This condition is also sometimes referred to as benign breast disease, fibrocystic breast disease, diffuse cystic mastopathy or mammary displasia. It is fairly common. It is estimated that over 60% of women are affected, with the majority being in the 30 to 50 age range. The changes to breast tissue are benign, not cancerous.
Diagnosis of fibrocystic breast condition is usually done through breast exam, mammogram and breast ultrasound. In some cases, the doctor may opt to do a breast biopsy to rule out cancer. For large cysts, it may be necessary to aspirate the cyst with a fine needle.
Since the cause of fibrocystic breast condition is not fully understood, treatment tends to focus on the symptoms. Anti-inflammatories including acetaminophen and nonsteroidal anti-inflammatory medications (NSAIDs) may be prescribed for relief of pain and tenderness.
Providing adequate breast support is highly recommended. It is important to wear a comfortable fitting bra that supports the breasts. Some patients find it helpful to wear their bra through the night in addition to the day.
There is some evidence that points to hormonal irregularities as one of the causes of fibrocystic breast condition. Women that experience highly irregular menstrual cycles appear to experience more severe cases. Hormonal birth control may be prescribed to help regulate cycles and balance hormones.
In studies, both Tamoxifenin and danazol have reduced breast pain and the size of nodules. Tamoxifenin works to reduce the effects of estrogen while danazal is a modified form of testosterone. Both, however, can have side effects. Therefore, they are only prescribed in severe cases and for a limited amount of time.
Other hormonal conditions such as thyroid disorders or diabetes may have a hand in fibrocystic breast condition. Treatment of these underlying problems is necessary. Thyroid medications, glucose lowering medications or insulin may be prescribed in order to treat these health issues.
Self-treatment may involve dietary changes, taking supplements or home treatments for the breast discomfort. Research indicates that a diet high in fat, especially saturated fat, increases the incidence of this condition. Lowering fat intake to approximately 25% of daily calories, focusing on unsaturated fats, and following a balanced diet may help symptoms. There is some evidence that caffeine intake can play a role, but there are conflicting studies. A trial elimination of caffeine products is worth trying.
There has been inconclusive research on the use of supplements such as Vitamin E, Vitamin B6 and evening primrose oil. Since there is a potential for interaction with other medications, it is best to discuss these with a physician before supplementing. If supplementing with Vitamin E, it is important to be monitored by a physician as it can be toxic at high dosages.
Home treatments for the discomfort of fibrocystic breast condition usually involves heat to relieve inflammation. Hot towels or a heating pad can be applied to the breast as needed. For some women, taking a warm shower or bath is also beneficial.