Mastopathy and pregnancy: course and possible complications

Mastopathy is a pathology of the mammary gland that can occur in women of any age due to hormonal imbalances in the body. This disease often occurs in pregnant women, either when it first developed during pregnancy or when it was diagnosed earlier. In both cases, timely diagnosis and adequate therapy taking into account the woman’s condition are required.

Mastopathy is not a disease that threatens pregnancy, but its timely treatment will help avoid unpleasant moments

Manifestations and course of mastopathy during pregnancy

Pregnancy and mastopathy are often combined. However, the course of the pathology varies and depends on many factors.

1. If mastopathy develops during the first pregnancy in a woman who has not yet turned thirty years old, without concomitant pathologies and with minimal changes in hormone levels, in 90% of cases the course of the disease will be mild and will not affect the woman’s situation in any way.
2. With the long-term development of pathology that developed before pregnancy, as well as with the onset of pregnancy in women after 30–35 years of age, a moderate course of the disease is possible.
3. Concomitant pathology, pronounced changes in hormonal levels, regardless of age, can cause severe mastopathy.

Pathologies of other hormone-producing organs, for example, the thyroid and parathyroid glands, can complicate the course of mastopathy.

Regardless of age, time of onset of the disease and the course of the pathology, there are common symptoms that help recognize mastopathy.

1. A feeling of heaviness in the chest that remains throughout pregnancy.
2. A compaction in one or both glands, which the woman herself can feel upon palpation.
3. A possible symptom that does not occur in all women is nipple discharge.
4. During pregnancy, the presence of pain is characteristic, especially pronounced in the first trimester.

Increased body temperature, increased fatigue, and excessive drowsiness may be symptoms of an infectious pathology.

Chest pain, fever, lactostasis (during breastfeeding) indicate the development of mastitis

Is it possible to get pregnant with mastopathy?

Mastopathy develops when the natural hormonal levels of a woman’s body are disrupted. It is the normal ratio between estrogen and progesterone that contributes to the onset of ovulation, normal fertilization, as well as the movement of the fertilized egg through the fallopian tubes and its attachment to the wall of the uterus.

Changes that occur in the ratio of these two hormones significantly reduce the chance of getting pregnant. However, the presence of mastopathy does not exclude pregnancy. In the question of whether it is possible to get pregnant with mastopathy, other factors also play a role. Among them:

• woman’s age (the chances decrease, but do not disappear after 35 years);

Changes in hormonal levels along with a woman’s age significantly reduce the chances of getting pregnant

• stage of the pathological process;
• presence or absence of complications;
• hormone levels and their activity;
• neuropsychic state of a woman.

A slight increase in estrogen may not affect a woman’s ability to become pregnant and give birth at all. However, doctors recommend that all women plan a pregnancy and undergo a medical examination first. It will show a woman’s chances of developing a pregnancy and help predict its course.

How does pregnancy affect mastopathy?

Mastopathy is a pathology of the mammary gland that develops under the influence of disrupted hormonal levels in the body. For the development of mastopathy, a prerequisite is a decrease in progesterone levels and an increase in estrogen levels.

Violation of the necessary balance between hormones provokes the development of mastopathy

In this case, a decrease in progesterone levels or an increase in estrogen levels is conditional. The most important is the change in the ratio between these hormones in the body. If estrogen levels increase, progesterone levels may remain the same, but the ratio between the hormones still changes.

Hormonal imbalance in mastopathy is a pathological process. However, pregnancy itself involves changes in hormone levels.

If a woman does not have concomitant pathology from the internal secretion organs (thyroid gland, adrenal glands, thymus, hypothalamus, pituitary gland), an uncomplicated course of mastopathy during pregnancy is possible.

The most dangerous complication of mastopathy is its malignancy

If the level of estrogen does not change during pregnancy, and progesterone decreases, it is possible that the course of mastopathy in pregnant women will worsen. In this case, one should be wary of the development of complications of the pathological process (attachment of a purulent inflammatory process) and malignant degeneration of glandular tissue.

It is impossible to predict how mastopathy and pregnancy will interact in each individual woman. This largely depends on the following factors:

• woman's age;
• the number of previous pregnancies and births, as well as their course;

The course of mastopathy during pregnancy is greatly influenced by the patient’s obstetric history.

• time of development of mastopathy (before or after pregnancy);
• initial hormonal background;
• concomitant pathological conditions;
• past diseases;
• family history;
• characteristics of the region of residence.

The combination of fibrocystic mastopathy and pregnancy requires more careful attention from a gynecologist in comparison with an uncomplicated pregnancy. For any form of mastopathy, a pregnant woman is advised to consult a mammologist.

A conversation with a doctor and the necessary diagnostic tests will help you avoid dangerous complications.

Impact of illness on childbirth

Mastopathy has absolutely no effect on the course of labor. The only nuance is the presence or absence of purulent complications. If fibrocystic mastopathy during pregnancy is complicated by an inflammatory process with purulent effusion, it is absolutely forbidden to put the baby to the mother’s breast after childbirth.

In this case, it is necessary to immediately, after giving birth, give the child adapted milk formulas. It is possible to transfer the baby to natural feeding only after the purulent process has been eliminated with the permission of the obstetrician and pediatrician.

Postpartum changes in the body

The giving birth body is characterized by a completely different hormonal background than during pregnancy.

Secretion of prolactin allows breastfeeding

If during pregnancy the ratio of estrogens and progesterones was most significant, then after childbirth a woman’s action of the hormone prolactin comes to the fore. It is thanks to him that milk is produced in the body.

Mastopathy is not an obstacle to normal lactation.

However, breastfeeding can significantly affect the course of the pathology.

Almost half of women after childbirth experience lactation mastitis, which is associated with stagnation of breast milk in the glands, which leads to the development of an inflammatory process of the mammary glands.

This condition is quite easily corrected - you need to constantly express milk and massage the breasts. However, with mastopathy, milk stagnation can become a serious complication.

Lactostasis – stagnation of breast milk in the ducts of the gland

Breastfeeding women may experience lactation mastitis with existing mastopathy of the mammary glands.

The anatomical structure of the gland is already pathologically changed, so stagnation of milk in the ducts quickly leads to infection. This is fraught with the development of purulent mastitis.

If a woman does not notice the symptoms of inflammation in a timely manner, then purulent masses will be released from the gland along with milk, which can enter the body of the newborn baby.

Therefore, it is extremely important to identify pathology during pregnancy (and even better during planning) and undergo a course of treatment.

If it was not possible to get rid of mastopathy before birth, you can feed your baby breast milk only with the permission of an obstetrician-gynecologist or pediatrician.

Breastfeeding is not contraindicated for mastopathy

Most doctors agree that breastfeeding helps to get rid of the symptoms of mastopathy.

Treatment of pathology

Treatment of mastopathy during pregnancy begins with a visit to a mammologist. It is mandatory to conduct an ultrasound diagnosis of the mammary glands.

In this case, the form of the disease (nodular or diffuse) and localization are determined.

Performing several studies throughout the entire period of pregnancy allows you to dynamically monitor the activity of the process and the rate of development of the pathology.

A necessary study is to determine the level of estrogen and progesterone in the blood. This diagnostic procedure must be repeated at least three times - in each trimester of pregnancy, which will help to monitor not only the course of the disease, but also to predict its activity and impact on pregnancy.

Pregnant women with mastopathy need to periodically monitor the body's hormonal levels

The most favorable for treatment is nodular mastopathy. If there is a high risk of complications in this case, initial correction with hormonal drugs is recommended. If drug treatment is ineffective, a surgical operation is indicated in which part or all of the gland is removed completely, followed by plastic surgery.

Diffuse mastopathy has been treated for more than one year. The most effective is the restoration of adequate hormonal levels. In this case, the initial levels of estrogen and progesterone are determined and correction with hormonal drugs is prescribed. If malignant degeneration is suspected, a mastectomy is performed - removal of the mammary gland with the possibility of subsequent plastic surgery.

Uncomplicated mastopathy of any form with low process activity requires dynamic monitoring and may not be corrected during pregnancy. In all other cases, drug or surgical treatment may be necessary.

Treatment of mastopathy begins with medications, if ineffective, surgical intervention is used.

Lack of treatment during mastopathy during pregnancy may slightly complicate its course or have no effect at all.

It is optimal to plan pregnancy and treat mastopathy before it occurs.

• If such a situation is impossible, the treatment method is selected individually for each woman by a council of doctors from an obstetrician-gynecologist, mammologist and surgeon.
• The video talks about preventing mastitis during breastfeeding:

Source: http://bolezni.com/stati-o-boleznyah/mastopatiya/sochetanie-mastopatii-i-beremennosti.html

How do mastopathy and pregnancy interact?

Mammologists mention mastopathy and pregnancy in the same context. The disease and bearing a child are closely related and consistently influence each other. In 80% of cases, mastopathy is found in young mothers, and the lack of timely treatment is fraught with the development of irreversible consequences, including neoplasms.  

What is mastopathy

Mastopathy is a disease in which the connective tissue of the mammary gland grows, forming a benign tumor. The latter can manifest itself as one large “bump” or several small nodules in the chest. Doctors find such formations by palpation, and in advanced cases they are even visible to the naked eye.

Biologists have not found the exact cause of mastopathy in women, although hormonal imbalance is considered the main cause. But science knows a lot of factors that provoke the disease.

These include:

• menopause;
• taking hormonal contraceptives;
• early menstrual cycle (up to 12 years);
• presence of chronic diseases;
• stress, constant worries;
• poor nutrition;
• unhealthy lifestyle, bad habits;
• menstrual irregularities.

Some causes become factors due to which a benign tumor becomes malignant. This is the main danger of mastopathy, so it is important to treat it and not leave it to chance. Even if it gradually goes away during lactation, it is important to visit a mammologist at least once every six months as a preventative measure.

How to distinguish mastopathy from pregnancy

In the first trimester of pregnancy, the breasts become full, sometimes sore, and fluid is released from it, which is popularly called colostrum. With mastopathy, the mammary glands also “behave” in a similar way, but there are significant differences.

During the normal course of pregnancy, the pain is never acute or unbearable. Such sensations are an alarming signal from the body. The natural fluid that indicates conception may be white or slightly yellowish, sometimes similar to liquid cottage cheese. It does not have a strong aroma.

Breast mastopathy is characterized by the following symptoms:

• green or yellow discharge from the chest with a specific pungent, unpleasant odor;
• significant swelling of the mammary glands;
• increased body temperature for a long time;
• nodular seals that can be felt with your fingers;
• acute pain syndrome (although in the diffuse form of mastopathy the disease passes painlessly).

To accurately distinguish the disease from pregnancy, the doctor will refer you for a diagnostic examination - ultrasound of the mammary glands, mammography, blood tests. In extreme cases, a breast biopsy is prescribed, the results of which can exclude oncology.

Without diagnosis, you can distinguish mastopathy from pregnancy by waiting until the second or third trimester. Then the body’s natural reaction disappears, giving way to comfortable relaxation. At such a time, complaints from expectant mothers dissipate. If the discomfort remains the same or even worsens, it’s time to sound the alarm.

How pregnancy affects the disease

It has long been popular among people that pregnancy eliminates breast diseases. This idea is so firmly rooted in the mind that even doctors recommend such an unconventional method of treating mastopathy. Although it sounds absurd, it has a logical, scientific basis.

Pregnancy affects mastopathy with the help of hormones that are actively produced during pregnancy. “Nodules” in the chest, according to biologists, are a consequence of a lack of the hormone progesterone. During the development of the embryo, the mother's body produces it in large quantities. Thanks to this, malfunctions in the functioning of the endocrine system are “closed” and the first signs of mastopathy disappear.

Also, fibrosis (hardening) is directly affected by lactation. During breastfeeding, all “bumps” resolve on their own. Therefore, many doctors advise breastfeeding children up to two years of age to reduce the risk of various diseases of the mammary glands, including mastitis and mastopathy.

But an abrupt cessation of lactation also has a bad effect on the body, and sometimes can cause the above-mentioned diseases. Weaning should be done gradually so as not to compromise the physical/psychological health of both the child and the mother. This is especially important during the period when the baby is from one to four months old.

Is it possible to get pregnant with mastopathy?

Expectant mothers want to know whether it is possible to get pregnant with mastopathy. The answer is not as simple as we would like. Breast disease will definitely not interfere with conception, but it can harm proper lactation.

However, there is a nuance. In some cases, mastopathy is not the cause of the illness, but a consequence of other diseases. Among them are diseases of the endocrine, circulatory, and genitourinary systems. They directly affect reproductive function.

Particularly scary diagnoses are:

1. Polycystic ovary syndrome. It can be recognized by its irregular menstrual cycle. Although it does not interfere with pregnancy, the disease cannot be brought to an extreme stage.
2. Endometrial hyperplasia. A woman with this disease cannot become pregnant until she is completely cured.
3. Endometriosis. Its presence does not always cause infertility, but it does make conception difficult.
4. Inflammation of the appendages. A common disease, advanced forms of which lead to the inability to have children.
5. Myoma. Its presence indicates ovulation dysfunction, problems with the fallopian tubes, and therefore difficulties with conception.
6. Thyroid dysfunction. This diagnosis often causes infertility or miscarriages, premature birth, and other serious problems.

The direct answer to the question of whether it is possible to get pregnant with mastopathy is definitely yes. However, it is worth treating the disease and its causes before conceiving a child. At a minimum, because the baby needs a healthy mother. At most, because an advanced form of mastopathy leads to oncology.

Is it possible to do IVF if you have a disease?

IVF or in vitro fertilization is a suitable option for those who, for whatever reason, are unable to conceive children. Before undergoing the necessary procedures, doctors recommend a complete examination of all organs and tissues of the body. This helps to see the likelihood of complications occurring.

There are many contraindications to IVF, but mastopathy is not on the list, although it is advisable to cure it before going to the clinic. With such a disease, you can definitely do IVF, as experts say.

Treatment of mastopathy during pregnancy

Mastopathy is effectively treated by Mastodinon, a homeopathic biological product, but it cannot be taken while pregnant. Therefore, the therapist and mammologist, together with the gynecologist, decide together what the course of treatment will be for the expectant mother based on the type of disease, as well as individual characteristics.

Treatment is aimed at:

• elimination of inflammation, infections;
• normalization of hormonal levels;
• elimination of pain syndrome;
• resorption of lumps in the chest area;
• examination, treatment of the reproductive system.

For the diffuse form of mastopathy, treatment is rarely used; usually the problem is eliminated during lactation. Other types of disease are treated with medications that are prescribed individually. Advanced cases of the disease are treated with surgery, cutting out large seals.

As a preventive measure, it is important to wear a comfortable cotton bra of the appropriate size, lead a healthy lifestyle, and go to the doctor on time if any complaints arise. Long-term lactation is considered an excellent preventative method. But this method is not suitable for women in labor who are over 30 years old. At this age, breastfeeding can even worsen the situation.

Is the disease dangerous for pregnancy?

Mastopathy causes fear in pregnant women because they do not know how to react to such a strange diagnosis. Mastopathy or the course of treatment do not affect the fetus. Even an operation, if it comes to it, will not harm the child. Surgical intervention is performed quickly and without consequences; special gentle anesthesia is used.

Mastopathy itself is not dangerous during pregnancy, but its causes associated with improper functioning of body systems can have a negative impact on the baby. Therefore, it is advisable to undergo diagnostics and cure the causes of the ailment, due to which the consequences will also be eliminated.

conclusions

Mastopathy occurs in every fifth pregnant woman of any age and social status. It is dangerous only for the mother, but not for the child.

And the main problem lies in the complication, because an untreated benign tumor turns into a malignant one. It is important to listen to your body’s signals and the doctor’s advice, then you won’t have to worry.

If necessary, carry out drug treatment or surgical intervention, which is carried out carefully, without harming the baby.

Source: https://mammolog.guru/zabolevaniya-grudi/mastopatiya/i-beremennost.html

Pregnancy and mastopathy - is there a chance to have a baby?

Many women are familiar with this disease - mastopathy. Some even know that it is a consequence of a violation of the hormonal status of the body. And of course, both of them are interested in whether it is possible to get pregnant with mastopathy. Will doctors allow pregnancy, and is it even possible with the “wrong” amount of female sex hormones? Well, let's try to answer.

The essence of the disease

Mastopathy is not cancer, and not even always a precancerous condition. Nevertheless, in terms of discomfort, it can be compared with mastitis, known to many nursing mothers. It is usually diagnosed quite early due to pain, which is difficult for even the most patient woman to endure.

There are two main forms of fibrocystic mastopathy - diffuse and nodular.

The second is manifested by the presence of one or several compactions (nodes) of a relatively large size in the thickness of the mammary gland, while in the first the nodes are small, but located throughout the organ.

Many people believe that the nodular form more often degenerates into cancer, but in fact, any of the forms becomes malignant. The main risk factor is the growth of glandular tissue (proliferation), which can occur regardless of the type of disease.

The main cause of mastopathy is considered to be an imbalance of estrogen and progesterone in the body. Not only their concentration is taken into account, but also their biological activity. A decrease in progesterone function and an increase in estrogen “activity” is a sure path to the development of mastopathy.

This imbalance develops especially often in women who have terminated their first pregnancy, in those who have their periods very early, have a family history, etc. There are also mechanisms of influence on the mammary gland from growth hormones, hypothalamic factors and some other substances.

All this together gives rise to the development of mastopathy.

Is it possible to get pregnant with mastopathy?

Of course, having heard the terrible word “hormones”, many believe that a violation of their background will not allow them to get pregnant with mastopathy.

Of course, for a proper pregnancy it is necessary that everything in the body is in order - the genitals, sex hormones, the absence of chronic diseases, etc.

But few people remember that if only extremely healthy women could get pregnant, humanity would have died out long ago!

In fact, mastopathy does not interfere with pregnancy. The work of the ovaries and the “quality” of the menstrual cycle depend on estrogens, which are in the body of a woman suffering from mastopathy. quite enough.

Of course, a qualified specialist can finally help such a lady with the issue of pregnancy, because there may be too much estrogen.

However, mastopathy is not a synonym for the word “infertility”! It’s just that in this case, pregnancy should be approached consciously, planning it in advance, being examined in advance and undergoing the necessary treatment in advance, as many women do in Western countries. A completely acceptable “sacrifice” for the joy of motherhood, isn’t it?

Tell me, is mastopathy dangerous during pregnancy? Valeria, 36 years old

Hello, Valeria. No, mastopathy during pregnancy is no more dangerous than outside of it. There may be some difficulties with her treatment, since some drugs are prohibited for pregnant women, but in general there is no danger.

Mastopathy and pregnancy after 35 years

The first pregnancy after 35 years is a risk factor for its pathology. Such a woman is considered “problematic,” but not at all because she is nothing but problems.

It may just be more difficult for her to get pregnant, and the pregnancy itself will have to be monitored with the greatest attention, without missing a single screening or test.

If the doctor recommends going to bed for conservation, you should not refuse him - it is in your interests.

Considering that mastopathy develops in many women after the age of 35, and taking into account the fact that many women give birth at this age, we can say that there is nothing terrible in this situation. Just prepare in advance, undergo a course of treatment that suppresses the growth of mastopathy before conception and carefully monitor your doctor during pregnancy - and everything will be fine.

I have diffuse mastopathy. Can I get pregnant? Stella, 28 years old.

It is better to ask your doctor this question. We don’t know what your hormonal levels are, so we won’t be able to answer for sure. Mastopathy itself is not an obstacle to pregnancy.

How to treat mastopathy during pregnancy

A rather serious question is included in the title of this block of information.

Indeed, although pregnancy is not a disease, it imposes quite serious restrictions on the choice of drugs for the treatment of any disease.

Mastopathy is no exception; some medications used to combat it are contraindicated during pregnancy. Below is a summary of the most commonly used drugs:

• Progestogel is a progesterone preparation. It is applied to the skin of the mammary gland and absorbed directly into its tissue. It has no effect on the entire body, which means it can be used during pregnancy, if the dosage and frequency of administration are not violated.
• Bromocriptine is a drug that acts on the synthesis of hypothalamic hormones. Quite effective for mastopathy, but is strictly contraindicated during pregnancy. You should stop taking it in advance when planning a pregnancy, and if it occurs unexpectedly, stop taking it immediately!
• Tamoxifen is a drug that suppresses estrogen activity. By itself, it can reduce a woman’s ability to conceive, but if this occurs, tamoxifen should be stopped immediately. May cause developmental abnormalities, which is why all warnings related to bromocriptine apply to it.
• Diuretics – used for severe swelling of the mammary gland. They do not eliminate the disease itself, but they reduce the severity of its symptoms. They are contraindicated for pregnant women, as they penetrate into the blood of the fetus and can cause developmental disorders.
• Sedatives. From this group, all synthetic drugs (the same “chemistry” that most mothers are afraid of) are definitely contraindicated. It is possible to take naturopathic remedies (herbal origin), which, although they do not have a powerful effect, are quite safe when taken according to the recommendations established by the doctor. It should be remembered that natural drugs do not act immediately; you need to wait until they accumulate in the body for a full effect.
• Vitamins. Definitely indicated for mastopathy in therapeutic doses. However, you should be careful about taking them, since in rare cases of uncontrolled use, an overdose is possible - an undesirable phenomenon, especially during pregnancy.
• Homeopathic remedies. Despite the fact that this group of drugs is sometimes prescribed by doctors and is even included in the register of vital drugs, most scientists and practicing doctors do not believe in their effectiveness. Without going into details of the eternal “war” between homeopaths and naturopaths, let’s say that in some situations this group of drugs can help and is in no way dangerous. So it’s possible to take it, whether it will help is unknown.

Just remember that taking any drug during pregnancy can only be done in consultation with the supervising gynecologist.

Do not forget about following the rules of a balanced diet, balanced in proteins, fats, carbohydrates and microelements, with some limitation of fat and meat.

Is it possible to give birth with mastopathy?

Everything became clear with pregnancy, but what about childbirth? Here, as in any case of childbirth, everything depends not on the presence or absence of mastopathy, but on the course of pregnancy itself, additional health problems such as the anatomical features of the pelvic region and genital organs, the presence of heart disease, kidney disease, endocrine system, etc. Of course, if mastopathy has developed, it means that not everything is fine in the body and problems may arise during childbirth (for example, weakness of the birth forces). However, doctors do not always recommend a cesarean section for this diagnosis.

In any case, follow the doctor’s recommendations, because he sees the situation as a whole, not limited to just the process in the mammary gland. If he says “caesarean section,” it means it’s better to go through it and be confident in a successful outcome of the birth than to refuse and end up with a protracted labor and fetal hypoxia coupled with birth trauma.

Does mastopathy go away after childbirth?

This is perhaps the most debated issue in the medical (and not only) community. Some believe that a woman’s body undergoes a kind of “reboot” during pregnancy and childbirth - the poor state of hormones is, as it were, “erased” and new, correct information is “recorded” on the computer.

Others are inclined to believe that the hormonal shocks of pregnancy, childbirth and the postpartum period, coupled with lactation, either have no effect on the course of mastopathy, or even worsen its course. Both the first and second operate with some arguments, but no one knows the truth.

There is no convincing evidence that anyone is right.

You just need to remember that after giving birth, a woman should be periodically examined and have the condition of her mammary glands checked by a mammologist, especially after 35 years of age and especially if she had already been diagnosed with mastopathy before pregnancy.

Is it possible to do IVF for breast mastopathy?

In vitro fertilization may be the only way to conceive for more than 10% of couples. Here, however, the question arises about the causes of infertility. It is not always the woman’s “fault” - a man can also be infertile.

There may well be viable sperm in his sperm, there just aren’t enough of them to conceive naturally. Purely mechanical infertility is also possible, for example, with obstruction of the fallopian tubes.

In these cases, IVF helps undoubtedly.

I would like to ask if IVF is done for mastopathy? Wanda, 30 years old

Wanda, when deciding on the possibility of IVF, many factors are taken into account. In a short answer, we will not be able to give you comprehensive information. In principle, in vitro fertilization for mastopathy is possible, but it all depends on the specific case.

This happens quite often, but the reason is usually a decrease in estrogen activity. Mastopathy, we recall, occurs when their function is excessive.

In these cases, the woman is offered to undergo one or more courses of hormone therapy, after which conception usually becomes possible.

There is, however, one pitfall in this whole situation and it is called “ovarian hyperstimulation syndrome.” It occurs during IVF performed with high initial estrogen levels and is a potentially life-threatening condition.

It is precisely with mastopathy that the risk of its development is higher due to the fact that mastopathy develops against the background of an increase in the level of estrogen hormones.

The likelihood of its development can be reduced by a thorough examination of hormonal levels and even more careful selection of the dose of drugs.

In short, IVF can be done for mastopathy, but you must inform your doctor about the presence of this pathology and carefully monitor yourself throughout your pregnancy. In any case, the final verdict is made by a specialist.

Remember, mastopathy is not a death sentence. You can live a full life by taking the necessary medications, you can become pregnant and give birth. But you need to monitor your health and it is better to do this under the supervision of a good doctor.

Is it possible to get pregnant with fibrocystic mastopathy? Irina, 26 years old

It is theoretically possible to become pregnant, but many factors can affect conception. Plan your pregnancy with a gynecologist, get examined, sanitize areas of infection, and the likelihood of conception will increase significantly.

You can ask your question to our author: All information is provided for informational purposes only! Please consult a doctor for an accurate diagnosis , do not self-medicate!

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Source: https://ginekolog.guru/beremennost-pri-fibrozno-kistoznoj-mastopatii-sovety-vracha/

Mastopathy and pregnancy: is it possible to get pregnant and breastfeed?

Mastopathy is a female disease to which 90% of women of childbearing and post-childbearing age are predisposed. It is considered a benign disease of the mammary gland, but factors that contribute to its development also cause oncology.

Mastopathy is observed in several types - nodular and diffuse, which are classified into subtypes. Nodular mastopathy is more severe: there is a risk of degeneration into a cancerous tumor. The resulting node is a real source of danger, despite its benign nature, and requires surgical intervention.

Diffuse mastopathy does not affect the mammary gland locally. Surgery is not required; it is suggested to treat with medication, except for severe cases of fibromastopathy.

For example, when a fibrocystic tumor develops, in which the breast ducts become clogged and there is a risk of a severe inflammatory process. Severe development of the disease is typical for women after 40 years of age.

The disease causes unpleasant symptoms and instills fear in women of childbearing age who are planning a pregnancy: whether pregnancy can coexist with mastopathy, how the tumor will behave during breastfeeding.

Natural pregnancy

The severity of the tumor is assessed by the doctor during the examination, but medical scientists reassure that in almost 100% of cases the tumor allows not only pregnancy, but also breastfeeding.

In addition, pregnancy, childbirth and breastfeeding for 6 months to 1.5 years contribute to the cure of the tumor; mastopathy disappears without a trace in 80% of cases.

This occurs under the beneficial influence of the hormone progesterone, which begins to be produced in large quantities in the early stages and has a positive effect on the process of getting rid of mastopathy.

In the first trimester of pregnancy, a new cycle of the female body begins, all cells and processes are renewed, which has a beneficial effect on small tumors, promoting their resorption.

Mastopathy during pregnancy that occurs naturally is one of the ways to cure it. Doctors advise young women to get pregnant as early as possible, preferably before the age of 25, to stop the growth of existing mastopathy lumps.

After 35 years, if the seals are dense and large, before planned fertilization, an operation to remove the seals will most likely be prescribed.

Artificial insemination

The situation is different in the case of in vitro fertilization - IVF, if the disease mastopathy has already developed. Preparation for IVF involves complex hormone therapy prescribed by a doctor to a woman.

The composition of stimulating hormones includes such as progesterone, which serves as an impetus for the disease and provokes the rapid growth of the tumor. Before the IVF procedure, the doctor assesses the size of the lumps. If the node or cyst exceeds 3 mm, surgical removal is prescribed.

If the nodes are smaller, during hormone therapy, regular monitoring of the behavior of the seals is carried out, the size of fibrocystic nodes and nodular tumors are assessed.

Only if the behavior of mastopathy is normal, assuming a calm background, can the procedure of preparation for artificial insemination begin. In this case, IVF is acceptable for the possibility of becoming pregnant.

Symptoms

A distinction is made between pathological mastopathy, when the formation of lumps is stable, and temporary mastopathy.

Types of pathological mastopathy:

• Nodular mastopathy. Symptoms include palpation of dense nodes, the woman feels aching pain, and discharge from the nipples is observed. Surgical treatment is required to prevent breast cancer and prepare for pregnancy.

• Diffuse mastopathy with a cystic component, in which a woman feels acute pain in the area where the cysts occur, and discharge from the breast may be observed. With this type, it is sufficient to carry out drug treatment. Carrying the fetus by a woman promotes early healing.
• Fibromastopathy, in which the collagen tissue of the mammary gland grows, replacing the connective tissue. There is severe pain throughout the entire mammary gland area, the chest hurts evenly. Childbirth and feeding a child have a beneficial effect on the disease process if there is no significant narrowing of the ducts. If the ducts have narrowed in such a way that they do not interfere with normal blood supply, then surgical intervention is required.
• Mixed form – fibrocystic mastopathy. Characterized by the proliferation of collagen and cystic formations. A combination of symptoms is noted - acute pain in the area of ​​cystic lumps, pain in the entire chest area. Can be treated with medication. When carrying a child, childbirth and breastfeeding, the prognosis is favorable.
• Diffuse glandular form - breast swelling occurs, moderate pain occurs. Treatment is not required, the phenomenon is temporary, occurring depending on the period of the menstrual cycle. It is enough to take an analgesic if a woman has a low threshold of pain sensitivity.

Mastopathy is diagnosed by examination using ultrasound, MRI, mammography, and ductography. To exclude a malignant nature, a puncture of the mammary gland is taken.

Drug effects

To help the female body, in addition to self-healing during natural pregnancy and measures taken in the case of IVF, women are prescribed the homeopathic drug Mastodinon. The drug is taken in preparation for conception. If there are diseases in the female body, pregnancy should be planned in advance.

It is at the time of preparation, 6-8 months before the expected date of pregnancy, that the homeopathic remedy begins. When pregnancy occurs, the use of herbal medicine is discontinued, since the natural actions of the female body, favorable for the treatment of breast formations, are activated.

Mastodinon, due to its homeopathic nature, has a gentle effect and has no side effects or contraindications.

The drug Bromocriptine affects the hormones of the hypothalamus. It is taken strictly before conception; during pregnancy, taking the medicine is prohibited by doctors.

Diuretics are prescribed to relieve painful swelling before pregnancy. It is prohibited to take during pregnancy, except for developmental abnormalities of the child.

Vitamins should be taken as prescribed by your doctor. They are considered an excellent preventative and treatment tool, but it is necessary to monitor the dosage and composition of vitamins.

Anti-anxiety medications are prescribed to a woman to relieve anxiety that occurs when she feels pain and worries about the pregnancy. You should choose sedatives consisting of natural ingredients that are taken during pregnancy and breastfeeding. Taking medications based on chemical composition is strictly prohibited.

Childbirth and breastfeeding

The birth of the child has arrived. From this moment on, it is important for a young mother to establish lactostasis in the first two months after birth. Feeding the baby must begin immediately after birth.

Maternity hospital doctors tell you how to properly put your baby to the breast and care for the mammary glands. When feeding, pain occurs due to mastopathy, sore nipples, and cracked nipples.

To prevent this, the chest must be prepared.

While carrying a baby, a woman gradually roughens her nipples with a gentle massage with a washcloth and a contrast shower. The pain of tumors that have not completely resolved during pregnancy must be endured. If a woman who has given birth cannot stand it and stops breastfeeding, there is a risk of worsening the disease due to active lactostasis.

To reduce breast tumors, breastfeeding lasts at least six months. To achieve the greatest effect - complete cure of seals, you need to feed for 1-1.5 years. If the required feeding time is not observed, breast mastopathy returns in a more dangerous form and severity.

Self-preventive measures

A woman should think about reducing the risk of occurrence and development of mastopathy of the mammary glands throughout her life, especially when planning to conceive.

Areas of prevention:

1. Breast self-examination. It is performed monthly by a woman, palpating the mammary glands to identify tumors and pain. This method helps to identify the early stages of the disease. Massage of the mammary glands during palpation improves blood supply. This is an effective preventative measure that prevents the onset of the disease.
2. Prevention of infectious diseases, sexually transmitted infections.
3. Examination regularly, every six months, by a mammologist to identify the onset of the disease and prevent its development.
4. Underwear made from natural fabrics that follows the shape of the mammary gland and does not restrict or compress the breasts.
5. Monitoring hormonal levels. Regular tests are carried out to determine the state of hormonal levels. Hormone therapy prescribed by the doctor is used in a timely manner.
6. Healthy lifestyle. Negative factors affecting the body - alcohol, smoking - are completely eliminated. The diet is balanced, fruits and vegetables are consumed, the amount of fats and carbohydrates is reduced, and a strict diet is maintained. It is necessary to eat little, but often, to eat foods rich in fiber. Include physical activity and walking in your daily diet.
7. It is important to avoid stress, nervous shock and the development of depression. If a state of depression occurs, natural sedatives (infusion of valerian, motherwort, peony) should not be neglected; chemical ones should be excluded from use before pregnancy; they should also not be used while breastfeeding.
8. To adjust hormonal levels, the doctor prescribes hormone therapy, designed to regulate hormone levels. When pregnancy occurs, hormone therapy must be adjusted by your doctor. Hormone therapy in the form of contraceptives is excluded if a woman plans to give birth.
9. You should not neglect taking homeopathic remedies and vitamins. The medicine is prescribed by the doctor taking into account the desire to further plan the birth of the child.

Chances of second and subsequent pregnancies

• The presence of mastopathy or the return of the disease after the first pregnancy should not stop a woman from wanting to continue childbearing and perform the main female function.
• Mastopathy, which is not completely cured during the first birth and during breastfeeding, has a chance of disappearing during subsequent acts of childbearing and breastfeeding.
• The main thing is to adhere to the doctor’s recommendations, analyze your own state of the body, take timely measures to prevent the development of mastopathy, and ensure prevention.

Source: https://onko.guru/dobro/mastopatiya-i-beremennost.html