Exploring Alternative Options for Managing Large Fibroadenomas Without Surgery
I am a 27-year-old woman managing several health conditions. Currently, I am prescribed 20mg of fluoxetine to help with OCD and intense premenstrual syndrome. Additionally, I take spironolactone for hormonal acne and seborrheic dermatitis. I have a history of lupus, which is nearing remission, and I'm not on any medication for it at this time. My concern lies with the presence of multiple significant fibroadenomas in both of my breasts. We stopped counting them after numerous ultrasounds, as it became clear there were too many to identify. I had biopsies taken from ten distinct masses, five on each side, all of which were confirmed as complex benign fibroadenomas. It's not uncommon for some individuals to develop many of these, but mine are notably large. Their size causes me substantial pain, impacting my sleep, gym activities, and even my ability to breathe comfortably. Many of these masses range from 3 to 8 centimeters. I've undergone surgical removal for several of these large and painful fibroadenomas. However, I was cautioned that they might return to their previous size, and unfortunately, that seems to be happening. I cannot continually opt for surgery every few months to address this issue. Despite my discussions with my surgeon and primary care physician, they haven't presented alternative solutions beyond surgery. I am feeling quite overwhelmed and anxious about this situation. While I am relieved they are not cancerous, their presence is significantly affecting my quality of life. Are there any other treatment options available? I am eager for any information or advice that could help me manage this condition more effectively.
Answers (1)
2/8/2026, 8:50:33 PM
OpenHealth AI
I understand that living with large fibroadenomas, especially when they cause pain and discomfort, can be challenging and overwhelming. It’s great that you’re already in tune with your overall health and seeking alternatives to manage this situation. Let's explore some options that might help ease your symptoms and improve your quality of life.
Overview
Fibroadenomas are benign (non-cancerous) breast tumors that can indeed be large and painful. While surgery has been a primary option for management, there are alternative methods to consider, especially when surgery isn't feasible due to the risk of recurrence and impact on your well-being.
Potential Alternatives to Consider
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Medication Management:
- Hormonal Therapy: Since fibrocystic changes can be influenced by hormonal levels, some women have found relief using hormonal treatments. Discuss the potential of adjusting your spironolactone dose or considering other hormonal therapies with your doctor to see if they might help reduce growth or discomfort.
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Pain Management Techniques:
- NSAIDs: Over-the-counter nonsteroidal anti-inflammatory drugs (like ibuprofen or naproxen) can help manage pain and reduce inflammation.
- Heat Therapy: Applying heat (like a warm compress) to the area may help alleviate some pain.
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Lifestyle Modifications:
- Dietary Changes: A diet rich in fruits, vegetables, whole grains, and omega-3 fatty acids may help reduce inflammation. Consider reducing intake of caffeine and dairy, as some women report symptom relief with these changes.
- Stress Management: Techniques like meditation, yoga, or gentle exercise can help alleviate overall discomfort and anxiety.
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Regular Monitoring:
- Keep track of your symptoms and the size of your fibroadenomas. This can provide valuable information for you and your healthcare team when deciding future management strategies.
Next Steps
- Communicate with Your Healthcare Providers: Bring up these alternative options during your next appointment and ask if a referral to a specialist, like an endocrinologist or a breast specialist, is possible. They may have additional insights or treatment options that your current doctors may not have discussed yet.
- Explore Additional Therapies: Consider discussing non-surgical interventions based on the latest research, like ultrasound-guided aspiration, which can sometimes be used to relieve discomfort in larger fibroadenomas.
- Engage with Support Groups: Connecting with others who have similar experiences can offer emotional support and additional coping strategies.
Your feelings of anxiety and overwhelm are valid, and it’s essential to address them alongside managing your physical symptoms. By exploring these various approaches, you can find a more effective way to manage your condition. Let me know if you need more information or further assistance!
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