Is it normal to have ovulatory pain due to lobular hyperplasia?

Written by Lin Yang
Breast Surgery
Updated on September 25, 2024
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Lobular hyperplasia causing pain during ovulation is normal. The main symptoms of breast hyperplasia are cyclical swelling and pain of the breasts, often appearing or worsening before menstruation and lessening or disappearing after menstruation. Generally, mild cases do not receive much attention from patients, but severe cases can affect daily life and work. Some patients do not show obvious cyclical changes, and symptoms can include unilateral or bilateral breast pain or cyclical changes, sharp pain, which can extend to the shoulder, upper limbs, or thoracic back area. A minority of patients may experience nipple discharge, which can be yellow-green, brown, or serous in color. The condition can persist for a long time, but symptoms usually disappear or decrease after menopause.

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Written by Lin Yang
Breast Surgery
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Mammary duct ectasia is classified into several stages and can be treated as follows:

The grading of lobular hyperplasia and the staging of color Doppler molybdenum target are the same, First is grade 0, which is unconfirmed and requires further confirmation. Grade 1 is a negative result, which is normal and does not require treatment. Grade 2 indicates benign lesions, such as breast cysts and lobular hyperplasia of the breast, which are 100% benign at the second level. Lobular hyperplasia can be treated with medication, and benign cysts can be regularly reviewed with color Doppler ultrasound or surgically treated if there is a psychological burden. Grade 3 is possibly benign with a 2% risk of malignancy, typically referring to fibroadenomas of the breast, which can be treated surgically. Grade 4 is suspicious of malignancy, and in such cases, biopsy is recommended to determine benignity or malignancy, with surgical treatment advised if malignant. Grade 5 is highly suspicious of malignancy, and in such cases, surgical treatment is recommended, such as modified radical mastectomy or breast-conserving surgery. Grade 6 is confirmed malignant with pathological evidence of breast cancer.

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Written by Jia Rui
Obstetrics and Gynecology
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What is bilateral mammary lobular hyperplasia?

Bilateral mammary lobular hyperplasia is a type of abnormal proliferative disease of the breast tissue. Patients with mammary hyperplasia primarily experience breast pain and have breast lumps, and it is a benign disease. This condition is caused by an imbalance in ovarian endocrine levels, changes in hormone levels in the body, and an increase in estrogen levels, leading to excessive proliferation and incomplete restoration of breast tissue. It is common in clinical practice to examine breast diseases when breast pain and lumps are present.

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Written by Lin Yang
Breast Surgery
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Can medication completely cure mammary gland hyperplasia?

Breast hyperplasia can be treated with medication, but due to the disorder of hormone levels in the body, incomplete recovery may lead to the possibility of recurrence of breast hyperplasia. Most cases of breast hyperplasia are believed to be related to endocrine disorders, causing elevated estrogen levels, and hormonal levels in the body change periodically. When the proportion of hormones in the body is unbalanced, estrogen increases, and progesterone secretion decreases, breast hyperplasia is incompletely restored, causing breast tissue proliferation. On the other hand, it may also be related to the differences in the quality and quantity of estrogen receptors in the breast parenchyma components, resulting in uneven growth in different parts of the breast.

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Written by Lin Yang
Breast Surgery
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What does breast lobule feel like to the touch?

Fibrocystic breast changes may occur in one or both breasts, where palpable, nodular lumps of varying sizes can be felt. These lumps are firm but not hard, and sometimes painful. The boundary between the lumps and surrounding breast tissue is unclear, yet they are not adherent to the skin or chest muscles, sometimes appearing as unclearly bordered thickened areas. Lesions are more commonly located in the upper outer quadrant of the breast but can affect the entire breast. The lumps may enlarge during premenstrual or postmenstrual phases, but they typically reduce in size postmenstrually. Diagnosis can be confirmed through breast ultrasound and mammography. Breast ultrasound typically indicates proliferative breast tissue, showing areas of uneven, low echogenicity and, in cases of cysts, anechoic areas.

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Written by Lin Yang
Breast Surgery
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Will a bad mood make lobular hyperplasia worse?

Breast lobular hyperplasia can worsen with mood because it is related to elevated estrogen levels caused by endocrine disorders. External living conditions, work and life circumstances, interpersonal relationships, and various other stresses can cause neuropsychiatric factors, all of which can change the internal environment of the body. This, in turn, affects the function of the endocrine system, leading to abnormal secretion of one or several hormones. During the menstrual cycle, breast receptors and internal hormone levels change periodically. When the proportion of hormones in the body becomes unbalanced, an increase in estrogen levels and a decrease in progesterone secretion can lead to incomplete regression of breast hyperplasia after its increase, causing the exacerbation of breast hyperplasia.