Breast DisordersBy JACOB of Adsenselover.com
Breast pain is a common complaint or disorder and a source of great distress for
many women. The medical term for pain is mastodynia. pain can occur in a cyclic
fashion corresponding with the onset of your periods, or it can be non-cyclic. Non-cyclic
breast pain does not have easily identifiable triggers.
The key to the evaluation of pain is to make sure there is no underlying problem that is
the source of the pain. This includes a complete examination as well as a mammogram
and/or ultrasound depending on the woman’s age. If there is no underlying abnormality as the
cause of the pain, it is generally due to hormonal stimulus.
Post-menopausal women on estrogen supplements may find a relief in their discomfort by
lowering the dose of the supplemental estrogen or by discontinuing it entirely. For women not
on supplemental estrogen, a variety of tools can be utilized to manage the pain. This may
include anti-inflammatory medications such as Motrin or Aleve or or in some cases hormonal
manipulation.
For women who have cyclic pain, controlling the pain may require use of oral
contraceptives to modulate the hormonal changes during the menstrual cycle. In addition, the
drug, Danazol, most commonly used for management of endometriosis, can be very effective in
reducing pain.
For mild cases evening primrose oil, a fatty acid supplement, can provide
relief of symptoms if taken regularly over a period of several weeks.
Fortunately, most pain is not constant or severe and is often a self-limiting
disorder.
Fibrocystic Change -Breast Disorder
Fibrocystic changes are commonly present in an otherwise normal breast–this is not a
disease that requires treatment per se. The term fibrocystic mastopathy is used to describe
dense “lumpy” breasts. Excessive caffeine consumption can cause the development of fibrocystic
changes.
Women with fibrocystic changes may notice a palpable lump during their self-examination or a
mammogram may show that a particular area of the is unusually dense. Finding a lump such
as this can create significant anxiety so it's important to have a complete evaluation to acess
the lump and determine if there is an actual mass or cyst.
This evaluation includes a
examination by your physician as well as additional imaging, including additional
mammographic views or an ultrasound. When physical examination and imaging cannot
completely resolve the underlying cause of the lump or density, a biopsy may be recommended.
In most cases, the biopsy will be done using a fine needle aspiration, which entails placing a
small needle into the palpable thickening and extracting a sample of cells for examination. If
there is concern that a fine needle aspiration will not make the diagnosis, than a core needle
biopsy which obtains a slightly larger sample of tissue may be performed.
If you have fibrocystic breasts it does not mean that you are at greater risk of developing
breast cancer. It is true however, that women with fibrocystic breasts may have more difficult
to interpret mammograms. If this is the case, then ultrasound is often utilized along
with screening mammography to further evaluate areas on the mammogram that may be too dense for
accurate assessment.
Fibrocystic changes do not necessarily require any treatment. Women with symptomatic
fibrocystic changes particularly women with pain may be counseled to limit their
caffeine intake or to undergo drainage of large cysts if they are present.
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