Initial therapy consists of having the woman wear a support bra, both night and day. Diuretics, or water pills, may help the discomfort. Some women find it helpful to limit caffeine and smoking. Oral contraceptives can also reduce symptoms.
Bromocriptine or danazol may be prescribed for severe symptoms. These medicines relieve breast symptoms and decrease breast lumps in about 90% of women. On rare occasions, surgical treatment with removal of the breast is used. Surgery is usually only considered if the woman has severe pain or an abnormal biopsy.
Bromocriptine may cause nausea and dizziness. Danazol can cause weight gain, acne, and excess body hair.
A woman with fibrocystic breast changes may need treatment intermittently.
A woman with fibrocystic breast changes will be asked to do regular breast self-examinations. She will have periodic visits with the healthcare provider and regular mammograms. If certain changes occur, the provider may recommend a breast biopsy. Any new or worsening symptoms should be reported to the healthcare provider.