Discharge from the nipples is one of the common reasons why women visit a mammologist. In most cases, this phenomenon refers to manifestations of mastopathy - a disease of the mammary glands, in which the patient exhibits a pathological change in the connective tissue. Discharges from mastopathy can be of different types: from transparent and whitish, like colostrum, to grayish and even bloody.
Discharge from the chest is a dangerous symptom that serves as a signal for prompt consultation with a doctor.
Types of discharge in pathology
Mastopathy is not always characterized by discharge; in many women it occurs without this symptom. If fluid appears from the chest, you should immediately consult a doctor, as this indicates the presence of serious abnormalities in the body and signals the progression of the disease.
There are different types of discharge from the mammary glands; they may differ in color and consistency.
Most often, the liquid contains no impurities, it is transparent, and there may be a fairly strong odor. Often women note a grayish and yellow tint to the discharge.
In the initial stage of mastopathy, discharge appears only when the nipple and areola are compressed - the area surrounding it
Their volume also varies: from scanty discharge, which appears only when you press on the mammary glands, to independent strong discharge, leaving marks on clothing. The development of pathology, as a rule, occurs in both glands, so you can notice discharge from each nipple.
The color of discharge from the breasts during mastopathy can be different, depending on the form of the disease, the area of the lesion and the nature of the pathology. The most commonly observed discharges are the following colors:
Depending on the stage and form of mastopathy, the color of the discharge may vary
- yellowish;
- green;
- bloody or brown.
Often the phenomenon is accompanied by uncomfortable or painful sensations. Mastopathy in the initial stage may occur without discharge or it may be light, transparent, and odorless. Increased secretion is observed in the second half of the menstrual cycle. Usually, when menstruation ends, the fluid stops being released.
Mastopathy at the stage of cyst growth causes more discomfort to a woman compared to the initial stages of the disease.
In addition to painful sensations, the development of cysts in the mammary gland is accompanied by a change in the nature of the discharge
Discharge from the mammary glands also takes on a different color - it changes to a more saturated one. With a strong increase in neoplasms, the liquid becomes yellow or dark yellow, and in some cases brown. The consistency can be either liquid or viscous. As a woman's number of pregnancies increases, the frequency of breast discharge also changes.
If a green fluid is detected, you should know that this shade is due to the presence of purulent exudate.
Typically, purulent discharge is the result of an infection or the formation of cysts. Bloody discharge is the most dangerous case of all of these.
Discharge mixed with blood may indicate the development of breast cancer
If a woman discovers a reddish liquid secreted from her nipples, then she should immediately seek help - mastopathy has entered the final stage. Another option is the development of a malignant tumor.
Discharge in various forms of the disease
Often, with nodular and diffuse forms of mastopathy, the discharge may have a different character.
With uneven tissue growth, which occurs when the disease is in the diffuse stage, the fluid from the nipples is similar to colostrum and is usually whitish or clear.
In isolated cases, the tint may become yellowish or green. Depending on what phase of the patient’s menstrual cycle, the volume of fluid released changes.
The volume of discharge can be both scanty and abundant, requiring the use of special pads
One type of diffuse pathology, fibrocystic mastopathy, is characterized by changes in glandular tissue and the appearance of cysts.
Over time, cysts increase in size, which also affects the volume of discharge.
The fluid may be white due to the separation of epithelial cells or contain a small amount of blood, which indicates damage to the capillaries that pass through the tissue.
Another form of the disease, called nodular, is identified by a light green discharge. This shade is the result of stagnation of fluid in the ducts, compressed by the formed nodes.
Discharge from the mammary glands may appear even before menstruation begins. Most often, the leakage of fluid begins when you press on the chest.
There are rare cases in which blood appears in the fluid, but if this happens, the patient is prescribed surgical treatment.
In some cases, nodular mastopathy can only be eliminated through surgery.
Actions to take when discharge is detected
If fluid appears when pressing on the nipple, then this is a reason to worry about your health and visit a specialist. Serious violations can be indicated not only by the spontaneous flow of liquid of different colors.
Why should you worry? The disease progresses over time, and initially insignificant discharge can increase in volume and change its structure and color, which indicates a high probability of the appearance of malignant neoplasms.
Discharge from the breast in various forms of mastopathy is a phenomenon that does not disappear on its own, but requires treatment of its cause.
The presence of discharge of any nature requires consultation with a doctor.
He will prescribe all the necessary examinations, based on the results of which he will determine the nature of the development of the pathology and the method of mandatory therapy. In addition, seeing a doctor will help you avoid unnecessary worries associated with the possibility of developing a malignant tumor.
It is important to describe your problem to the doctor in detail, namely:
- what color does the discharge appear;
- how often fluid is released;
- discharge appears when the chest is compressed, or it is spontaneous;
- whether you have taken any medications recently;
- whether there is pain, weakness or other unpleasant signs.
In addition to specific symptoms, mastopathy may cause general malaise
The mandatory procedures that make up a comprehensive examination include the following:
- ultrasound examination;
- mammography;
- blood tests to determine hormonal levels;
- cytological examination of a smear;
- analysis showing predisposition to tumor development at the genetic level;
- Magnetic resonance imaging.
It is not always necessary to undergo all procedures at once; the doctor prescribes a specific test based on the general picture of the patient’s condition. Only with bloody discharge may advanced diagnostics be required to exclude dangerous causes of symptom development.
Examination options for mastopathy are selected individually for each patient
Treatment Options
Getting rid of the unpleasant manifestation of mastopathy in the form of fluid with impurities secreted from the mammary glands is treatment for the pathology itself, regardless of the stage of its development. In most cases, a woman requires complex treatment, which involves taking hormones. It can be:
- sex hormone analogues;
- oral contraceptives containing low doses of hormones;
If the form of the disease is nodular, then the doctor decides on surgical intervention.
Breastfeeding can help get rid of mastopathy
Conservative treatment is recommended for diffuse mastopathy. This is, first of all, getting rid of concomitant diseases of the gynecological type and breastfeeding if mastopathy is detected in a pregnant/recently given birth woman. In addition, if necessary, medications are prescribed to relieve neuroses.
Until the release of fluid from the chest stops, the patient must strictly observe hygiene rules.
Be sure to change your underwear daily and wash your mammary glands with warm, clean water in the mornings and evenings. It is allowed to use special bra inserts intended for nursing mothers if the discharge is very heavy and occurs spontaneously.
Motherwort is a herbal remedy often prescribed for mastopathy.
If a woman is bothered by severe pain and constant discomfort during this period, the doctor prescribes diuretics that help get rid of breast swelling, as well as analgesics.
Therapy with vitamins, iodine, and mild sedatives is useful. Many patients should undergo a course of immunomodulatory treatment for mastopathy. During discharge, you should not drink caffeine-containing drinks, as well as black tea, cocoa, or Coca-Cola.
Avoid consumption of chocolate and fatty foods.
Herbal therapy can help avoid pain and get rid of discharge. However, even such seemingly safe remedies can only be prescribed by the attending physician after a full examination and study of the specifics of the disease.
Herbal medicine can be a complement, but not a replacement for the main treatment
The main herbs are calming to the nervous system, antitumor, gonadotropic. You cannot focus only on herbal medicine, ignoring drug treatment.
Discharge of varying abundance and color is a pathological phenomenon that requires proper treatment. You can avoid dangerous consequences only by paying close attention to your health and following the recommendations of your doctor.
The video talks about what pathologies can be assumed based on the color of the discharge:
Source: http://bolezni.com/stati-o-boleznyah/mastopatiya/vydeleniya-pri-mastopatii.html
Signs of fibrocystic mastopathy and methods of treating pathology - Diagnostic
Fibrocystic mastopathy is a disease in which there is an excess of hormones, leading to cystic tissue growth and the formation of growths. Usually occurs in women under 50 years of age.
Fibrocystic mastopathy: symptoms, treatment
Causes
Fibrocystic mastopathy can develop as a result of many predisposing factors. The occurrence of the disease can be influenced by congenital predisposition, negative environmental conditions, and poor nutrition.
On a note! Hormonal imbalances negatively affect hormonal levels, causing dangerous changes in the body.
What is fibrocystic mastopathy
Common causes leading to fibrocystic mastopathy:
- Lack of sexual intercourse associated with psychological disorders.
- Inability to have children as a result of abortion or menstrual irregularities. In some cases, fibrocystic mastopathy occurs in women who did not breastfeed.
- Pathologies of metabolic processes. The onset of the disease can be affected by diabetes mellitus, excess body weight, and hyperthyroidism.
- Psychological disorders caused by severe stress.
- Congenital predisposition. The presence of this factor can be clarified by finding out whether the closest relatives have a corresponding diagnosis.
- Pathologies that negatively affect the organs of the reproductive system. Mastopathy occurs when treatment for cystic formations or endometritis is refused.
- A lifestyle that negatively affects the condition of internal organs. Mastopathy can occur in women who have suffered from chronic fatigue syndrome for a long time and do not allocate enough time for rest.
- Eating too much food, not following the diet recommended by your doctor, not eating enough fiber.
Risk factors for breast diseases
Video - Fibrocystic mastopathy
Symptoms
Main manifestations of the disease:
- Presence of places where lumps are noticeable in the chest area. Patients usually discover them on their own.
- Pain syndrome localized in the chest area. Patients often complain of aching pain, a feeling of heaviness, and other disorders. The pain can be either constant or occur periodically.
- Pathological discharge that is dark or light in color, and the appearance of pus is also possible.
- Enlarged lymph nodes. This symptom does not occur in all patients.
Mammary glands with mastopathy
The listed symptoms may appear periodically; in some cases, patients do not notice all the signs. Sometimes the mammary glands increase in size, causing pain on palpation. Women suffer from edema, the severity of which varies depending on the menstrual cycle.
On a note! Mastopathy can cause headaches and emotional disorders.
Clinical manifestations of mastopathy
Features of symptoms
85% of patients complain of severe pain in the chest - the main symptom of the disease. Sometimes there is discharge from the nipples. These symptoms occur on the eve of menstruation. Seals are also diagnosed, and their elasticity is noted upon palpation. The cystic areas are separated from the surrounding tissue.
Self-examination for mastopathy
Video - Symptoms and treatment of mammary gland mastopathy
Treatment of fibrocystic mastopathy
To ensure that the symptoms of the disease are relieved, it is advisable to conduct a competent diagnosis and consult a doctor.
An integrated approach is used to treat this disease, including changes in diet, the use of comfortable underwear, the use of vitamins, anti-inflammatory and sedatives, and in some cases the use of hormonal and homeopathic medications.
Nutrition correction
It is advisable to completely eliminate products that can affect the formation of fibrous tissue and the appearance of fluid in the structure of the cyst.
Doctors often recommend giving up coffee completely and limiting the consumption of tea, chocolate, and sweets.
Many experts believe that any pathology of the mammary glands occurs as a secondary phenomenon after the formation of disorders in the intestines. It is advisable to completely eliminate constipation and normalize the bacterial flora.
Visible signs of breast
If you have been diagnosed with mastopathy, it is advisable to eat foods that contain the maximum amount of fiber. Eat vegetables and fruits, greens daily. Drink enough water. Get rid of bad habits, in particular, drinking alcoholic beverages.
On a note! Do not cook foods that are too fatty; it is advisable to completely exclude from your diet foods that can irritate the gastrointestinal tract.
Using the correct underwear
If you suffer from mastopathy, it is advisable to review your entire wardrobe, in particular your underwear. Measure your measurements carefully to avoid purchasing clothes that are uncomfortable. Pay attention to all elements of the underwear, make sure that the clothes do not cause discomfort.
Clinical manifestations of types of mastopathy
Vitamins
- Useful microelements are necessary to improve the condition of the immune system, stabilize hormonal levels, and also activate the endocrine system.
- Experts recommend primarily using vitamins B, A, and E for mastopathy.
- Use the drug Aevit (dosage: 1 capsule per day for 30 days) or Triovit (dosage: 1 capsule per day for 2 months).
Diuretics
If the disease is not treated in time, most patients suffer from edema. They may spread throughout the body. To get rid of negative effects, it is enough to use light diuretics. It is advisable to stop using medications and replace them with special teas based on medicinal herbs.
On a note! You should reduce the amount of salt consumed daily.
Development of mastopathy
Nonsteroidal anti-inflammatory drugs
Doctors often advise using Nise , Diclofenac , which allow you to completely get rid of pain. Unpleasant sensations intensify before menstruation. It is advisable to use these drugs if you experience severe discomfort. A course of therapy with nonsteroidal drugs for mastopathy is not provided.
Sedative drugs
Necessary to eliminate psychological stress factors, which allows you to reduce the intensity of the symptoms of the disease in a short time.
Use an infusion of valerian or motherwort . You can use special teas. Many people use sage tea . To prepare it, place 1 tsp.
chopped herbs in 1/2 tbsp. boiling water, brew, then take 2-3 times a day.
Etiology of fibrocystic mastopathy
Hormone therapy
If a hormonal imbalance occurs in the body, the functioning of the mammary glands without disturbances is impossible. It is necessary to monitor the level of estrogen and progesterone.
With mastopathy, the amount of hormones increases, which causes the mammary glands to grow. Medicines necessary to suppress estrogen activity should be used.
Doctors often prescribe Toremifene and Tamoxifen .
To suppress the secretion of excessive amounts of hormones, oral contraceptives are used, in particular Marvelon . With their help, you can eliminate the increased production of almost all female hormones and stabilize the functioning of the endocrine system.
Diagnosis of mastopathy
Non-hormonal drugs
To restore the balance of hormones and reduce the intensity of breast growth, Mammolen . The drug is made on a plant basis and is used to increase the amount of female hormones.
Homeopathy
These medications help reduce the amount of prolactin without significant side effects. Doctors usually prescribe Remens , Mastodinon .
Clinical breast study
Iodine preparations
It is used in this case if, together with mastopathy, women suffer from disorders of the thyroid gland. Doctors prescribe them for severe hypothyroidism. If autoimmune mechanisms are activated in the body, these medications are not prescribed. Popular drugs from this group: Iodomarin , Mamoclam .
Surgery
In some cases, drug therapy does not produce the expected effect. A decision is made to perform surgery. Surgery is also mandatory if an oncological tumor develops.
On a note! In order to promptly detect fibrocystic mastopathy, it is advisable to regularly undergo diagnostic examinations and consult a doctor if symptoms of the disease occur.
Fibrocystic mastopathy has a conditionally favorable prognosis. If the disease is not treated, the pathology will progress.
It is worth starting therapy as early as possible, since the patient’s condition with this disease worsens upon reaching the age of 30 years. If you carry out proper treatment, you can avoid the occurrence of a cancerous tumor and other complications of mastopathy.
The left side in the lower abdomen hurts, study the link. What can hurt in the left lower abdomen, read our article.
Video - Breast treatment
Source:
Fibrocystic mastopathy of the breast - symptoms and treatment
Content
Source: https://mrt86.ru/perechen-analizov/priznaki-fibrozno-kistoznoj-mastopatii-i-sposoby-lecheniya-patologii.html
Fibrocystic mastopathy
Fibrocystic mastopathy (mammary cysts) is a benign disease of the mammary glands.
Breast cyst - A benign formation with a fluid component.
- (Fig.1)
- Why does fibrocystic mastopathy occur?
- There are many factors that can lead to the occurrence of this pathology, but, as a rule, several reasons are most often identified.
- 1- Hormonal imbalance in the female body (hormonal imbalance), diseases of an endocrine nature, such as diseases of the female reproductive system, thyroid diseases, diabetes mellitus, liver diseases (as a result of which the process of utilization of sex hormones is disrupted).
- One of the most common causes of fibrocystic mastopathy may be an imbalance of hormones in the female reproductive system.
Breast tissue is affected by cyclic changes that occur during the menstrual cycle. You should pay attention to hormones such as Estrogen and Progesterone (female sex hormones).
- During the first phase of the cycle, the hormone Estrogen is produced, in the second phase of the cycle, after ovulation, the hormone Progesterone is produced.
- Excessive secretion or, on the contrary, lack of production of one of the hormones can lead to disruption of normal physiological processes in the breast tissue, which in turn contributes to the development of pathological proliferation of the epithelium - the proliferation of connective tissue, the formation of “cystic” tissue - cavities filled with fluid.
- In other words, there is a change in the normal structure and function of breast tissue.
- As a rule, when the balance of sex hormones is disturbed, a shift in the menstrual cycle occurs, although the consequences associated with the occurrence of pathology of the mammary glands and the first complaints may be delayed.
- 2- Termination of pregnancy (miscarriages, abortions)
- One of the reasons for the occurrence of mastopathy may be a previous termination of pregnancy, as this is also associated with a sharp release and decrease in hormones in the female body.
- 3- Gynecological diseases
Diseases such as: Chronic inflammatory diseases in the pelvis, adnexitis, endometriosis, polycystic ovary syndrome, etc. can lead to the development of the mechanism of formation of cystic mastopathy. But it is not always possible to track and identify the connection between these diseases.
- 4- Injuries, inflammatory diseases of the mammary gland (mastitis).
- Injuries and inflammation can lead to the formation of fibrous tissue (“scar”), which negatively affects the condition of capillaries and glandular tissue.
- Depending on the severity of pathological processes, the severity and manifestation of fibrocystic mastopathy varies.
- (Fig. 2)
- 5- Taking hormonal medications.
- Taking hormonal drugs, and in most cases we are talking about oral contraceptives, intrauterine devices, undoubtedly also affects the processes occurring in the breast tissue.
- The pathological mechanism is also associated with hormonal imbalance, but instead of disrupting the production of one’s own hormones, an imbalance occurs due to the use of hormonal drugs.
It is worth noting that not in all cases, hormones obtained from “outside” can worsen the situation. In some situations, taking hormones has a positive effect on the “health” of breast tissue. Balancing hormonal balance.
- 6- Stress factor.
- Not everyone takes stress seriously as the cause of the onset or worsening of fibrocystic mastopathy.
- In fact, this is one of the important points in the process of treating or diagnosing this condition.
Stress can trigger a cascade of processes affecting the condition of breast tissue. Therefore, you should not lose sight of one of the possible reasons.
- (Fig. 3)
- What are the symptoms of fibrocystic mastopathy?
- 1- Chest pain.
- One of the most common and common complaints with fibrocystic mastopathy is chest pain.
- The pain can be either very pronounced in the form of burning, tingling, “shooting”, tingling in the chest and axillary area, or manifest as minor discomfort.
- The appearance of chest pain is usually cyclical and may be associated with the menstrual cycle.
- The pain appears a few days before the start of menstruation, or in the middle of the cycle, gradually decreasing, or disappearing with the beginning of the cycle.
- 2- Feeling of swelling and “heaviness” in the chest.
With fibrocystic mastopathy, due to a pathological physiological process in the breast tissue, there may be swelling. The severity of this symptom depends on the degree of development of the disease.
- Often, girls who have breastfed compare their sensations as if their breasts are “filled” with milk.
- In some cases, there may even be a slight increase in breast size due to the severity of edema.
- 3- Nipple discharge.
- Discharge from the nipples may not always accompany fibrocystic mastopathy, but the presence of such discharge is important for differential diagnosis and making a final diagnosis.
- The discharge can be either profuse, leaving marks on clothing, or scanty, appearing only with pressure.
- With fibrocystic mastopathy, the discharge may be clear, green, or straw-colored.
It is VERY important to remember that there are formations - intraductal cystadenopapapilloma, which have a similar clinical picture in the form of bloody, brown discharge from the nipple. But such formations can degenerate into CANCER! In order to make a correct diagnosis, if you have discharge from the nipple of the mammary gland, you must immediately contact a DOCTOR!
- (Fig.4)
- 4- Lumps in the chest.
- Lumps in the breast can be either local in nature, palpable in one place, or diffuse - multiple lumps in different parts of the mammary gland.
With fibrocystic mastopathy, cysts that are not accessible to palpation may form. ranging in size from 2 mm to 10 mm.
But it is not uncommon for cysts to reach more impressive sizes of 1 cm or more. Cystic formations have round, clear contours and can be localized in any part of the mammary gland.
Large cysts can form in a matter of days.
When pressing on the formation, painful sensations may occur.
(Fig. 5)
(Fig. 6)
ATTENTION! IF YOU FOUND A LOCATION OR LAMP IN YOUR BREAST, CONSULT A DOCTOR IMMEDIATELY FOR A DIFFERENTIAL DIAGNOSIS WITH A MALIGNANT TUMOR! Only a doctor can make a diagnosis and determine the type of tumor.
- What examination should be performed to make a diagnosis?
- Before any examination, a consultation with a doctor - a mammologist, oncologist - should be preceded.
- The main diagnostic methods to make a diagnosis are
- 1- Mammography
- X-ray examination of the mammary glands is performed in women aged 35-40 years, or as indicated.
(Fig. 7. Breast cyst, mammography image)
2- Ultrasound of the mammary glands (see article Ultrasound of the mammary glands)
One of the available and informative methods allows us to make a diagnosis of fibrocystic mastopathy with a greater degree of certainty.
- (Fig. 8. Breast cyst on ultrasound)
- 3- Breast puncture
- Performing a puncture aspiration biopsy has certain indications.
A needle biopsy should be performed if there is doubt about the diagnosis. To carry out differential diagnosis, it is necessary to take a certain amount of material for cytological examination.
Cyst puncturing is performed only if the cyst is large, 1 cm or more.
- (Fig. 8. Puncture of the cyst)
- 4- Cytological examination of nipple discharge.
- If there is discharge from the nipple, a cytological study should be performed to determine the morphological nature of the cells (identification of atypical cells).
- Can fibrocystic mastopathy develop into breast cancer?
- Fibrous-cystic mastopathy, mammary cysts DO NOT degenerate into breast cancer!
- There are many stereotypes associated with the fact that the presence of mastopathy leads to breast cancer, but fortunately this is not the case.
Indeed, the presence of fibrocystic mastopathy is an unfavorable phenomenon in the overall picture of the possibility of breast cancer. Due to the fact that proliferative processes (accelerated cell division) can indirectly affect and become one of the causes in a combination of factors for the development of cancer.
But it is worth understanding that the severity of fibrocystic mastopathy can vary from more to less. In addition, breast cancer has a multi-etiological cause (several) and only the presence of fibrocystic mastopathy cannot lead to the development of breast cancer in the future.
- How to treat fibrocystic mastopathy (breast cysts)?
- 1- First of all, treatment should be aimed at eliminating the causes of the disease!
- Since the most common cause of mastopathy is an imbalance of hormones, treatment should be appropriate.
- To identify dishormonal changes in the female reproductive system, you should take hormones (estradiol, progesterone, FSH, prolactin).
- In the presence of gynecological pathology - pelvic ultrasound.
- In case of thyroid pathology, perform an ultrasound of the thyroid gland and donate blood for hormones (T3, T4, TSH).
- 2- Treatment with drugs.
In the treatment of fibrocystic mastopathy, bioactive supplements of plant origin are used, such as: Mastodinon, Mamoclam, Indinol, Wobenzym, etc. Topical ointments containing the hormone progesterone - Progestogel. The use of drugs is also practiced: Duphaston, Utrozhestan.
Each of the drugs requires discussion with the doctor!!! Due to possible side effects! Never use medications on your own without consulting a doctor!
It should be said that fibrocystic mastopathy does not always and in all cases require treatment.
AUTHOR OF THE ARTICLE: Reconstructive plastic surgeon, oncologist, mammologist.
Usungvan Maxim Vyacheslavovich
Source: http://doctor-u.ru/article/article_mammalogy/2016-12-06-Fibrozno-kistoznaya-mastopatiya/
mastopathy mammary discharge
2013-11-30 18:38:20
Alexandra asks:
Mammology Hello. I am 33 years old, I have not given birth, I have no children, my menstruation is regular and painful.
Please tell me what tests, at what time (before, during, after menstruation) should be taken, if the mammologist immediately without tests, without an ultrasound of the pelvis, based on an ultrasound image of the mammary glands, prescribed treatment: Progestogel-gel daily 1 time at night 2 .5g for 3 months, Aevit 1 tablet 2p per day for 1 month.
The result of ultrasound before treatment: the structure of the mammary glands is glandular-fatty, with a predominance of the glandular layer, the echogenicity of the glandular tissue is average, the milk ducts are not dilated. Space-occupying formation: on the right at 6 o’clock next to the areola there is a hypoechoic formation 5*10mm. Conclusion: cyst of the right breast.
The diagnosis was made by a mammologist: mastopathy, cyst of the right breast. I completed the prescribed treatment. After treatment, my breasts did not hurt, but towards the end my breasts began to hurt, and a clear liquid came out of my nipples in very small drops for 3 days in a row. I stopped using Progestogel-gel, the pain went away a little, and liquid stopped coming out of my nipples.
I had a repeat ultrasound of the mammary glands after treatment - the result was the same, the size of the cyst was 5*10mm, there was no growth. At a follow-up consultation 3 months later, another mammologist (because...
my mammologist is on vacation) without tests, based on the ultrasound report, he diagnosed: mastodynia, breast cyst and prescribed treatment: Progestogel-gel 2.5 g 2 r per day on menstruation days, Mastodinon 30 drops 2 r per day. Not a single doctor can explain to me why a hormonal gel was prescribed without tests, without an ultrasound of the pelvis (the gynecologist diagnosed: chronic vulvitis, smear (analysis of discharge) - coccus bacilli were found, treatment: Flucostat 1 capsule once, Lactacid gel). Is it possible now after treatment with Progestogel-gel to get tested for hormones and how will this hormonal drug affect the tests? Alexandra
December 14, 2013
Alexey Valentinovich Kaminsky answers:
Good afternoon. If you doubt the actions of this mammologist, contact another. Before prescribing hormonal therapy, it would be correct to undergo additional examination on the 5th day of the menstrual cycle (i.e. from the beginning of menstruation): blood for prolactin, estradiol, total testosterone, thyroid-stimulating hormone, tumor marker CA15-3.
2013-05-20 11:14:50
Tatiana asks:
Good afternoon. I have been diagnosed with fibrocystic mastopathy for more than 12 years. Date of previous ultrasound examination: 06/13/2012 Since December 31, 2012, episodic discharge from the nipple of the right mammary gland of a serous color (transparent yellow, slightly cloudy or white-yellow) began to bother me when pressing on the nipple. The discharge is not copious, a few drops at a time and not with every pressure. From one duct, a few drops from 1 to 5-6 are always more noticeable, from the other two, very tiny droplets are rarer. There was no opportunity to seek advice from a specialist. From January 10, 2013, he was independently prescribed and completed a 2-month course of treatment with mammoleptin and triovit according to a regimen previously prescribed by a doctor (4.5 years ago with complaints of discharge from the nipple) Mammoleptin 2 k. * 2 times a day; Triovit 1 dose * 2 times a day. After mammoleptin EDAS 127, 10 drops 2 times a day for 1 month. The entire course of treatment was completed on April 10. During the treatment period, at the very beginning, there was occasional discharge, then everything went away. I feel good, the discharge has stopped. 9 days after the end of treatment (April 18 - 10th day of the cycle), a painful tingling of the areola of the nipple of the right breast appeared directly above the nipple; when pressing on the nipple of the right breast, several drops of a yellow color, slightly cloudy, appeared, as happened before. At the end of the menstrual cycle, I observed slight pain, tingling near the areola of the nipple of the right breast, with pressure, a couple of drops of whitish and transparent discharge on May 2, 3 and 5 (24, 25 and 27 days of the menstrual cycle, respectively). After the discharge, the pain went away. On May 17, 2013, I underwent an ultrasound and consultation + examination by a breast oncologist at the Samara Regional Clinical Oncological Dispensary. No pathology was identified, due to complaints of discharge from the mammary gland, treatment was prescribed with Mastadinon 30 k. 2 times a day, Aevit - 3 months, then a 3-month break and another course of Mastodinon + Aevit, after which it was checked by a specialist. On May 19 (11th day of the menstrual cycle), a painful tingling of the areola of the nipple of the right breast appeared directly above the nipple; with each pressure on the nipple of the right breast, a drop was released, first whitish, slightly thick with an admixture of blood, then a little cloudy yellow with an admixture of blood. I had never noticed any bleeding before. After the discharge, the pain went away. Discharge mainly from the same milk duct, observed sporadically for several years (1,2 times a year). I see a mammologist-oncologist regularly, ultrasound once a year, no pathologies were detected, they usually write that the milk ducts are not dilated, no focal formations were identified. Once in the conclusion it was written, a single ectatic area, just after isolation the day before.
I have a question, is there a need to immediately seek advice from a specialist (due to spotting) or to postpone the decision on this issue until the next menstrual cycle, so all examinations are recommended to be carried out from the 7th to the 11th day of the cycle? I’m very afraid, but it seems to me that I have an intraductal papilloma, considering that for several years the discharge, if ever, has been from the same milk duct.
May 30, 2013
Demisheva Inna Vladimirovna answers:
Good afternoon, Tatyana. There is no need to wait, contact a mammologist and undergo ductography.
2012-09-17 11:45:29
The ghoul asks:
Hello. I have white discharge from the mammary glands. I saw the oncologist. I was diagnosed with stage 1 diffuse mastopathy. Sometimes the breasts become swollen and sore. I was tested for prolactin 630mm.
The menstrual cycle is normal. I have 2 children. The youngest is 13 years old. I want another child, but I can’t get it. Where can I turn if there is any hope that I am freezing? My husband really wants a child since this is my second marriage. Please tell me.
Blog in advance
- September 28, 2012
- Demisheva Inna Vladimirovna answers:
- Good afternoon, the problem is an increase in prolactin levels, due to this, discharge from the nipples and lack of pregnancy, consult a gynecologist-endocrinologist.
2012-02-15 18:27:38
Tatiana asks:
I have been ill for 2 years, complaining of green discharge from the mammary glands from the left, white from the right. There was a history of two births, one abortion. There was not enough milk after the birth of children; there was mastitis in the left breast, after the first and second births; milk was practically not expressed; she was treated with antibiotics. The discharge does not come out on its own, only when 1-2 drops are squeezed out.
I consulted an oncologist at the oncology clinic: diagnosis: bilateral galactorrhea, bilateral fibrocystic mastopathy. treatment: hormonal Dostinex 8 tablets according to the regimen, although the prolactin level was normal (12.2 when the norm is from 2.8 to 29.2) All other hormones are also normal. After treatment, the discharge did not disappear. I donated the tank sowing to Pat.
flora and sensitivity to antibiotics, st.aureus was isolated, sensitive to levofloxacin. She was treated, tested, there is no staphylococcus, but there is discharge. After 3 months, the culture was repeated, and staphylococcus with sensitivity to rifampicin was again found. Everyone in the family has staphylococcus in their throats. and so do I. Concomitant diseases: cholelithiasis, chronic tonsillitis, grade 1 differential goiter, myopia.
Question: how to treat? Is it worth using a/b or maybe antistaphylococcal toxoid?
March 19, 2012
Demisheva Inna Vladimirovna answers:
Good evening, I think such a powerful treatment as you have undergone is enough, take Mastodinone 1 tablet x 2 times a day for 3 months, Cyclodinone 1 tablet x 1 time a day for 3 months and look at the condition.
2012-02-05 20:07:16
Alena asks:
In the fall I discovered discharge from the mammary glands (mastopathy in one breast for 15 years). I turned to a mammologist. They did an analysis of the discharge and said there was nothing wrong. I did an ultrasound - mastopathy and multiple cysts.
Mastodinon was prescribed for 3 months. aevit 1 month and dostinon 2 tablets. After about 2 weeks the discharge disappeared. and after 1.5 months they resumed. I haven’t gone to the doctor for the second time yet.
Tell me what is the cause of the discharge and is the treatment correct?
February 22, 2012
Demisheva Inna Vladimirovna answers:
Good afternoon, before starting treatment, did you take a blood test for prolactin???how long did you take Dostinex???
2011-12-10 09:37:25
Tatiana asks:
Hello, my name is Tatyana, I’m 24 years old. Yesterday I discovered white, transparent, watery discharge from both mammary glands. The other day I was stressed and every day I had increased physical activity to correct and improve my figure. I had an ultrasound on the 7th day. before this discharge from the chest appeared (then there were no such frenzied physical...
loads) - echo signs of breast cysts, fibrous mastopathy, but the condition of the mammary glands has improved compared to the previous ultrasound - one brush has completely resolved and disappeared, and the second has significantly decreased to 7 by 7 mm. Please tell me my next steps.
(transparent, white, watery, very liquid discharge from both mammary glands only when you press on the breast) What is this?
- December 15, 2011
- Demisheva Inna Vladimirovna answers:
- Hello, I need to see a mammologist and take a blood test for prolactin and thyroid hormones.
2009-04-09 17:20:18
Svetlana asks:
Good afternoon, Andrey Ivanovich! I was worried about the discharge from the mammary glands that appeared during pregnancy (I froze at 5-6 weeks), since then it has been occurring. I tested prolactin a couple of times - it was normal. Two weeks ago, an ultrasound showed a 6.5 mm cyst in the 5th part of the right mammary gland, and fibrous-cmstotic mastopathy.
I did an analysis of the discharge (a small amount of colostrum cells and drops of fat were found), that is, more or less, as I was told. Once again three days ago, I tested on the 21st day of the cycle, prolactin - 13.92 ng/ml (normal: 4.79 - 23.3) and progesterone -12.21 ng/ml (luteal phase normal: 1.7 -27.0) I quoted the standards from the laboratory form. The question is why the discharge? Prozhetozhel was appointed.
What are my next steps? What should I do and where should I go?
April 15, 2009
Babik Andrey Ivanovich answers:
Mammologist
All consultant answers
Discharge because prolactin is elevated, despite “normal” levels. Progestogen is not enough for treatment. You can contact me 8-050-97-97-606.
2016-05-21 13:56:44
Oksana asks:
Hello, I am writing with the hope that you will not refuse me a consultation. My problem is this: while taking a bath, I discovered a small lump in my chest and, without delaying everything, I went and did an ultrasound. When I press on my nipple, a small drop of clear sticky liquid comes out. Breasts become full and painful a week before your period. Menstruation is very, very scanty, lasts 1-2 days, and is painful. Here are the results of the ultrasound: The mammary glands are represented mainly by glandular-fibrous tissue with an extremely thin layer of adipose tissue. The cystic component is not expressed. In the right mammary gland in the lower outer quadrant at 7 o'clock, 2-3 cm from the nipple, an 18.5x8.0 mm heterogeneous formation of reduced echogenicity with smooth, clear contours, without a pronounced capsule. Regional lymph nodes are not enlarged and are not changed echographically. Conclusion: ultrasound signs of diffuse cystic mastopathy with a predominance of the fibrous component. Recommended: Fibroadenoma of the right breast, consultation at the clinic of the Tula Regional Oncology Center. After the ultrasound, they sent me for a mammogram - it showed nothing at all, they wrote without pathological changes
Please tell me why I am being referred to oncology? Is it really impossible to go to a regular mammologist who will do the same tests for me? Will it be enough to take nipple discharge for oncology analysis? What hormones do I need to check and on what day of the menstrual cycle? Do I need to donate blood for a tumor marker? Please help - tell me what to do and what to do! Thank you in advance.
June 06, 2016
The Medical Consultant of the portal “health-ua.org” answers:
General doctor
All consultant answers
Hello, Oksana! You are referred to the oncology clinic to rule out the oncological nature of the detected neoplasm.
The doctor will assess the likelihood of malignancy and give the necessary recommendations. Without knowing how old you are and without information about your medical history, we cannot give you such recommendations.
Contact the doctor to whom the ultrasound specialist referred you. Take care of your health!
2015-08-08 15:32:20
Sofia asks:
Source: https://www.health-ua.org/tag/62618-mastopatiya-videleniya-iz-molochnih-zhelez.html
What are the types and what can nipple discharge mean with mastopathy?
- Most women have encountered a disease such as mastopathy (fibrocystic disease) at least once in their lives.
- If you find yourself with complaints such as chest pain, lumps in the mammary gland, discharge from the nipples, then it’s time to consult a doctor.
- Basically, these symptoms indicate benign changes, but in isolated cases they may indicate breast cancer.
- In the article we will talk about breast mastopathy, discharge and who to contact for this symptom.
- Fibrocystic disease is divided into several types.
- Basic:
- Diffuse mastopathy is expressed in the form of compactions of the connective tissue of the breast, which later turn into cysts. The initial symptom of this disease is chest pain in the second half of the cycle. Women also note thickening of the mammary glands and granular structures upon palpation.
In the initial stages of diffuse mastopathy, discharge from the mammary glands does not bother women.
In advanced cases, when you press on the nipples, a clear or colostrum-like liquid appears.
- Nodular mastopathy, first of all, is expressed by small nodular seals (from 1 mm to 2 cm), which have clear boundaries. Pain in the mammary glands with this disease occurs periodically, but almost always bothers the girl when palpating her breasts.
With nodular mastopathy, there may be discharge from the breast at any stage, but most often this symptom indicates an advanced form of the disease.
If there is discharge from the nipples, this is far from a mandatory sign of illness. Pay attention to all kinds of symptoms to identify this disease at an early stage.
With mastopathy, discharge from the mammary glands is as follows::
- serous (yellow);
- green;
- bloody;
- dairy;
- transparent (watery);
- sticky;
- colostrum;
- purulent, etc.
Discharge from the nipples during mastopathy can be abundant (manifest independently without palpating the breast) and situational (occur when pressing on the mammary gland).
In 90% of cases, if there is discharge due to mastopathy, then this symptom is benign, but in some situations it is a sign of breast cancer.
What do they indicate, which of them are dangerous?
- milky discharge may indicate galactorrhea, increased TSH or prolactin.
- serous discharge from the mammary gland with mastopathy, they speak of the presence of a fibrocystic form of the disease.
it may also be associated with inflammation of the ovaries, dilated mammary ducts, and hormonal imbalance.
- brown or green discharge often are signs of diseases such as fibrocystic disease, ectasia (clogging of the milk ducts with fluid).
- purulent ones are observed with mastitis. The most dangerous case is bleeding. very often they indicate a malignant formation.
the abundance of discharge depends on the stage of development of mastopathy.
If at the initial stages of the disease they are practically absent, then in a more advanced form of the disease their number increases sharply.
symptoms
Discharge from the breast due to mastopathy is not an isolated manifestation.
In addition to them, the woman is worried about a number of unpleasant symptoms:
- breast tenderness regardless of the menstrual cycle;
- breast enlargement;
- compaction, engorgement;
- the appearance of neoplasms in the breast.
Many girls believe that these manifestations are not symptoms of the disease, so not everyone goes to the hospital on time.
Without treatment, the disease begins to progress and can develop into cancer.
As soon as you notice discharge from the nipples, you should immediately go to the hospital and see a mammologist. No need to self-medicate! Only a doctor can make the correct diagnosis and prescribe the correct treatment.
At your appointment, you should share with your doctor about:
- Frequency and color of discharge.
- Abundance (appears on its own or after pressing).
- The presence of any other complaints or diseases.
- Drug treatment, if available.
- After the examination, the specialist will give you a referral for a breast ultrasound, mammography, general blood test, and blood test for hormones.
- The doctor will make the correct diagnosis and select the appropriate treatment based on the data obtained.
- Treatment for mastopathy may involve taking hormonal medications and antibiotics.
- Surgery is also possible.
Don't ignore your body's signals. A timely visit to the hospital can save not only your health, but sometimes your life.
You can find more information on this topic in the Diagnosis and Symptoms section.
Source: https://nesekret.net/mastopatiya/diagnostika-i-simptomatika/vydeleniya
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