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Anon,

You didn't mention how old you are; have you started having your own annual pap smears and pelvic exams yet? Have you ever had a doctor examine your breasts?

All of your symptoms are consistent with fibrocystic breasts. Here's what the Mayo Clinic says about it:

"Fibrocystic breast changes are very common. Women with this noncancerous (benign) condition often experience lumpy, painful breasts. Although once called fibrocystic breast disease, the condition is so common — especially in premenopausal women — that most experts now refer to the condition as fibrocystic breast changes.

"The cause of fibrocystic breast changes isn't completely understood. But the condition is likely associated with hormone fluctuations during a woman's menstrual cycle. Signs and symptoms, which typically worsen right before menstruation, include:

--Dense, lumpy breast tissue
--Feeling of fullness in the breasts
--Pain and tenderness that tends to be generalized and may radiate to the underarm
--Nipple discharge that's often greenish brown in color
--Breast cysts that are identified on breast ultrasound
--Although fibrocystic breast changes don't increase your risk of breast cancer, having lumpy and tender breasts may make it more challenging to do breast self-exams. For this reason, it's important to familiarize yourself with how your breasts normally feel and monitor for any changes.

"If you choose to perform breast self-exams, schedule them for a week after your period ends — when hormonal fluctuations decrease and breast tissue feels less lumpy and tender. Also, review your technique with your doctor to ensure that you're doing the exam correctly. Dense breast tissue may make it more difficult to detect abnormal lumps."

You're to be commended for doing breast self-exams and for knowing what's new and different about your body. And while it sounds like these changes can just be due to fibrocystic breasts, it's never bad to have something checked out that just doesn't feel right to you.

It's good news that you are feeling the same thing in both breasts. It would be more worrisome if you found a lump or ridge in one breast that you didn't find in the other.

Here's one page that talks about treatment, including things you can do yourself:

http://www.mayoclinic.org/fibrocystic-breast/treatment.html

Here are their tips:

--Avoiding caffeine, cola, and chocolate and making other dietary changes
--Taking a supplement containing 3,000 mg of evening primrose oil and 200 to 400 units of vitamin E each day
--Using over-the-counter pain medications such as ibuprofen, acetaminofen or aspirin
--Taking prescription medications, such as bromocriptine or danazol
--Using oral contraceptives or, if already taking them, adjusting the dose
--Stopping or reducing hormone therapy for postmenopausal women
--Reducing dietary salt, especially one to two weeks prior to the period
--Wearing a bra that gives good support, especially if exercising or breasts are large
--Applying heat with a heating pad or warm water bottle

Does this help?

March 29, 2010 - 10:23am

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