months.
Now, due to a decrease in menstrual flow, I am considering taking evening primrose oil to help regulate my menstrual cycle, but I am unsure if this is appropriate.
I have found information online suggesting that evening primrose oil may promote the growth of fibroadenomas.
I would appreciate your response.
Thank you!
Annita, 30~39 year old female. Ask Date: 2009/03/26
Dr. Lin Qingzhong reply Traditional Chinese Medicine
Dear Annita,
1.
The examination for breast tenderness revealed the presence of fibrocystic changes and a fibroadenoma (0.5 cm).
The initial assessment indicates a benign tumor, and it is recommended to have regular check-ups every six months, which should include tumor markers, breast ultrasound, mammography, or biopsy if necessary.
2.
Your decreased menstrual flow can be attributed to various factors, and it is not advisable to use evening primrose oil for regulation.
Evening primrose oil is a health supplement that has gained popularity in recent years but lacks large-scale validation in our country.
Therefore, it is recommended to consult a qualified Traditional Chinese Medicine practitioner for diagnosis and treatment rather than self-medicating with this supplement.
3.
Wishing you well,
Dr.
Lin Ching-Chung, Director of the Traditional Chinese Medicine Department, Fengyuan Hospital
Reply Date: 2009/03/26
More Info
When it comes to managing fibrocystic changes and fibroadenomas, the use of evening primrose oil (EPO) is a topic of considerable interest and debate. Fibrocystic breast changes are common and can include symptoms such as breast pain, tenderness, and the presence of lumps, which are often benign. Fibroadenomas, on the other hand, are solid, non-cancerous tumors that can also occur in the breast tissue.
Evening primrose oil is derived from the seeds of the evening primrose plant and is rich in gamma-linolenic acid (GLA), an omega-6 fatty acid. It is often marketed as a supplement that can help alleviate symptoms associated with premenstrual syndrome (PMS) and other hormonal imbalances. Some women take EPO to help manage breast pain and tenderness associated with fibrocystic breast changes.
However, the safety and efficacy of evening primrose oil in relation to breast conditions such as fibrocystic changes and fibroadenomas are not well-established. While some anecdotal evidence suggests that EPO may help reduce breast pain, scientific studies have not conclusively proven its effectiveness for this purpose. Furthermore, concerns have been raised regarding the potential for EPO to stimulate the growth of fibroadenomas.
The concern stems from the fact that evening primrose oil may influence hormonal activity in the body. Since fibroadenomas are hormone-sensitive, there is a theoretical risk that introducing additional omega-6 fatty acids could affect the growth of these benign tumors. However, there is currently no robust clinical evidence directly linking EPO to the enlargement of fibroadenomas.
If you are considering taking evening primrose oil to manage your symptoms, it is crucial to consult with your healthcare provider first. They can provide personalized advice based on your medical history, current health status, and the specifics of your breast condition. Regular monitoring, as recommended by your doctor, is essential to ensure that any changes in your breast tissue are appropriately evaluated.
In addition to discussing the use of evening primrose oil, it is also important to consider other lifestyle factors that can influence breast health. Maintaining a balanced diet rich in fruits, vegetables, whole grains, and healthy fats can support overall hormonal balance. Regular physical activity, stress management techniques, and adequate sleep are also vital components of a holistic approach to health.
In summary, while evening primrose oil is commonly used for various hormonal symptoms, its safety and efficacy in the context of fibrocystic changes and fibroadenomas remain uncertain. It is essential to approach this supplement with caution and to have open discussions with your healthcare provider to make informed decisions about your health. Regular check-ups and monitoring are key to managing your breast health effectively.
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