What is hyperplasia of mammary glands? One week before menstruation, breast swelling and underarm pain. Is it hyperplasia of mammary glands?

Breast hyperplasia is the most common breast disease in women, with the highest incidence. In recent years, the incidence of the disease has increased year by year, and the age is getting younger and younger. Mammary hyperplasia refers to hyperplasia of mammary epithelium and fibrous tissue, structural degeneration of mammary ducts and lobules, and progressive growth of connective tissue, which is mainly caused by endocrine hormone imbalance. [Edit this paragraph] According to the survey, about 70% ~ 80% of women have different degrees of mammary gland hyperplasia, which is more common in women aged 25 ~ 45. So what causes endocrine hormone disorder? Traditional Chinese medicine believes that those who are not in the position of chong ren often have menstrual disorders and spots on their faces because of poor emotional state and abnormal excretion of liver qi, while those who are not in the position of chong ren have qi stagnation and blood stasis. Modern medicine believes that marriage and childbearing, diet, the external environment of human existence and genetic factors are the main causes of breast diseases. The symptoms of hyperplasia of mammary glands are mainly periodic breast pain. At first, it was diffuse swelling pain, and the tenderness in the middle and upper part of the breast was obvious. Every month, the pain before menstruation is aggravated, and the pain after menstruation is relieved or disappeared. Severe cases have persistent pain after menstruation. Sometimes the pain radiates to armpits, shoulders and backs, upper limbs, etc. Patients often report breast lumps, but only the thickened breast is felt during clinical examination. Simple lobular hyperplasia of breast in adolescence can heal itself in about 2 years, and most patients need treatment, so don't be patient. Mammary gland hyperplasia, according to online experts of traditional Chinese medicine, is caused by depression and anger hurting the liver, thinking hurting the spleen, qi stagnation and blood stasis, and phlegm coagulation and nucleation, which is called "breast addiction" in traditional Chinese medicine. Modern medicine believes that its occurrence, development and outcome are entirely due to the periodic changes of hormones in women. When the level of estrogen secreted by ovary is too high, the level of progesterone in corpus luteum is too low, or the secretion of estrogen and progesterone is not harmonious, it can cause hyperplasia of mammary duct epithelial cells and fibrous tissues. Under normal circumstances, the acinus, glandular duct and fibrous tissue of every female breast entering puberty will undergo the process of tissue change of proliferation and recovery in every menstrual cycle. Because of this change, every woman may have slight or heavy swelling pain in one or both breasts before each menstruation, and the swelling pain disappears naturally after menstruation, which does not hinder her life, study and work at all, which is a normal physiological phenomenon. However, when the body is under the action of some stress factors (such as working too hard, being too excited, being older and unmarried, not breastfeeding after childbirth and suffering from some chronic diseases, etc.). ), which may lead to the failure or incomplete recovery of breast hyperplasia tissue that should have been recovered, will form breast hyperplasia over time, showing three major symptoms and signs: thickening of breast leaves and nodular particles, breast pain, nipple galactorrhea. There are many types of hyperplasia of mammary glands, some of which are completely physiological and can subside without special treatment, such as simple hyperplasia of mammary glands, some of which are pathological and need active treatment, especially cystic hyperplasia, which cannot be taken lightly because of the possibility of canceration. Here, according to the different types of mammary gland hyperplasia, we will talk about its treatment. 1) Breast pain, also known as simple breast hyperplasia. This is most common among adolescent girls and young patients. The reason is that the gonadal hormone secretion is strong and fluctuates greatly, with obvious periodic breast pain as the symptom, and the pain disappears after menstruation. Pain is mainly confined to the breast, but sometimes it can radiate to the ipsilateral armpit, chest wall, and sometimes even to the back of family members, which often affects sleep, work and study, causing many patients to be anxious and emotional. This proliferation is a normal physiological phenomenon. Patients don't have to be overly anxious and anxious at first. As long as you adjust your emotions and keep a balance, the generally elevated endocrine hormones can be corrected slowly, and various symptoms can disappear on their own. If the pain is obvious, you can also take traditional Chinese medicine with the function of soothing the liver and regulating qi. Modern Chinese medicine promotes "five-in-one comprehensive therapy" to treat hyperplasia of mammary glands, without surgery, recurrence, treating both the symptoms and root causes, with remarkable results, and generally can receive good results. 2) Breast adenopathy. This type of lesion is based on the dilation of mammary lobules and mammary ducts in the breast and the proliferation of tissues around glands. The treatment of this kind of proliferative diseases should be based on Chinese patent medicines for softening and resolving hard mass, supplemented by soothing the liver and regulating qi. 3) Cystic hyperplasia. Some people say that this type of hyperplasia is the real pathological hyperplasia. The main manifestations are hyperplasia of ductal epithelial cells in the breast, and most of the masses in the breast are diffuse thickening. Some patients have localized manifestations, mostly oval cysts, which are easily confused with fibers. This hyperplasia may develop into cancer, which often causes patients' worry and panic. Therefore, once diagnosed, we should be vigilant and actively carry out systematic treatment. For the treatment of cystic hyperplasia, there are three methods: first, regular examination. Once diagnosed as cystic hyperplasia, patients should go to specialized hospitals regularly (for example, 2-3 times a year) to find out whether there are abnormal masses (cancer blocks) at an early stage. This kind of abnormal mass is sometimes difficult to diagnose only by the doctor's touch. Therefore, it is necessary to use some special instruments to check and even need pathological biopsy to make a diagnosis. The second is to insist on taking medicine. Cystic hyperplasia is a chronic disease with serious endocrine disorder, poor sensitivity of diseased tissues to drugs, slow disappearance of cystic masses and long treatment time. Sometimes it takes six months to a year for drugs to take effect. Therefore, patients must maintain a balanced mentality and have the confidence of "protracted war". It is suggested to use traditional Chinese medicine for soothing the liver and regulating qi, promoting blood circulation and removing blood stasis, softening and resolving hard mass. "Five-in-one" therapy can regulate the hormone balance of the body, inhibit breast hyperplasia, promote the normal transformation of hyperplastic cells, and restore the hyperplastic tissues to normal, which has a good analgesic effect. The third is total surgical resection. This is the best treatment for patients with local lesions, that is, as long as large local lesions are removed, more positive treatment results can be obtained. If there is an obvious canceration trend, or the biopsy diagnosis is precancerous lesions, simple mastectomy should be performed to ensure safety. In addition, when the patient has galactorrhea, it should be differentiated from hyperprolactinemia or amenorrhea galactorrhea syndrome to prevent misdiagnosis. [Edit this paragraph] Signs before symptoms Some women often feel breast pain and dull pain. Because there is no other discomfort, they generally don't go to see a doctor. Some people naively think that this can increase the beauty of women's lines. As everyone knows, swelling and dull pain may be the initial manifestations of breast hyperplasia. Some breast hyperplasia may even cause pathological changes after delayed treatment. The clinical manifestations of this disease are breast lump and breast pain. About 80% patients have symptoms of breast pain, mostly bilateral or unilateral. The nature of pain is divided into swelling pain, stabbing pain, amenorrhea pain, dull pain or tenderness. The manifestations of breast pain are often unstable, which can be aggravated before menstruation, and often aggravated when mood changes, fatigue and weather changes. Breast mass is the main basis for the diagnosis of breast diseases. Most of them are multiple, different in size, hard or tough in texture, and have nothing to do with skin. It feels grainy In addition to the above symptoms, some patients also have systemic symptoms such as nipple itching, discharge, bitter taste, rib swelling, chest tightness, anorexia and menstrual disorder. Breast hyperplasia is a common gynecological disease. It is common in middle-aged women around the age of 29-39, because this period is the most vigorous period of female sexual function. It is characterized by single or multiple growth of some lumps in different parts of the breast, soft texture, unclear boundary, mobility, and often accompanied by different degrees of pain. Especially before menstruation, after fatigue, or when mood fluctuates, such as anger (called qi stagnation in Chinese medicine), the lump increases and the pain increases, but after menstruation, the lump is obviously reduced and the pain is alleviated. Pain is generally swelling pain, and there is little tingling. However, the lump of breast cancer has a hard texture and unclear boundary, and the skin often turns into orange peel, which has nothing to do with menstruation. Generally, the lump only increases. B-ultrasound, X-ray and near infrared scanning can be used for early and effective diagnosis. It should be reminded that breast hyperplasia may turn into breast pain, so people with breast hyperplasia for a long time should go to the hospital for examination so as to make timely diagnosis and treatment. Generally speaking, when women are sentimental and unsatisfied, heart fire will break out, and the liver meridian will follow the breast, leading to qi stagnation and phlegm coagulation in the breast. Therefore, Chinese medicine generally adopts the methods of soothing the liver and relieving depression, promoting qi circulation and resolving phlegm, such as the mixture of "five-in-one comprehensive therapy", in addition, it can also be combined with the application of some "qi-invigorating drugs" such as antler glue to treat qi and blood, so that the effect of treating breast diseases is the best. Clinical manifestations (1) Breast pain: it is usually swelling or tingling, which may involve one or both breasts, especially one side, and it is not suitable for those with severe pain to touch, even affecting daily life and work. The pain is mainly in the breast lump, and it can also radiate to the affected armpit, chest or shoulder. Others show nipple pain or itching. Breast pain often appears or aggravates a few days before menstruation, and obviously relieves or disappears after menstruation; Pain will also fluctuate with the change of mood. This kind of pain related to menstrual cycle and emotional changes is the main feature of clinical manifestations of breast hyperplasia. (2) Breast lump: The lump can occur in one or both breasts, and it can be single or multiple, generally occurring in the upper quadrant outside the breast, but also in other quadrants. The shape of tumor is patchy, nodular, cord-like, granular and so on. Among them, patches are the most common. The boundary of the mass is not obvious, the texture is medium or slightly hard and tough, the activity is good, there is no adhesion with the surrounding tissues, and it is often tender. Tumors vary in size, from millet to more than 3 ~ 4 cm. Breast lumps also have the characteristics of changing with menstrual cycle. The lump increases and hardens before menstruation, and shrinks and softens after menstrual cramps. (3) Nipple discharge: A few patients may have nipple discharge, which is spontaneous discharge, straw yellow or brown serous discharge. (4) Menstrual disorder: patients with this disease can see irregular menstruation before and after menstruation, which may be accompanied by dysmenorrhea. (5) Emotional changes: Patients often show depression or irritability, which is aggravated every time they are angry, nervous or tired.