Women's Health - Fibrocystic Breasts Flashcards
Q: What are fibrocystic breasts (FB)?
A: A common, benign condition characterised by swollen and tender breasts, common among premenopausal women aged 20–50 years old.
Q: Can fibrocystic breasts lead to malignancy?
A: A minority of cases can progress to a high-risk or malignant phenotype due to genetic mutations and differences in the breast microbiome.
Q: What screening method is suggested for fibrocystic breast changes?
A: Thermography is useful for detecting fibrocystic changes.
Q: What are the symptoms of fibrocystic breasts?
Cyclical breast cysts (‘diffuse lumpiness’).
Breast pain (often bilateral), dull/heavy in nature, typically during the luteal phase, improving post-menses.
Nipple discharge (in some cases).
Q: What hormonal imbalance is associated with fibrocystic breasts?
A: Oestrogen dominance or elevated O:P ratio due to low progesterone, often influenced by stress.
Q: What reproductive factors increase the risk of fibrocystic breasts?
A: Nulliparity and late menopause.
Q: How do obesity and T2DM contribute to fibrocystic breasts?
A: Both are associated with breast changes and may exacerbate the condition.
Q: What dietary substances are linked to fibrocystic breasts?
A: Methylxanthines, found in coffee, tea, cola, chocolate, and some drugs, have been linked to fibrocystic breasts.
Q: How does low dietary fibre affect the risk of benign breast disease?
A: A low-fibre diet increases the risk, while higher fibre intake reduces the risk.
Q: What role does iodine deficiency play in fibrocystic breasts?
A: Iodine deficiency has been shown to contribute to the development of fibrocystic breasts.
Q: What dietary strategies support fibrocystic breast health?
A: The CNM Naturopathic Diet with a hormone-balancing approach, including xenoestrogen avoidance and support for oestrogen elimination.
Q: Which supplements help manage fibrocystic breasts?
A:
Evening primrose oil (1000 mg 3x daily): GLA forms PG1, which inhibits arachidonic acid synthesis.
Vitex Agnus castus: Indirectly progesterogenic.
Vitamin E and omega-3 FAs: Relieve FB pain.
Q: What lifestyle changes are recommended for fibrocystic breast management?
A:
Remove methylxanthines and caffeine.
Stop smoking.
Incorporate seed cycling to balance oestrogen and progesterone.
Q: What additional therapies can support fibrocystic breast health?
A:
Restore iodine balance (consider iodine testing).
Use castor oil packs.
Utilize thermography for detection.
