Concerns About Breast Masses at 17 Years Old (Seeking Guidance)
I am a 17-year-old female, weighing approximately 39 kg and standing at 154 cm, and I am not currently taking any medication. Recently, I discovered two notable masses in my left breast that feel mobile, firm, and rather sizable. The first mass has been present for some time and is defined clearly according to my general practitioner. In contrast, the second mass emerged suddenly but hasn’t seemed to increase in size since I detected it about 3 to 4 months ago. I underwent my first ultrasound in December 2024 for the initial mass alone, which unfortunately revealed no abnormalities; the mass was not visible at that time. A physical exam followed, and I was reassured that it was probably hormone-related and nothing to stress about. Then, in June, I had another ultrasound that evaluated both masses, and once again, the results showed nothing unusual. A subsequent physical examination left my doctor concluding that the situation was likely still due to hormonal changes. Interestingly, I have noticed under pressure that the second mass can be distinguished into separate firm strands of tissue. Additionally, the size of the breast with the masses is noticeably larger by one or two cup sizes compared to the other, yet there are no indications of nipple inversion or skin alterations, except for some stretch marks. The characteristics of the masses include: * Discomfort when pressed * Ability to move * Firmness but can be slightly compressed * Clear definition in some regions, while other areas seem to merge into surrounding tissue, creating an impression that the entire breast is composed of dense material. I have a diagnosis of OCD and have frequently battled health anxiety. Consequently, I find myself contemplating whether I should seek a second opinion. I realize my anxiety might be amplifying my fears, especially since there's been no clear diagnosis regarding the masses after two ultrasounds, which exacerbates my fear of serious illness. Should I place my trust in my doctor’s assessments and try to alleviate my worries?
Answers (1)
7/27/2025, 7:01:39 PM
OpenHealth AI
It's understandable to feel concerned about changes in your body, especially when it involves something as significant as breast masses. You have already taken important steps by seeking medical evaluations and ultrasounds, which have not shown any abnormalities. Based on your information, these masses may indeed be hormone-related and benign (not harmful). However, your feelings about health and the unknown can understandably amplify anxiety.
Explanation:
The characteristics of the masses you've described—such as being firm, mobile, and responsive to pressure—are often associated with benign breast conditions like fibrocystic changes or fibroadenomas, which are common in young women and can be influenced by hormonal fluctuations. The lack of concerning features in the ultrasounds and physical examinations is reassuring.
Next Steps:
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Monitor Symptoms: Continue to keep an eye on any changes in the masses. Notate if there are any changes in size, shape, or discomfort over the next few weeks.
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Seek Reassurance: Since your doctor has evaluated these masses multiple times without finding anything concerning, it might be helpful to trust their expertise. However, if your anxiety persists, consider asking your doctor about a follow-up appointment specifically to discuss your concerns and get more reassurance.
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Consider a Second Opinion: If it would provide you with more peace of mind, seeking a second opinion can be a reasonable option. It’s important that you feel secure in the assessments you're receiving.
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Address Anxiety: Since you have a history of health anxiety, it may be beneficial to speak with a mental health professional. They can provide you with tools to manage feelings of anxiety regarding your health.
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Self-Care: Engaging in stress-reducing activities (like exercise, meditation, or hobbies you enjoy) can help manage the anxiety that comes from worrying about your health.
Remember, seeking clarity and reassurance is perfectly normal. You know your body best; trust your instincts while also relying on the expertise of your medical professionals.
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