Patient's question:
On the first day of the menstrual period, a color ultrasound was performed, which showed: Bilateral breast examination: Right breast thickness 2.0 cm, left breast thickness 2.0 cm. Bilateral breast internal echo enhancement, chaotic, breast duct dilation. CDFI shows: Normal blood flow display in bilateral breast.Doctor's answer:
Medical Analysis: The symptoms of breast hyperplasia include:1. Breast pain: Often characterized as a or, it can affect one or both breasts, with one side being more common. Severe pain may make the breasts sensitive to touch, even impacting daily life and work. The pain can radiate to the same axilla or shoulder blades. Some may experience nipple pain or itching. Breast pain often appears or worsens several days before menstruation and significantlys or disappears after the period. The pain may also fluctuate with emotional changes, fatigue, or weather changes. This pain related to the menstrual cycle and emotional changes is a key clinical feature of breast hyperplasia.
2. Breast lumps: Lumps can occur in one or both breasts, either singly or multiple, and are generally more common in the outer upper quadrant of the breast. They may appear as irregular patches, nodules, or cords, with patches being most frequent. The boundaries are not clear, and the texture is moderate or slightly hard, without adhesion to surrounding tissues, and often tender to touch. Most breast lumps also show changes with the menstrual cycle: they enlarge and harden before menstruation and shrink and soften after the period.
3. Nipple discharge: A few patients may experience nipple discharge, which is spontaneous. It is usually pale yellow or milky white, and in some cases, discharge can be squeezed out from the nipple. If the discharge is bloody or coffee-colored, caution is advised. Based on your description, it is likely that you have bilateral breast hyperplasia with duct disease, which is a common condition. It is recommended to undergo ultrasound and ductoscopy for confirmation and then actively treat it. There is no need to worry excessively.
Medication Guidance: You can use Ruilong Ru'an tablets, following the prescribed course. Significant effects can be expected within one to three courses. At the same time, maintain a relaxed mood and balance work and rest. Reduce estrogen intake in your diet and avoid medications containing estrogen. Conservative treatment may take a longer time, so stay confident and patient.