N60.12

Clinical Causes: Hormonal fluctuations, especially during menstrual cycles Repeated changes in estrogen and progesterone levels Lifestyle factors such as diet, alcohol consumption, and caffeine intake Genetic predisposition or family history of breast changes Environmental influences that affect hormone balance Age-related breast tissue changes

Key Symptoms: Breast tenderness or soreness, especially before menstruation Presence of multiple cysts that may be palpable or felt as lumps Swelling or a feeling of fullness in the affected breast Visible or palpable thickening or nodularity of breast tissue Discomfort that worsens during the menstrual cycle Possible nipple sensitivity or minor nipple discharge (rare)

Diagnosis Path: Perform a detailed physical breast exam to identify lumps, tenderness, or nodularity Recommend imaging studies such as mammography or ultrasound to visualize cysts and tissue changes Possibly perform cyst aspiration if fluid-filled sacs are evident and to rule out other causes Consider additional tests if atypical features are observed or if there's concern about other breast conditions

Treatment Protocols: Lifestyle adjustments such as reducing caffeine, limiting fat intake, and maintaining a balanced diet Wearing supportive bras to minimize discomfort Using over-the-counter pain relievers like acetaminophen or NSAIDs for soreness Applying warmth or cold packs to reduce tenderness Hormonal therapy, such as oral contraceptives, may be prescribed in some cases to regulate hormone fluctuations Regular self-examinations and routine clinical check-ups for monitoring changes Avoiding unnecessary invasive procedures unless cysts are suspicious or persistent