I had breasts pain for more than 7 months then my gynecologists suggest Evion 400 mg tab for 3 months, tab someone oil for 1 month, tab codesoft for 1 months but also the pain in both breasts it was there then I did sonomemography it was few tiny cysts in right breast pancheyma and minimal duct ectasia in left retro areola now she gave tab NOVEX 30 mg for 1 month to take alternative days which tab I should take to cure my breasts pain permanently pl suggest I want clarity answer.
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Fibrocystic changes are very common and are common cause of breast pain especially cyclical. Also duct ectasia may cause pain. Some times some of the cysts may enlarge causing a lot of pain, which need to be aspirated. Spontaneous resolution is seen in around 20-50 % patients with fibrocystic changes and most of the duct ectasia and this resolution may sometimes be related to pregnancy or menopause. Evening Primrose oil (EPO) capsules contains Gamolenic acid (GLA, which is an essential fatty acid needed to regulate the tissue response to hormones. The dosage required is 240-360 mg of GLA daily (2000-3000 mg EPO. The capsule contains 40 or 80 mg GLA. Thus the no of capsules can range from 4-8 per day taken orally. Few patients (<5%) report nausea, loose motions or headaches. It is to be avoided if you are pregnant, planning to conceive or have a history of epilepsy. You need to continue the primrose oil for atleast 2-3 months to see any improvement in symptoms. If symptoms improve then you can halve the dose of primrose oil and continue for further 3 months. Some people are able to stop the capsules altogether without return of problem. Vitamin E 800 to 1200 I.U. (2-3 capsules) Daily also has been shown to work in cyclical mastalgia. The other treatment options are NSAIDS like Combiflam or enzoflam which provide symptomatic relief till the pain settles spontaneously and Antiandrogens like Danazole and anti estrogens i.e. SERM’s like Tamoxifen (?Efficacy of ormeloxifen i.e. Novex. The last 2 are quite effective but come with a lot of side effects. You may try using higher dose of evening primrose oil or Vit E before trying SERM. I have not used ormeloxifen 30 mg /wk in any Patient.
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