Dr. Jaydeep Tripathy
General Practitioner
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Patient's Query
Hello doctor,
I am a 36-year-old female, I never had any children and I have been on Depo-Provera for almost 17 years. Although I am a heavy smoker, I do not get sick very often. A few years ago I found lumps in my breast(s) which were not painful but I did visit a doctor and he said it was just thickening of the tissue but advised me to go for a mammogram but they refused me a mammogram due to my young age. It never bothered me again. This morning my left breast was itching and in the afternoon there was a stabbing pain in the breast. The pain eventually went from a stabbing pain to being painful the whole time. The breast feels heavy, and there is pain in the armpit and the arm but no swelling or redness and though it feels like it is burning up, it does not feel warm to the touch, no discharge from the nipple or any hard lumps nor fever. It looks like if a small vein has erupted and when I pull on the breast I can see a thin blue vein which seems to pop out with white bulging around it. Thank you.
Hello,
Welcome to icliniq.com.
As you mentioned some years ago, there were lumps in your breast. These can indicate that you have fibroadenosis/ fibroadenoma. In some occasions since it is a hyperplastic cystic disease (where cells are multiplying rapidly), it can be a little painful. Since there was a pain in the breast it had radiated towards your arms and hence the pain in the armpit. Mastalgia or breast pain can also be due to cyclical changes of hormones. Sometimes there can be an hormonal imbalance, more so since you are taking Depo-Provera for so long. Normally cyclical mastalgia resolves in a day or two and hence I will advise you to wait for 2 days before being alarmed. You can take tablet Brufen 400 mg twice daily after food with tablet Ranitidine. This will help in resolving your pain. If you develop fever/ pain starts getting worse/ there is a discharge or bleeding from the nipple, it is better to get a General Surgeon's opinion straight away. Make sure you are resting for the next 2-3 days till you completely recover. Also make sure your bra is not loose and it supports the breast properly so that it is not hanging. If fibroadenosis is the cause, and it can be, your general surgeon after a breast examination will be able to guide you further. However, let me reassure you that fibroadenosis/ fibroadenoma is completely benign and there is nothing to worried about. If it does not cause any symptoms, it can be left alone. Thank you and take care.
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General Practitioner
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