Most likely you are suffering from fibrocystic disease. It is due to hormonal stimulation of the breast
tissue. It may cause pain in some patients. It may resolve
spontaneously with pregnancy
. Reassurance and supportive sports bra (especially in large breasts) have shown to be effective in most women. Usually Vitamin E 400 mg 2-3 capsule daily or/ and Evening Primrose Oil
3000 mg daily Containing 240-360 mg GLA which comes to 4-6 capsules per day is the initial amount prescribed for 2-3 months. If response is good then the dose may be decreased for 3 more months and then stopped. The symptoms may never recur. But relapses are also known. If there is no response to above, then we usually shift to Danazole, Bromocriptine
or SERM (tamoxifen
or ormeloxifen) Bromocriptine is costly and causes nausea
and headache. Danazole has troublesome androgenic side effects. Tamoxifen is known to cause DVT or cataract
but usually for long term or higher dose of 20 mg, which is given in breast cancer
. We recommend 10 mg daily for 3 months.
Ormeloxifen is the indian drug previously called centchroman or Saheli. It is usually given as 30 mg daily or alternate day schedule. Some patients may develop ovarian cysts
on daily schedule. It works well with non cyclical as well as cyclical mastalgia.
If you need further clarification, feel free to contact me directly.