FCM decoding in medicine. What is focal mastopathy of the mammary gland: symptoms and methods of treating fibroadenomatosis

Content

Women's ailments replenish global problems current medicine, are identified in 30-40% of young ladies 20-40 years old. For example, if a lump is felt in the breast, the doctor suspects that the patient is developing fibrocystic mastopathy. If such a dangerous disease is detected in time, it can be quickly cured.

Causes of fibrocystic mastopathy

At first, the young lady does not notice the “pea” in her chest, but it grows, first causing discomfort, and then a cutting sensation. At an unscheduled appointment with a mammologist, it is important to determine the focus of the pathology and find out in detail the main causes of fibrocystic mastopathy. The prerequisites for the next relapse are determined by the specific form and stage of the disease.

diffuse

With DFCM, individual areas are affected, and punctate cysts with water grow in the inflamed area. The presence of a cystic structure proves that the presence of foreign tissue in the diseased gland is possible, which is ideally impossible. If the presence of diffuse fibrocystic mastopathy is suspected, the main prerequisites for the abnormal process are as follows:

• dyshormonal imbalance;
• menopause;
• bad heredity;
• chest injuries;
• disruption of the body’s “filter”;
• improper use of COCs;
• thyroid dysfunction.

Nodal

When making a diagnosis, there are local lesions in the mammary gland, i.e. The pathological process does not spread to some tissues. The nodular form of fibrocystic mastopathy has become an increasing form of the diffuse variety, letting the doctor know that there is still an imbalance in the milk ducts. “Peas” have clearly defined boundaries and are formed at the nodes of the initial form of the disease. The main prerequisites for such internal imbalance are as follows:

• hormonal changes;
• prolonged depression;
• previous abortions;
• diabetes;
• women's illnesses;
• obesity of one of the stages;
• destructive habits;
• intestinal dysbiosis;
• hepatitis of one of the forms.

mixed

With this form of the disease, one clinical picture revealed simultaneously fibrosis, cystosis and adenosis. Fibrocystic mastopathy of mixed type is a tumor of a benign nature, which predominates in reproductively active young ladies, and is subject to complete excision by surgical methods. The causes of the pathology are not fully understood, the following anomalies were the prerequisites: female body:

• chest injury;
• dyshormonal imbalance;
• gynecological diagnoses;
• heredity;
• violations of glandular structures.

Double-sided

With this diagnosis, the foci of pathology are aggravated on both sides, the woman can feel not a single pea in the gland. Fibrocystic mastopathy of both mammary glands has become a complicated stage of a characteristic disease that is difficult to treat with drug therapy. The first cause of the pathology was a hormonal imbalance, when there is an excess of estrogen and a lack of progesterone.

Fibrocystic mastopathy - symptoms

The first signs of FCM are noticeable during a routine examination of the mammary glands - by palpation for abnormal neoplasms. Some patients learn about the diagnosis only when undergoing a medical examination for work; such a diagnosis becomes unpleasant news. Over time, the signs of fibrocystic mastopathy begin to intensify, and at the site of the pathogenic compaction, hyperemia of the skin and pain when palpated are noticeable. The remaining symptoms also remind us of themselves, and their intensity depends on the specifics of the endocrine system.

Pain

Not all patients know what mastopathy is, but learn about the pathology when they feel an acute pain syndrome chest, which either retreats or attacks again with renewed vigor at any age. The nature and frequency of pain in fibrocystic mastopathy can only be determined individually: for some it is cutting, for others it is more aching, and for others it resembles shooting to the chest.

In addition, the patient feels compression in the chest, which also becomes a source of torment. If we talk about the intensity of the pain syndrome, it intensifies every month before the scheduled arrival of menstruation, when planned dishormonal disorders predominate in the body of an adult young lady. With FCM, not only the bust hurts, but also the inflamed lymph nodes.

Allocations

Depending on the features hormonal levels Colostrum can be squeezed out of the nipples. In fact, discharge from fibrocystic mastopathy is pathological in nature, differs in color and smell, and may contain bloody impurities. Their intensity depends on hormonal changes: in some women, fluid is released when pressing on the nipple, in others - spontaneously. The putrid odor of the discharge determines the presence pathological process V mammary glands.

Sonographic signs

Using an ultrasound, the doctor examines the cystic wall in a section, determines the presence of a tubercle, its location and size. Fibrocystic mastopathy on ultrasound is represented by darkening, so in most clinical pictures this diagnostic method is uninformative. Additionally, you can study the state of neighboring lymph nodes for inflammation and malignant neoplasms. After 35 years, doctors recommend doing mammography to obtain more reliable information about the characteristic disease.

How to treat fibrocystic mastopathy of the breast

You can get rid of the source of pathology using conservative or surgical methods. Many women ask the main question whether fibrocystic mastopathy can be cured. If you respond to the problem in a timely manner and select an adequate treatment regimen, the patient’s final recovery without health complications in the future is possible.

Drugs

At the early stage of treatment, doctors offer synthetic hormones, antibiotics and homeopathic remedies to ensure positive dynamics of the disease. Effective drugs for fibrocystic mastopathy, the doctor selects it; home self-medication is dangerous to health. The following medications should be included in the complex treatment regimen for FCM:

Vitamins

Treatment of FCM has an integrated approach. Vitamins for fibrocystic mastopathy are an integral component of intensive therapy, and doctors place special emphasis on vitamins A, E, B6, P, PP, C. Such organic compounds additionally relieve swelling of the glands, accelerate the regeneration process, stimulate blood flow, strengthen the immune system, and accelerate recovery of the body after illness.

Massage

For greater productivity, drug treatment methods should be supplemented with physiotherapeutic procedures. Massage is especially effective for fibrocystic mastopathy, where the primary goal of the session is to determine the focus of the pathology and eliminate swelling. Simple movements can return the functioning of the mammary gland to normal, thereby eliminating alarming symptoms and preventing mastitis and malignant neoplasms.

Removal of fibrocystic mastopathy

If conservative methods prove useless in treatment, the surgeon resorts to surgery. The main task is the removal of fibrocystic mastopathy, which is performed under general anesthesia. The operation is carried out in two stages - excision of the pathology focus, elimination of fatty tissue around the vein. In complicated clinical situations, it is necessary to remove part of the pectoral muscle, but this happens extremely rarely.

Diet

It is important not only to take pills, but also to eat right. Breast mastopathy requires complex treatment. The doctor monitors the positive dynamics. Therapeutic nutrition for fibrocystic mastopathy should be prepared lean and bland, so it is important to completely exclude fatty, spicy, fried, smoked and salty foods from the daily diet. It is better to eat boiled meat, poultry, fish, dairy and fermented milk products.

Traditional treatment of fibrocystic mastopathy

Doctors prescribe medications strictly according to indications. Treatment of fibrocystic mastopathy with folk remedies is only an auxiliary therapy that accelerates the process of tissue regeneration. The first thing you need to do is make sure there are no contraindications, enlist the support of doctors, and choose the right medicinal herbs. This effective method intensive care, available to the patient at home. If fibrocystic breast disease progresses, effective recipes the following:

1. Dissolve a matchbox of propolis in 500 ml of vodka and leave for 2 weeks. Use as compresses, apply to the sore breast up to 2-3 times a day.
2. Boil the pumpkin in water, mash with a fork, place while warm on gauze and apply to the suspected site of pathology. Perform the procedure at night.
3. Mash a fresh burdock leaf to release the juice. Tape it to the sore chest for several hours. Take up to 4-5 times daily doses.

Herbs

Herbal medicine also relieves inflammation, relieves general state female patients. Choosing effective herbal teas for fibrocystic mastopathy, it is recommended to pay attention to the following natural ingredients: immortelle, cinquefoil, immortelle, agrimony, wormwood. In limited quantities, plant poisons such as mistletoe, celandine, and hemlock can be used. Red brush, aloe, and echinacea have immunostimulating properties.

Why is fibrocystic mastopathy dangerous?

Cystic fibrous mastopathy is a benign neoplasm of the mammary glands. Without treatment or improperly selected therapy, the tumor can become malignant. This disease is dangerously fatal for the patient. To exclude complications, before treatment, doctors give an injection and take a puncture to reliably determine the nature of the pathology. Fibrous mastopathy of the mammary glands is a curable disease, the main thing is not to start the pathological process.

Fibrocystic mastopathy and pregnancy

This problem especially often occurs in women when breastfeeding their baby; it provokes stagnation of milk and exacerbation of infectious processes in the mammary glands. Fibrocystic mastopathy and pregnancy are compatible and not interrelated concepts. However, it is better not to neglect the pathology, otherwise the tumor grows and can become malignant. Therefore, doctors take control of this disease of the expectant mother.

When carrying a fetus, fibrocystic mastopathy cannot be treated with conservative methods, especially antibiotics are prohibited. Otherwise, you can only harm your health, not yet born child. If fibrocystic mastopathy progresses after childbirth, the doctor recommends gentle therapy and the use of alternative medicine recipes.

Attention! The information presented in the article is for informational purposes only. The materials of the article do not call for self-treatment. Only a qualified doctor can make a diagnosis and give treatment recommendations based on the individual characteristics of a particular patient.

Mastopathy, also known as fibro-osseous disease, is nothing more than the general name for a group of diseases that relate to the mammary gland. All of them are a diagnosis that is made when a benign tumor is detected. The names, like the symptoms themselves and the course of the disease, are different. The anatomical causes, consequences and method of treatment also vary. Their clinical features and malignancy are similar, so during diagnosis the verdict is “mastopathy”. When this type of disease is confirmed, the study of the precancerous stage begins.

Anatomical features of the mammary gland

Since the mammary glands are part of the body’s reproductive system, their direct purpose is to feed the child. In this regard, it is generally accepted that any manifestations in this area are caused by a disturbance in the immune system or hormonal balance. The composition of the mammary gland is simple:

• epithelial tissue;
• connective tissue;
• adipose tissue;
• vessels.

The proportion of tissue depends on the age and physiology at the time when the examination was performed. If a woman is of reproductive age, then the shape of the breasts will be natural, round. If this is a nursing mother or a pregnant girl, then the ratio of glandular and connective tissue will be different. There will also be more adipose tissue. If a woman crosses physiological characteristics during menopause, the predominant element in the structure will be adipose tissue, and the connective tissue will gradually cover the glandular part. This happens due to changes in the physiological growth and age of the mammary gland.

The consequence of such changes are diseases and disorders, since the breast is behind a short time fills with milk, then produces milk for about a year, then goes into sleep mode.

And this can happen several times. Afterwards, hormones affect the system and completely block the vital activity of the mammary glands. During all these periods, an acute problem may arise, which in 90% of cases occurs in women.

Mastopathy as a norm

The pathological condition, also known as mastopathy, can be attributed to 40 or more diseases that occur when the mammary gland is damaged. Regarding anatomical, clinical and morphological changes, mastopathy, as fibro-osseous disease (FCD), is divided into several subtypes:

• diffuse appearance - with a predominant glandular element (adenosis), with a fibrous component, with a cystic element.
• nodal form.

According to the World Health Organization, mastopathy is considered FCD, which entails disorders in the area of ​​the epithelial and connective components, as well as an additional list of proliferative changes and regressive features of breast tissue.

Diffuse cystic and simply diffuse mastopathy are similar in clinical diagnostic measures. If diagnostics and blood tests show that structural changes occurred after physiological ones, then diffuse mastopathy can be established as a diagnosis. This means that subsequent operations and removal of cysts are not required.

Fibrocystic disease is different. In structural changes, the relative functions of metabolism are completely disrupted. IN at different ages in women this is considered normal, since the body cannot always cope with the load of imbalance.

In this regard, a sharp change in the composition of the blood occurs, while hormones do not affect the course of the disease. In some cases, a urine test may be needed to show if there are infected organs involved due to a physiological disorder.

Mastopathy as a danger

If the patient’s diagnosis of FCM is confirmed, but it is also established that there is progression in the area of ​​cell division (proliferating factor of mastopathy), then this is considered a threat to the woman’s health. Non-proliferating cells (not capable of rapid division) pose no threat. The active behavior of cells serves as a basis for considering an increase in danger to the body. If a benign tumor is suspected and breast symptoms are detected, it is necessary to analyze the group of cells that grow from the tumor. This will help determine whether there is a risk of developing malignancy.

Most interesting fact– FCM has not been fully studied. No doctor can name the exact causes of the disease. However, it is clear that FCM occurs most often in women of reproductive age, during which the entire process of structural changes occurs.

The main symptoms of FCM relative to diagnostic data include:

All of these diseases are characterized by excess estrogen. Progesterone hormones are absent in relative proportions. This can be caused by taking contraceptives, colds and diseases of the female genital organs. A vicious circle is created, because in the first case, the whole body suffers, giving complications to the primary cause. As a result, there is a risk of developing a chronic stage.

Symptoms of fibrocystic disease

If you know what FCM clinically looks like and how the analysis shows it, it is necessary to establish how and with what symptoms you should contact a doctor so as not to start treatment of the mammary gland.

Symptoms of fibrocystic mastopathy are:

• pain;
• nipple discharge;
• palpable lumps;
• hard parts of the mammary gland.

In 78% of cases, women do not notice (do not notice) pain. Symptoms regarding discharge are also rarely identified.

Diagnostics finds cystic formations of an elastic structure. This suggests that FCD has evolved through cell generation and division. When a healthy cell is infected by a diseased one, division occurs, but some of the new cells generate healthy elements from the infected ones. They, being near the negative area, are also susceptible to infection. As a result, it turns out that new healthy cells will change their structure in any case. Instead of 4 infected (excluding healthy ones), you get 6-8 sick (including healthy) cells.

Available tumor cells in FCM can become a source of bilateral development of mastopathy. This threatens the progression of the disease to the nodular form of FCD.

Unlike the previous one, this type of disease implies the presence of palpable areas of cancerous formations that are not fused to the skin. The pain in the nodular form of FCD is more intense, sharp, and unbearable. If a woman had clear or white discharge, then with nodular FCD their color changes to dirty yellow.

With rapid progression, the discharge can not only change color, but also consistency. Diagnostics often reveals bloody issues brown in color, as well as black spotting spots.

Diagnosis and treatment of the disease

Diagnosing FCD means creating a set of measures that is carried out as part of the examination. In addition to mammography and ultrasound, which must be done without fail, a woman must undergo a blood test, a hormone test and a smear of secretions if there is discharge from the mammary gland. If the examination reveals cysts and formations in the mammary gland, then an additional analysis is prescribed that will reveal the degree of cell activity. A dermatologist, endocrinologist and gynecologist should also be present during the examination.

If a woman has any problems in the genital area of ​​the small pelvis, it is necessary to conduct an ultrasound of the uterus and cervix. As a rule, cysts are also found in the ovarian cavity. If there are none, then confirmation of the diagnosis of FCD should be expected from a mammologist. Ultrasound screening determines the severity of the disease. In this case, treatment is prescribed together with other doctors.

An endocrinologist can prescribe hormonal treatment, a mammologist can prescribe multivitamins and a ban on hormonal substances. Therefore, all doctors involved in fibrocystic gland disease should coordinate the treatment of FCD.

Treatment for the diagnosis of FCD is prescribed differently, depending on the integrity of the examination and the manifestation of the disease in the woman. Mastopathy is a multifaceted and common disease that has its own characteristics in the course of treatment, the course of the disease and the conditions of cell reproduction. If a nodular type of fibrocystic mastopathy is diagnosed, the woman is prescribed treatment with dishormonal tablets, which are classified as group A.

There is also a non-hormonal type of treatment. It is prescribed when a blood test does not show a leukocyte count above 7000 m. A woman can stay at home, taking treatment strictly according to the prescription. Additionally prescribed:

• red fruits and vegetables;
• vitamins A, E, C, B;
• phytotherapy;
• enzyme therapy;
• non-steroidal drugs;
• nutritional supplements.

In addition, the patient can only come to the hospital for acupuncture and immunotherapy. In some cases, novocaine and dimexide are prescribed. The duration of treatment is determined by the doctor. It is difficult to name the exact framework; the course can last from 3 months to six months. If a woman is being treated at home, then follow-up examinations with a doctor should not be skipped. They only take place in the hospital.

Fibrocystic mastopathy (FCM) is a benign breast disease that is diagnosed in 30-40% of women. At fibrous mastopathy connective tissue (stroma) grows and compactions appear. With cystic breasts, fluid-filled cavities form in the breast tissue. And fibrocystic is characterized by a combination of fibrous and cystic components. This type of disease is typical for women over 30 years of age.

According to the latest scientific research in the field of medicine, cystic fibrous mastopathy is a precancerous condition.

Therefore, women need to know its signs, consult a doctor if alarming symptoms appear, and follow the recommendations. Along with treatment, lifestyle correction and diet are necessary. Patients are concerned about whether it is permissible to sunbathe, visit the bathhouse, sauna, play sports during FCM, whether pregnancy and breastfeeding are possible. Find answers to these questions in our article.

The mechanism of development of fibrocystic mastopathy

Breast mastopathy develops against the background of hormonal imbalance, insufficient production of progesterone, excess estrogen and prolactin. Estrogens act on receptors in the mammary gland and provoke pathologically active cell division of glandular or connective tissue. And prolactin causes an increase in the number of milk ducts, their lengthening, and the production of secretion that is released from the nipples. Gynecological, endocrine diseases, stress, unsatisfactory sex life, abortion, late (after 30 years) pregnancy and childbirth are common causes of hormonal imbalance.

The proliferation of functional (glandular) breast tissue is called adenosis, the diffuse proliferation of connective tissue, which gradually replaces the glandular tissue, is called fibroadenosis. As fibroadenosis progresses, compactions of connective tissue appear in the form of round, oval nodes with clearly defined boundaries. In this case, a diagnosis of fibroadenoma is made mammary gland. If the milk ducts enlarge, the body tries to limit their growth; in place of the expansion, secretion-filled capsules with walls made of connective tissue - cysts - are formed. If the cystic component predominates, and there is no growth or nodular compaction of the connective tissue, they speak of a cystic mammary gland.

Types of fibrocystic mastopathy

FCM combines fibrous and cystic components. Depending on whether pathological phenomena are observed in one or both glands, unilateral or bilateral fibrocystic mastopathy is diagnosed. According to the degree of development, mastopathy is divided into mild, moderate and severe. There are 4 types of the disease with different combinations of symptoms:

• diffuse - against the background of proliferation of connective tissue, cysts form;
• nodular (focal) - dense nodes of connective tissue are adjacent to cysts, which are palpable in the form of soft elastic seals;
• non-proliferative - against the background of swelling of the mammary glands, cysts are palpated, but active cell division and pronounced pathological tissue proliferation do not occur. This type is most treatable and has a favorable prognosis;
• mixed - there are signs of several forms of mastopathy: diffuse proliferation of glandular, connective tissue, cystic formations, focal compactions.

Diffuse fibrocystic mastopathy precedes the development of nodular mastopathy, it can be cured with medications. Nodular cystic fibrous mastopathy at an early stage can also be treated conservatively, and when multiple or single, but large, nodules and cysts are formed, surgical intervention. The diagnosis of mixed fibrocystic mastopathy is made when the pathological process is advanced; such a disease requires long-term complex treatment. Nodular and mixed FCM is dangerous because in 32% of cases it degenerates into carcinoma - a malignant tumor. If you sunbathe in the sun or in a solarium, expose your breasts to high temperatures, mechanical injuries, consuming foods with carcinogens, can provoke this degeneration.

Symptoms and Diagnosis

Signs of FCM can be identified during self-examination of the mammary glands, which is recommended to be performed monthly. Warning symptoms:

• painful sensations in the mammary glands, a feeling of heaviness, engorgement;
• changes in the size and contour of the breast, the appearance of lumpy, sunken areas, skin folds, swelling;
• discharge from the nipples, spontaneous or appearing with pressure;
• detection upon palpation of dense and elastic formations ranging in size from a grain to a chicken egg.

On initial stage symptoms appear during PMS and become mild after menstruation. As the disease progresses, the signs become permanent. Pain can occur spontaneously or in response to touching the gland, radiate to the shoulder, under the shoulder blade, or be felt only in the chest. In 10% of women, fibrocystic mastopathy is painless. The color of the discharge varies from transparent to brownish-greenish; purulent discharge indicates infection, and bloody discharge indicates oncology.

Having discovered such phenomena, you need to contact a mammologist or gynecologist-endocrinologist, who will conduct a survey, examination, and prescribe instrumental and laboratory tests:

• mammography reveals non-palpable formations, allows you to distinguish the cystic form of mastopathy from non-cystic;
• Ultrasound is used to assess tissue density, identify fibrotic changes, cystic formations, dilation of ducts;
• if layer-by-layer examination of tissue is necessary, MRI is prescribed;
• biopsy (aspiration puncture of cysts) followed by histological examination of samples is carried out for differential diagnosis with malignant neoplasms;
• It is recommended to undergo an ultrasound internal organs and endocrine glands to establish the causes of the disease;
• To select medications to correct hormonal imbalances, a blood test for hormones is performed.

Based on the results of the examination, the doctor makes a diagnosis and prescribes treatment. Additionally, the specialist gives the patient recommendations: what diet to follow, what exercises are indicated and which are contraindicated, whether it is possible to sunbathe or steam.

Treatment methods

For fibrocystic mastopathy, etiotropic (direction to eliminate the cause) and symptomatic (alleviating the manifestations of the disease) treatment is prescribed. If mastopathy has developed against the background of another disease (dysfunction of the thyroid gland, ovaries, liver disease, adrenal glands, obesity), its treatment is necessary. In the early stages, treatment with non-hormonal drugs is sufficient:

• to improve the functioning of internal organs, endocrine and immune system homeopathic, herbal, vitamin preparations are used;
• Iodine preparations are indicated if thyroid produces hormones in insufficient quantities;
• sedatives help with stress and psychological problems;
• non-steroidal anti-inflammatory drugs relieve pain and reduce swelling;
• diuretics are used to reduce swelling;
• for intense pain, analgesics are indicated.

In case of severe disorders, hormonal medications are necessary, depending on the cause of the disease hormone therapy pursues the following goals:

• suppression of estrogen and prolactin production;
• stimulation of progesterone production;
• blocking mammary gland receptors sensitive to estrogen and/or prolactin.

Drug treatment is long-term and must be continued as long as residual effects persist.

Surgical intervention

For diffuse and non-proliferating forms of FCM, only drug therapy is carried out. Surgery is required if there are more than 2 stromal compactions (connective tissue), the size of nodular compactions and cysts exceeds 2-2.5 cm. The indication for surgical intervention is the growth of formations twice or more in 3 months, suspicion of oncology. For fibrocystic mastopathy, the following types of operations are performed:

• nodal seals are excised;
• cysts undergo aspiration puncture - the cyst is pierced with a thin needle and its contents are drawn out. Then sclerotizing drugs are introduced into the cavity to glue the walls of the cyst;
• the cyst is enucleated and removed entirely (enucleation);
• in case of extensive, multiple changes, partial resection of the mammary gland is prescribed, its tissue is removed at a distance of 1-3 cm from the tumor border.

The removed tissues are necessarily subjected to histological examination. The operation does not eliminate the causes of mastopathy, therefore, to prevent relapses, conservative treatment of the underlying disease is carried out.

For minor interventions, the patient can be discharged on the same day, for large-scale interventions - after a few days, and the stitches are removed after a week. IN postoperative period It is necessary to avoid stress, do not sunbathe, or undergo thermal procedures.

Treatment with traditional methods

At fibrocystic mastopathy You can take home-prepared herbal preparations internally:

• tincture of pine shells or walnut partitions with vodka (half a glass per half liter) improves the functioning of the immune and circulatory systems;
• elixir of aloe juice and honey (1:2) - immunostimulant;
• A decoction of burdock root (2 tablespoons per 3 glasses of water) has an anti-edematous, analgesic effect.

In addition, all these compositions prevent the formation and growth of tumors. Compresses from cabbage leaves, burdock, masks from a mixture of honey and lemon juice And castor oil can stimulate cell growth and cause cancer, so they should not be done without consulting your doctor. Treatment by means traditional medicine It is carried out only as an auxiliary, it cannot replace drug therapy.

Lifestyle with fibrocystic mastopathy

For any form of mastopathy, it is necessary to avoid trauma to the mammary gland and dose physical activity. Patients need diet correction. Products containing fiber, iodine, and vitamins are useful. Fat intake should be limited, since adipose tissue is involved in the production of estrogen. Spicy dishes, smoked foods and other foods with preservatives are contraindicated.

Solar radiation is dangerous for precancerous conditions and benign tumors with a high risk of malignancy. Therefore, with pronounced FCM, it is strictly forbidden to sunbathe both on the beaches and in the solarium. For moderate diffuse mastopathy without a cystic component and non-proliferating forms, it is permissible to sunbathe, observing the following restrictions:

• cover your chest from direct sunlight;
• do not go to the beach between 11 a.m. and 4 p.m.;
• drink water, alternate sunbathing with water procedures;
• do not sunbathe for more than half an hour without breaks.

Bath and sauna lovers will have to agree on the possibility of visiting it with doctors and remember the restrictions. The chest should be covered with a sheet or towel, protecting it from direct contact with hot air. It is forbidden to steam with a broom. It is necessary to limit the duration of procedures and the temperature in the steam room.

Physical exercises aimed at combating excess weight are recommended as a prevention of mastopathy and as an element of complex treatment. But when performing exercises, you can injure your breasts, provoking the development of fibrocystic mastopathy or aggravating its course. Therefore, caution is required, you should not squeeze the gland, you need to protect it from bruises. Yoga classes are useful to combat stress and depression.

Mastopathy, pregnancy and lactation

If a woman is diagnosed with fibrocystic breast disease, she can become pregnant and carry a child to term. Hormonal changes in the body during pregnancy have a beneficial effect on the mammary glands, and it is possible to stop the development of the disease. If pregnancy occurs during a course of hormonal therapy, a transition to alternative methods of treatment is necessary. It is not advisable for patients with cystic fibrous mastopathy to undergo IVF, since the procedure involves hormonal stimulation, but mastopathy is not an absolute contraindication to in vitro fertilization.

Moderate FCM does not interfere with the production of breast milk and feeding the baby; in severe forms of the disease, it is possible breastfeeding determined by the doctor. During lactation, breast cells produce antibodies that suppress the growth of tumors. Therefore, with prolonged breastfeeding, the symptoms of mastopathy become less pronounced, and the risk of complications and relapses decreases. Among the drugs for drug treatment mastopathy is allowed during lactation, so therapy can be continued. If a woman with fibrocystic mastopathy is breastfeeding, her condition must be regularly monitored and measures taken to prevent milk stagnation (lactostasis).

The female breast is not only a source of pride for the fair sex, but also a subject of concern, and one of the main indicators of failures and improper functioning of the reproductive system, as well as a kind of litmus test for the state of a woman’s hormonal background.

This article highlights the main points and nuances of a common disease - fibrocystic mastopathy. This disease occurs in almost every second middle-aged woman, and is a borderline pathology, which, if neglected, has a risk of degeneration into cancer.

What is mastopathy?

In addition to this reason, it should be especially noted that mastopathy can occur as a result of failures in the normal functioning of the kidneys and adrenal glands, improper functioning of the liver, and improper functioning of the pituitary gland, which is responsible for the production of prolactin in women.

Many factors are to blame for the fact that over the past hundred years the number of women suffering from mastopathy has increased significantly:

Until the 20th century, a healthy woman of fertile age was either pregnant or breastfeeding, which, according to many experts, had a beneficial effect on the natural hormonal background of the female body. The invention of various chemical and pharmaceutical agents, abortion at various stages, as well as other interventions in reproductive system, had a sharply negative impact on hormonal levels, and continue to affect each individual female organ.

Diffuse fibrocystic mastopathy

The most common type of fibrocystic mastopathy is its diffuse subtype. This form is characterized by an increase in the amount of glandular tissue and the formation of edema.

According to the symptoms and characteristic course of the disease, it is considered the simplest form of diffuse mastopathy:

Nodular fibrocystic mastopathy

The nodular form of fibrocystic disease is much less favorable.

In this case, in addition to the disorders described above that are characteristic of the diffuse form of mastopathy, the presence in the mammary gland of one or several nodes, which most often represent a fibroadenoma or adenoma, is added.

It is a fairly common benign tumor, which affects mainly women of reproductive age, less often adolescents.

This neoplasm can have different sizes, from a pea in diameter to a tumor reaching up to 15 cm.

Fibroadenoma rarely develops into a malignant tumor; according to medical analysts, this occurs in only two percent of cases.

The situation is much worse with the nodular form of nodular fibrocystic mastopathy, represented by nodes with the proliferation of glandular tissue. Atypical hyperplasia – medical name nodes of this type. In cases of manifestation of nodes of this nature, mastopathy turns into oncology in every fifth woman

Mixed fibrocystic mastopathy

Mixed fibrocystic mastopathy is a collection of nodes, cysts and compactions. Most often occurs in women under 35 years of age. The early stage is very difficult to determine due to the absence of any discomfort in the area of ​​the mammary glands, and can most often be determined only during an annual examination by a mammologist.

Over time, all formations begin to grow, which leads to compression nerve endings, the occurrence of painful sensations, a feeling of heaviness and fullness in the chest area.

Features of bilateral fibrocystic mastopathy

As the name of this form of mastopathy suggests, its main feature is that the disease occurs in both mammary glands.

A completely natural point is that with a bilateral course there can be the same different forms of the disease as with a unilateral course, but still more often women encounter bilateral mastopathy with a diffuse nature of mastopathy in the initial stage.

This is due to the fact that the form with the formation of nodes is characterized by the formation of single or multiple cysts or nodes in one breast.

Symptoms

Initially, the symptoms of mastopathy are very mild: the pain is mild, neoplasms may not be noticeable on palpation, and detection of mastopathy at the very beginning of the disease is possible only with regular mammological examinations.

The main symptoms may be aching, with possible milk discharge from the breast.

These disruptions in milk secretion are called galactorrhea.

Galactorrhea with mastopathy can be of varying intensity:

• from meager and spontaneous,
• to discharge at the slightest touch to the breast,
• up to the presence of blood impurities in these secretions.

Palpation is the main symptom of mastopathy, in which it is necessary to contact a medical institution as soon as possible to establish a diagnosis and begin treatment at the very beginning of the disease.

In the initial stages, the symptoms of the disease are very similar to premenstrual syndrome.

Thus, it is observed:

1. Headache
2. Irritability
3. Nausea
4. Gastrointestinal tract disorders
5. Flatulence
6. Swelling of the arms, legs and face.

The most serious symptom, and the reason for urgent contact with doctors for mastopathy, is discharge from the nipples mixed with blood. Most often, these discharges indicate the presence of intraductal formations, papillomas, ulcerating and bleeding.

Pain

With fibrocystic disease, the pain syndrome may not be based in the mammary gland itself. So, they can radiate to the scapula, shoulder and armpit area, and have varying degrees strength.

The degree of pain is determined various factors, such as:

• individuality of a woman’s pain syndrome,
• stage of the disease
• the size of neoplasms and their location in the mammary gland.

Allocations

with mastopathy they can have different composition and intensity.

They can be:

• fickle;
• spontaneous;
• scanty;
• spontaneous.

Their nature depends on many factors, and each individual case of the disease.

Echography

Echography is nothing more than a study of the mammary glands using devices. Echography to detect mastopathy is carried out using modern sensors with increased resolution up to 10 MHz.

Conducting echography contributes to:

Carrying out echography helps not only to record and analyze examinations, but also allows you to monitor dynamic changes in the course of the disease. In addition, it is worth noting that echography is a harmless and informative examination.

Diagnostics

The most favorable period for diagnosing mastopathy is days 5-12 of the menstrual cycle.

Puncture for fibrocystic mastopathy

They are a kind of bubbles filled with liquid. And the liquid that fills them, depending on the stage and cause of their occurrence, may be different.

To identify the nature of the fluid in the mammary gland cysts, or, as it is also called, a mammary gland biopsy is used.

This examination can be carried out in various ways. The most common method at the present stage is to perform a puncture with the additional help of ultrasound.

The largest of the cysts is located on the ultrasound machine, a sensor is pointed at it, and the needle punctures into the center of the tumor.

This allows you to obtain the most informative sampling of the material being studied. The results of performing a puncture in this way are much better, and the time for manipulations associated with the examination is noticeably reduced.

Puncture for fibrocystic mastopathy can be performed as in government medical institutions, and in certified private medical centers. After the biopsy, the resulting material is sent for cytological and histological analysis.

A biopsy may also be performed to remove fluid from the lesions, or to inject medicines directly to the site of the inflammatory process.

The puncture does not involve any preliminary preparations to the examination, however, to obtain the best result, experts recommend not to use drugs that have a blood clotting effect, such as aspirin, before the examination.

Which doctor should I contact?

Visits to a mammologist for consultations and for preventive purposes, in principle, should be carried out annually to identify any pathologies, and in general to identify the disease at the earliest stages.

If you experience any discomfort or suspicion of mastopathy during self-examination, an urgent visit to a mammologist is necessary.

If suspicions are confirmed, the scheme for contacting further doctors and the general selection of treatment is determined strictly individually.

The attending physician independently determines the consultations and examination of which doctors are necessary in this case of the course of the disease.

Most often, in addition to mammological examinations, the patient will need to see a gynecologist, endocrinologist, neurologist and therapist. This will help establish all the information about the woman’s health, the causes of the disease, and determine further actions for the patient’s speedy recovery.

In advanced cases, or upon detection characteristic features, the patient will need to be examined by an oncologist and pass all the necessary tests

Treatment

The methods and intensity of treatment largely depend on the time of detection of mastopathy and the degree to which the disease is located in a particular case. It is worth noting that surgical treatment treating this disease is the most extreme way, which also does not eradicate the cause and source of its occurrence.

The first step in the treatment of mastopathy is considered to be the normalization of the functions of organs that affect the course of the disease, as well as the normalization of the patient’s hormonal levels.

The most common method of treating mastopathy is conservative observation with periodic examinations to monitor the development of the disease, and the prescription of a list of drugs that promote a speedy recovery.

Main purposes in the treatment of mastopathy:

Drugs

Frequently prescribed drugs for the treatment of different types of mastopathy include::

1. anti-inflammatory drugs;
2. drugs that stimulate the outflow of venous blood;
3. antioxidant drugs;
4. preparations with natural extracts that regulate prolactin balance and improve the hormonal balance of the female body.

The treatment regimen is always strictly individual and can be described in detail and calculated exclusively by the attending mammologist or mammologist-oncologist.

In cases of a very advanced stage of mastopathy, the mammary glands undergo surgical intervention.

With any disease, the body does not receive enough of the minerals and vitamins it needs, which is why complex treatment of fibrocystic mastopathy, in addition to taking medications, involves taking vitamin-mineral complexes. When choosing vitamins, you should avoid self-medication and consult your doctor.

Selected vitamin complex must meet the following criteria:

Vitamin complexes must necessarily contain vitamins of groups A, E, C, D and B.

Also, in addition to taking vitamin-mineral complexes, the body of a woman suffering from mastopathy should receive foods, fruits and vegetables enriched with natural, non-synthetic vitamins of these groups. Such as apricots, carrots, cheese, Brussels sprouts, sweet pepper, currant, rosehip, different kinds fish, nuts and meat.

Massage

For quite a long time, scientists considered mastopathy a complete contraindication for massage not only of the chest area, but also of the back, but after conducting a series of studies it turned out that massage not only does not harm the health of patients, but can also improve clinical picture diseases.

It can also slow down the transformation of benign tumors into cancer. However, the decision on preventive massage for mastopathy should be made by a mammologist.

The goals of massage for diseases of the mammary glands are:

However, there are a number of clear contraindications for massage for mastopathy:

1. Suspicion of malignancy of neoplasms;
2. The presence of damage to the skin of the mammary glands, both traumatic and damage associated with various inflammatory processes;
3. The presence of allergic rashes on the chest;
4. The patient's temperature is elevated.

It is important to know that massage of the mammary glands should exclude the use of any force, and should be carried out exclusively with soft kneading movements, by a specialist who knows the technique and features of massage for mastopathy.

Massage is most effective for the cystic form of the disease.

There are also various self-massage techniques that allow you to identify the disease yourself even in the earliest stages. However, when performing a massage at home, a woman must strictly follow all the rules so as not to harm the mammary glands, and also have a clear understanding of palpation.

Mastopathy as a disease requires certain changes in a woman’s diet and the introduction of a certain diet.

So, cocoa, chocolate and coffee should be excluded from the patient’s diet.

Principles must be introduced therapeutic nutrition, and it is also necessary to exclude all products containing methylxanthines in one way or another.

The diet of a woman with mastopathy should be rich in vegetables and fruits, which are the main sources of fiber and vitamins.

It is also worth adding fermented milk products, grains, products including bran and seafood to the menu as a source of vitamin E.

Removal of fibrocystic mastopathy

Medical removal of fibrocystic mastopathy- This is an extreme, radical way to eliminate the disease.

Mastopathy– the disease is diverse, and has many manifestations and forms of development, so there is no clear answer to the question of whether surgical intervention is necessary in the treatment of mastopathy.

Surgical removal of mastopathy is necessary only in cases where the presence of nodes and glandular tissues, as well as the size of neoplasms and the degree of neglect are a direct indication for removal of lesions.

Many doctors consider pregnancy the most the best way cures for fibrocystic mastopathy, and even recommend that women become pregnant in order to recover from breast diseases.

The thing is that during pregnancy, a woman’s body releases a lot of water, which helps treat the disease and restore hormonal balance in the female body.

An important factor is also that while carrying a child, the female body receives a kind of impetus to renew cells and improve the functioning of all vital systems.

Statistical studies show that more than 80 percent of women after pregnancy are completely cured of mastopathy. Long-term lactation also promotes healing.

This is explained by the fact that during breastfeeding, the process of renewal of mammary gland tissue accelerates, and fibrosis and compactions resolve on their own.

After the birth of a child, a woman with a history of mastopathy must have a preventive consultation with the attending mammologist, since the risk of lactostasis and congestion in the diseased breast is very high, and can cause further development of the disease.

Mastopathy and menopause

There is no specific age interval at which a woman may begin to develop mastopathy, just as there is no specific moment at which a woman may develop mastopathy.

However, doctors note that the signs of mastopathy in women during menopause appear much more clearly.

During menopause, they can no longer be confused with signs of pregnancy or premenstrual syndrome.

During menopause, women experience enormous hormonal changes, which can cause the formation of mastopathy, and the risk of this disease increases several times.

Treatment of mastopathy during menopause is developed exclusively on an individual basis, and most often represents a combination of various drugs, hormonal and non-hormonal in nature. To treat the mammary glands, courses of antioxidants, vitamin A or beta-carotene, and homeopathic remedies with proven effectiveness can also be prescribed.

Mastopathy and IVF

The opinions of specialists regarding in vitro fertilization for fibrocystic mastopathy are sharply different.

From the opinion that this step can serve to degenerate benign neoplasms into cancer, to the opinion that pregnancy achieved through IVF will serve to normalize the hormonal state of the female body and contribute to a complete cure for the disease.

The danger of performing in vitro fertilization for mastopathy is that during preparatory procedures for artificial insemination, a woman is prescribed strong stimulating hormonal therapy, which can cause both the emergence of new pathologies in the mammary glands and an increase in existing tumors.

Why is it dangerous?

Mastopathy of any type and at any stage can serve as a favorable environment for the development oncological diseases, and as you know, breast cancer is the most common and fatal disease among women.

Therefore, you should be attentive to your health and conduct annual examinations for diseases of the mammary glands, as well as conduct an independent breast examination.

Fibrocystic mastopathy is a pathology of a fibrocystic nature, which is characterized by rapid proliferation of cells in the tissues of the mammary glands, as well as an abnormal ratio of the epithelium and connective tissue components. This disease in medicine is classified as a group of benign dysplastic processes in diseases of the mammary gland.

Cystic fibrous mastopathy is considered a benign disease, but it is always worth considering the fact that in some of its forms degeneration is possible benign formations into malignant ones. Therefore, every woman needs to closely monitor her health, especially if this diagnosis has already been made. Regular medical examinations, during which the mammologist will evaluate the shape and nature, as well as the localization of the pathological process, will help prevent the degeneration of a benign tumor into a malignant one.

Signs of fibrocystic mastopathy are detected in almost half of women of reproductive age. Often women themselves discover a lump in their breast tissue upon palpation and rush to immediately consult a doctor. Some begin treatment with folk remedies, which is not recommended without an accurate diagnosis.

Kinds

The symptoms of fibrocystic mastopathy for any type are very similar, but despite this, in medicine there are several forms of this disease:

• localized fibrocystic mastopathy. It is also called nodal. Pathological signs of this pathology appear in a limited area of ​​the mammary gland. For example, a compaction forms on one of its quadrants;
• mastalgia. In medicine, this form is considered the initial stage of the disease. The woman begins to feel severe pain in one or two mammary glands at once, but no tissue compaction is noted. In this case, the disease can be treated even with folk remedies;
• diffuse fibrocystic mastopathy. The symptoms of the disease are pronounced. Cysts form. Seals can be felt over the entire area of ​​the mammary glands.

Diffuse mastopathy is also divided into several types (important for more accurate diagnosis):

• diffuse fibrous mastopathy. When palpating the mammary glands, areas of increased density are noted. In most clinical cases, this pathological process occurs with the formation of fibroadenoma. This benign tumor. Symptoms can be reduced with the help of folk remedies and a properly selected diet;
• diffuse cystic mastopathy. In this case, among all pathological formations that are localized in the tissues of the mammary glands, cysts predominate. These formations are small cavities filled with liquid inside. There are also areas of fibrosis in the breast, but in much smaller quantities;
• mixed mastopathy. With this form of the disease, not a single type pathological changes does not prevail. In the chest they are located in almost equal numbers. Most dangerous form. It should be treated exclusively in a hospital setting. None folk remedies in this case they will not help.

Etiology

The main role in the occurrence of this disease in women of reproductive age belongs to an increase in the level of estrogen and a decrease in the level of the hormone progesterone. In most clinical cases, it is hyperestrogenism that predominates. Against the background of this process, areas of connective tissue gradually begin to grow, the alveoli and ducts of the mammary glands become denser. Development is also facilitated by increased production of prolactin in a woman’s body. It is this hormone that is responsible for the functions of the breast. If it is produced in excess, the sensitivity of the glands to the influence of estrogen will increase several times.

Reasons for the development of mastopathy:

• numerous births;
• taking hormonal contraceptives for a long period of time;
• absence of childbirth before age 30;
• history of miscarriages or abortions;
• abnormalities in the structure and functioning of the genital organs;
• in most clinical cases, mastopathy develops if a woman refuses to breastfeed her child after childbirth (one of the main reasons);
• menstrual irregularities;
• polycystic ovary syndrome.

Also, the reasons for the development of mastopathy may be hidden in some diseases of the organs responsible for the production of hormones. Often in women with pituitary gland diseases, thyroid gland, adrenal glands, fibrocystic mastopathy is detected. Hereditary factors play a major role in the development of this disease.

Symptoms of the disease in some cases occur in women who suffer from pathologies of the kidneys, pancreas or liver.

Secondary causes:

• vitamin deficiency;
• smoking;
• violation of water-salt balance;
• obesity.

It is important, when the first symptoms are detected, to immediately visit a qualified specialist for diagnosis, confirmation or refutation of the diagnosis. Timely consultation with a doctor reduces the risk of developing possible complications. It is also recommended to pay attention to the causes of the development of pathology in order to avoid them if possible in the future.

Symptoms

The symptoms of mastopathy are quite varied. There are cases when there are no symptoms at all, so the woman does not see a doctor to treat the disease. This course is typical for nodular mastopathy, during which a single fibroadenoma of small size is formed. But in this case, its treatment can be carried out even with folk remedies. As a rule, the presence of a pathological process is detected during a routine medical examination.

Symptoms of the disease are also absent at the first stage of development of diffuse mastopathy. At this stage, microcysts of the mammary gland ducts form, so the woman does not notice a deterioration in her general condition.

The most important symptom for diagnosis is the detection of lumps in the breast tissue. Multiple or single ones may predominate. In most clinical cases, their location is the upper outer quadrants of the chest. When touching such an area, a woman feels pain, which tends to intensify before menstruation.

Main symptoms of mastopathy:

• The mammary gland swells greatly and becomes rough before menstruation. This is due to venous stagnation and edema;
• severe pain appears in the chest, which has a pulling, aching or tugging character. The intensity varies. It can be eliminated using folk remedies;
• Regional lymph nodes enlarge, but there are no signs of inflammation. The nodes are painful on palpation;
• nipple sensitivity increases;
• Chest pain tends to radiate to the shoulder, armpit or shoulder blade. This symptom occurs due to compression of small nerve roots by formations;
• nipple discharge. They may appear when pressing on the gland or flow freely. This doesn't happen all the time. They are typically white, clear, or bloody brown in color. Blood may also appear. In this case, you should immediately rush to see a doctor! This condition is extremely dangerous for a woman’s health.

Complications

In most clinical cases, this disease does not pose a threat to a woman’s life. Women often complain that it is the symptoms of the disease that cause them great inconvenience, as they reduce their quality of life and even their ability to work. But more recently, scientists have conducted some studies, during which it was revealed that fibrocystic mastopathy is a precancerous disease. Do not panic right away, since the transformation of the disease into cancer does not occur in all cases. But it was still found that in women who suffer from mastopathy, the risk of developing breast cancer increases by 4–5 times.

Hormonal disturbances in the body during mastopathy create a favorable background for the development and. If we put all these components together, then we can say that fibrocystic mastopathy is a complex disease that needs to be treated in a timely manner, as well as undergo regular preventive examinations to prevent the development of complications.

Mastopathy and pregnancy

Doctors always reassure women who are interested in whether fibrocystic mastopathy and pregnancy are compatible. In almost 100% of cases, the disease does not affect the course of pregnancy and fetal development. Even vice versa. Increased production of the hormone progesterone helps reduce the production of estrogen and cure mastopathy. If you breastfeed a small child for a long time, then cysts and fibroadenomas decrease. Therefore, even with mastopathy, a woman can become a mother and not be at all afraid that something will happen to her baby.

Diagnostics

The following methods predominate in the diagnosis of fibrocystic mastopathy:

• MRI of the mammary glands. This technique is highly informative, but is rarely used due to its high cost;
• . This is a leading diagnostic technique that allows you to identify the presence of nodes and cysts in women of reproductive age;
• As a result of the study, the patient receives images in two projections, which are very informative for making the correct diagnosis;
• Ductography. A technique during which a substance is injected into the ducts through the nipple, the components of which have coloring properties. Helps determine the location of pathological formations;
• Biopsy. The main method for diagnosing precancerous or cancerous tumors.

When mastopathy is detected, a woman is often referred for additional examination to a gynecologist, as well as an endocrinologist, to undergo additional tests.

Treatment

Before prescribing any treatment plan for women with a nodular form of the disease, it is mandatory to puncture the formations using fine-needle aspiration. This technique allows the doctor to diagnose mastopathy from cancer.

At the initial stage of diffuse mastopathy, the use of medications has a good effect. Non-hormonal herbal preparations are often prescribed (their components are safe for a woman’s health and effectively help overcome mastopathy). As a result, pain decreases, cysts resolve, and the mammary glands become softer. The following drugs are widely used:

• "Fitolon";
• "Mastodinon";
• "Mastofit";
• "Klamin."

Combinations and dosage should be selected only by a doctor, depending on the form and severity of the disease.

Treatment of fibrocystic mastopathy will be more effective if you also use external agents - creams, gels, ointments. They contain components that help relieve pain and other unpleasant symptoms. Mastofit, Mastokrel, Progestogel, etc. are often prescribed.

Vitamin-mineral complexes are also used in the treatment of mastopathy. Particularly valuable and effective are vitamins A and E, as well as iodine, which help improve hormonal metabolism processes. At severe pain in the breast, patients are prescribed NSAIDs. This group of drugs helps eliminate pain, as well as relieve inflammation, if any.

Herbal medicine has become widely used for the treatment of all forms of mastopathy. Herbs have anti-inflammatory, analgesic and absorbable effects. It is these properties that help eliminate the unpleasant symptoms of the disease and even cure it completely. Treatment of fibrocystic mastopathy with herbs is very effective, but it is recommended to use it not individually, but in combination with other methods. Folk remedies have also proven their effectiveness. Recently, women have resorted to them very often. The reason is efficiency and completely natural ingredients (herbs, berries).

Purpose hormonal drugs carried out if all of the above methods were not effective. Oral contraceptives from the progestogen group are often the means of choice. good effect gives the use of tableted gestagens. In this case, the course of taking these drugs is from three to six months. Their components are completely safe for women's health.

ethnoscience

Folk remedies should be used only in combination with conservative therapy, as well as with the consent of the attending physician. It is not recommended to treat the disease with them alone, as this can be harmful to health. Experts recommend taking various herbal infusions based on the following herbs:

• St. John's wort;
• nettle;
• burdock;
• valerian (the herb has a sedative effect);
• calendula.

It is important to be able to correctly prepare folk remedies from these herbs, since violating the recipe may not only not help cure the disease, but also cause harm to health.

Diet

A diet for fibrocystic mastopathy is exactly what helps to cure the disease faster. The nature of nutrition has a huge impact on the production of hormones. A woman is not recommended to consume the following products:

• meat;
• animal fats;
• coffee;
• Black tea;
• cocoa;
• alcohol;
• soda;
• fried food.

You should add vegetables, fruits and whole grain bread to your diet, as these foods contain a lot of fiber. If it is not possible to completely abstain from eating animal foods, then you can eat small amounts of lean meat, steamed or boiled.

Fibrocystic mastopathy is a complex disease, but it can be successfully treated if you promptly seek help from a specialist. Drug therapy, diet, folk remedies - all this will help eliminate unpleasant symptoms and even completely cure the disease. The main thing is that the treatment is prescribed by a competent doctor, taking into account the characteristics of the woman’s body.