Breast health sitcom

90% of breast discomfort and breast nodules are benign problems. There is no need to be overly anxious to the point of losing sleep all night, nor can you just let it go without any care. The most reliable priority is always "regular and standardized screening > adjusting living habits > blind intervention". Don't believe in massages that disappear with a click of a button, miracle medicines that are good after taking, or folk remedies that can enlarge breasts and eliminate nodules.

During lunch break last Wednesday, Zhang Qian, a girl born in 1998 behind me, suddenly screamed, clutching her left breast and her face turned pale: "I felt a small sliding bump! Could it be breast cancer? I stayed up late last week to catch up on my plans until three o'clock! ”

Sister Li, who was two rows away from her desk, came over with a thermos cup and handed her a red date: "Look, you are scared. I have hyperplasia during my annual physical examination. The doctor said it is a normal physiological phenomenon. Just don't quarrel with your partner. Don't take it seriously. ”

Next to me, Xiao Zhou, who had just applied for a 30,000-yuan annual breast care card at the beauty salon, also came over and took out his mobile phone to show her his consumption records: "I touched it last time too. The beautician said it was clogged and just rubbed it away. I rubbed it three times and there was no swelling or pain last time during my period. Why don't you fight with me for a time card?" ”

You see, this short ten-minute chat just brought together the three most common attitudes of ordinary people when facing breast problems: either they don't care and think it's all a minor problem, they panic too much and think of cancer when they touch a pimple, or they seek medical treatment in a hurry and seek various unorthodox intervention methods.

So who is right? To be honest, in the past two years, I went to breast surgery three times because of premenstrual swelling and pain that made it even painful to wear underwear. I even went to a breast doctor from a regular traditional Chinese medicine hospital to get a pulse. It’s true that each school of thought has its own truth, and there is no absolute right or wrong.

Doctors of Western medicine have the most direct view: mammary gland hyperplasia is simply a "mouth ulcer" of the breast. When hormones fluctuate, it will hurt for a few days, and then it will be better after it passes. It is not considered a disease at all. As for the nodules, as long as the BI-RADS classification on the physical examination report is Category 3 or below, and the probability of malignancy is less than 2%, a color ultrasound follow-up is enough once every six months. As long as the nodules do not rapidly become larger or change in shape, there is no need to cut or take medicine at all. The kind of brute force breast massage in beauty salons is nonsense. If you rub a good fibroid every day until it becomes congested, it will easily stimulate it to grow. Last week, a doctor we know well even admitted a girl and massaged her breasts for half a month. The 1 cm nodule grew to 2.3 cm. The pain was so unbearable that she had to do surgery.

The doctor of traditional Chinese medicine I found had a different opinion: he said that most menstrual distension and pain are indeed caused by stagnation of liver qi. Girls who usually sulk, stay up late, and eat ice cream often have this problem. Regular acupoint massage, drinking some scented tea that soothes the liver and regulates qi, and adjusting your work and rest can indeed relieve the pain. Symptoms and even some small hyperplasia nodules can gradually disappear, but the premise is that you find a regular doctor who understands breast anatomy, not a beautician in a beauty salon who doesn't even know where the breast ducts are. Moreover, fibroadenoma that has grown to more than 1 cm cannot be eliminated by taking medicine and massage, so don't waste your efforts.

Oh yes, there are also those mythical claims on the Internet about eating papaya to enlarge breasts, drinking soy milk to aggravate nodules, and taking Xiaoyao Pills to cure all breast problems. I specifically asked two doctors, and they were all half-truths and half-false rumors. The papaya enzyme in papaya is broken down by digestive enzymes when eaten in the stomach, and has no effect on the chest at all. ； Soy milk contains phytoestrogens, which are not the same thing as human estrogen. Drinking one cup a day will not stimulate nodules at all. ； Xiaoyao Pill is only useful for pain due to liver stagnation and qi stagnation. If you have other physical constitutions, you may have side effects after taking it.

My cousin was diagnosed with type 4a nodules during her physical examination last year. When she received the report, she sat in front of the physical examination center and cried. She said that she needed a breastectomy before she got married. I accompanied her to two hospitals. The plans given by the two doctors were completely different: the first doctor said that 4a had a 2% to 10% chance of malignancy. It would be most reassuring to have it removed directly, so as not to worry about it every day.； The second doctor said that the location of the nodule was relatively deep, and cutting it might damage part of the breast ducts, which would affect future breastfeeding. He suggested that a puncture biopsy should be done first. If it is benign, observe it first, and check it once every three months.

In the end, she hesitated for half a month and decided to do a puncture first. The result was benign. She has been followed up for one year now and the nodules have not changed at all. Her previous insomnia problem has also disappeared. Who do you think is wrong among these two doctors? In fact, both are correct, but the perspective is different. If you are particularly prone to anxiety, and the pressure of nodule follow-up is so great that it affects your normal life, then it is no problem to have it removed. ； If you don't care about it yourself and have the conditions to review it regularly, then observation is completely feasible. There is no standard answer at all.

Xiao Song, a breast surgery nurse I know, also has three types of breast nodules. Her daily habits are really simple: she wears underwired underwear to work, and immediately changes into loose home clothes when she comes home from get off work. She never wears underwear to sleep.； I will never touch any unknown health products that claim to be good for beauty and anti-aging, especially those pills sold by Wechat merchants that will instantly improve your skin after taking them. They are most likely to have added estrogen. ； Do 10 minutes of breast enlargement exercises every day after get off work. If you feel pain before your period, make some rose tea and drink it. Don’t touch your breasts blindly to scare yourself.

To be honest, I have committed this problem before. Every time I take a shower, I have to touch it for a long time. When I feel a hard lump, I start searching on Baidu. The more I search, the more scared I am. Later, I was scolded by the doctor: "You touch it every day, and it hurts when you touch it when nothing is wrong. What are you worrying about?" ”Later, I adjusted my work schedule, stayed up less late at night, and tried not to sulk when I had conflicts with others. After two months, the swelling and pain were really much better.

Yesterday, I came across a blogger who said that he had eliminated type 3 nodules by taking a certain folk remedy. There were a lot of people in the comment area asking for links. I was really helpless after reading this. Everyone’s physique is different, and the nature of the nodules is also different. The methods that others use that work may actually stimulate the nodules to grow bigger in your case. How can there be any universal magic medicine?

Really, for breast health, a breast ultrasound once a year is more useful than how many health products you buy or how many massage cards you apply for. Don't be anxious, don't be careless, that's enough.