Anti-inflammatory in mastopathy. Preparations for the treatment of mastopathy. Sedatives and adaptogens

Mastopathy is a replacement of breast tissue with pathologically altered cells. By its nature, mastopathy is a benign disease that responds well to treatment. Drug treatment of mastopathy is prescribed only by a specialist, after a thorough diagnostic study. And self-medication can provoke the degeneration of tissues into malignant ones.

Tamoxifen is a hormonal drug for mastopathy, prescribed exclusively by a specialist

Medicines for the treatment of mastopathy. The difference between drugs and the principle of their action

Availability such a disease as mastopathy significantly affects the life of the patient, and in the absence of proper treatment, the disease can degenerate into a malignant one. But modern medicine has many ways and drugs that will help a woman get rid of mastopathy without any possible complications.

Treatment of the initial stage of mastopathy in the fibrocystic form most often occurs using a conservative method. If the patient has a nodular form of mastopathy, then in this case, surgical intervention is applied. The use of conservative treatment methods is designed to help the patient:

  • Reduce pain in the affected chest.
  • Restore hormonal background to natural.
  • Conservative treatment will also help as a prevention of the oncology.
  • But most often, conservative treatment is aimed at reducing inflammation and the size of neoplasms in the affected gland.

If the patient has pathologies of the organs of the reproductive system or abnormalities in the functioning of the thyroid gland, then as a concomitant treatment, the doctor prescribes medications that will help get rid of this type of disease. All medicines that aim to relieve symptoms fibrocystic mastopathy of the mammary glands are divided into:

  1. Hormonal.
  2. Non-hormonal.

Marvelon is a combined hormonal contraceptive used for mastopathy

Hormonal drugs

Preparations that contain hormones of synthetic origin should be used only after consultation with a specialist. Self-administration will help provoke the degeneration of tissues into malignant ones, which will significantly complicate the situation.

After examination by a specialist and carrying out diagnostic measures, the doctor prescribes which medications should be taken and in what form.

All tablets from mastopathy that are currently in use can be divided into groups:

Group of hormonal drugs Purpose of application Trade name of the medicinal product and principle of action
Estrogen blockers. Drugs are prescribed to reduce the level of female sexual hormone - estrogen. Which in large quantities provokes the formation of tumors in the organs of the reproductive system and breast. This subgroup of drugs includes:
  1. Tamoxifen. The use of the drug Tamoxifen helps to reduce pain in the area of ​​the affected gland and regulate the menstrual cycle. Regular use of the drug Tamoxifen helps to reduce the risk of developing cancer from mastopathy. The drug gives a pronounced effect if taken for more than 2 months. But Tamoxifen has some side effects: most women who use the medicine note the presence of dizziness and nausea; symptoms of hot flashes, similar to the manifestations of menopausal changes.
  2. Fareston. A drug under this trade name has a similar principle of action to tamoxifen, but much less side effects. And the result after the use of the drug is noted in a month. But for the complete elimination of symptoms fibrocystic mastopathy doctors recommend taking the drug in courses and for a long time (from 3 to 6 months).
Combined oral contraceptives. Doctors prescribe the use of oral contraceptives to women under the age of 35 years. It is during this period that a doctor can guarantee a woman full contraceptive effectiveness from taking these drugs. In addition to a pronounced decrease in estrogen levels and the normalization of progestins, oral contraceptives help to normalize the menstrual cycle and save a woman from the manifestations of the fibrocystic form of breast mastopathy. Most doctors suggest treating breast mastopathy in women with the following drugs:
  1. Celeste. The medicine is a combined type of oral contraceptive, which includes: ethinyl estradiol, norgestimate. Help in the treatment of mastopathy of the mammary glands in women is manifested in a decrease in the production of gonadotropins. What leads to the impossibility of maturation of eggs and their release.
  2. Femoden. The medicine contains ethinylestradiol, which helps to reduce pain during menstruation, and normalize the cycle. And one of the main components - gestagen, is a tool that can reduce the abundance of menstruation.
  3. is a combination drug containing ethinyl estradiol. Its use helps to block the process of ovulation and reduce the production of estrogen. Desogestrel, which is part of Marvelon, also reduces the abundance of menstruation and pain during this period.
  4. Mercilon. The drug is an analogue of Marvelon.
Androgens. The main thing in the treatment of mastopathy of the mammary glands is to reduce the level of the female sex hormone estrogen. The use of drugs of the androgen group can block the excessive production of estrogen and normalize the general condition of a woman. Androgynes help treat mastopathy of the mammary glands in women of any age. A bright representative of estrogen antagonists, which belongs to the group of androgens, is the drug danazol. Its main action is to inhibit the synthesis of gonadotropic hormones and some essential enzymes in ovarian steroidogenesis. Danazol has a slight blocking effect on estrogen production and the progestogenic property. The effectiveness and safety of the drug has been proven by numerous studies. And with prolonged use of the drug, there is a decrease in the density of the gland and a decrease in the risk of macrocysts in the affected breast. But despite all its positive effects, danazol has side effects, and the contraceptive properties of the drug are practically absent. Therefore, if a woman is prescribed the drug danazol, and a contraceptive effect is needed, then it is recommended to take additional contraceptives.
Gestagens. A decrease in estrogen production and a pronounced effect of inhibition of gonadotropic function in the pituitary gland is achieved through the use of drugs from the gestagen group. With the help of such drugs, it is possible to cure the manifestation of fibrocystic breast mastopathy in women of any age. It is customary to take gestagens in courses, and take a break between them, according to individual prescriptions. Preparations of the gestagenic subgroup, which are most often used to eliminate the symptoms of mastopathy of the mammary glands:
  1. Norkolut. The main effect on the affected breast tissue has a substance - norethisterone. Norkolut must be taken from the 16th to the 25th day of the menstrual cycle, and before treating the pathology of the mammary glands, you must make sure that there is no malignancy fabrics. Therefore, before using gestagens, it is necessary to do a biopsy.
  2. Prerotten. The main active ingredient of the drug pregnil is human chorionic gonadotropin. Its action can be compared with the onset luteinizing phases during the menstrual cycle when a large amount of progesterone is produced. The medicine regulates the production of estrogens and progestins in the blood.
  3. Orgametril. The main component is linestrenol. It is with orgametril that it is customary to treat the presence of pathological tissues of the mammary glands of the breast, since it has the fewest contraindications compared to taking other medicines. The course of application is designed for 4 months.
  4. Pregnin. A means of conservative therapy, which is a synthetic analogue of a progestogen.
  5. In addition to medicines that are usually taken orally, the doctor additionally prescribes the use of progestogel gel. Progestogel is a gel-like agent that is applied to the affected breast tissue, which has an additional therapeutic effect at the local level. Progestogel improves tissue trophism and reduces inflammation. Progestogel contains progesterone.
Prolactin production inhibitors If the presence of mastopathy of the mammary glands in a woman is provoked by increased production of prolactin, then specialized inhibitors are prescribed, which are designed to slow down the secretion of prolactin. Such medicines include:

Bromocriptine. Bromocriptine tablets have a stimulating effect on dopamine receptors in the brain, which leads to the suppression of lactation and the normalization of the menstrual cycle. With the help of bromocriptine, mastopathy in the breasts of women who do not have oncology can be treated. Bromocriptine is able to reduce the manifestation of pain in the chest and reduce the nodules of neoplasms in the tissues of the gland.

Parlodel. With the help of parlodel, it is possible to treat the initial stages of mastopathy, which include the fibrocystic form. helps to reduce the number of neoplasms in the breast and their qualitative change. contributes to the normalization of the menstrual cycle and the establishment of the correct balance in the production of female sex hormones. helps to reduce the amount of prolactin production, reducing the flow of milk.

All women should remember that mastopathy must be treated, but this must be done with the help of qualified doctors. And only then taking hormonal drugs will not have a detrimental effect on the body.

Parlodel helps with the initial stages of the disease

Non-hormonal drugs

It is possible to treat manifestations of mastopathy with the help of non-hormonal drugs. But their use must be coordinated with a specialist, because sometimes taking hormones is simply necessary.

But if the form of mastopathy does not require the use of hormonal therapy, then the doctor may recommend the use of non-hormonal drugs, which are divided into groups:

  1. Adaptogens. Preparations of the group of adaptogens are natural immunostimulating and antioxidant preparations. These drugs include a remedy based on phytoestrogens - klamin. It not only has an absorbent effect, but also improves tissue trophism. Application drugs such as: Eleutherococcus tincture or ginseng extract, promotes the activation of the body's natural immunity, which allows you to treat mastopathy at the initial stage without hormones.
  2. Vitamin complexes. If injections of B vitamins are given, then the effect of the use of adaptogens increases. The use of specialized complexes for the treatment of mastopathy helps to fight its manifestations at any stage (excluding oncology).
  3. Sedative drugs. This type of non-hormonal remedy is aimed at relieving stress. Normalization of sleep and the functioning of the central nervous system has a beneficial effect on pathology and reduces its manifestations. Sedative preparations include both valerian and motherwort, as well as sedative complex preparations.
  4. Enzymes. Most doctors agree that if the digestive organs are disturbed, a nodular form of mastopathy develops. This is due to the intestinal reabsorption of waste estrogens. In this case, it is necessary to do tests for bowel function and the level of hormones in the blood. And if reabsorption is detected, use enzymes that will normalize the digestive system. These drugs include: Duphalac, Creon and Wobenzym.
  5. Most women don't know what to do if present severe pain syndrome. But here the doctors unequivocally give the answer that it is necessary to use painkillers in combination with sedatives. Painkillers include: nise (nise gel for local use), diclofenac and all drugs that can stop spasmolytic pain.
  6. Diuretic drugs will allow you to remove tissue edema, therefore, with mastopathy, their use is indicated in the first place.

But the use of even non-hormonal drugs, without examination, can harm. Therefore, when symptoms of the presence of a pathological process in the chest appear, a woman needs to see a doctor.

Mastopathy pills are the main method of treatment for a pathological process in the tissues of the mammary gland. The appointment of tablets is most often combined with topical preparations - gels, ointments.

Features of therapy

The course of treatment for different patients is individual. The choice depends on the course of the disease, the results of the tests and the general condition of the woman. When prescribing therapy, the doctor must take into account the form of mastopathy and its stage, the presence of concomitant diseases. The choice of dosage of drugs also depends on these factors.

The list of drugs for mastopathy includes:

  • hormonal and non-hormonal drugs;
  • antibiotic therapy or, more simply, antibiotics;
  • drugs with analgesic effect;
  • with minerals;
  • sedative drugs;
  • diuretics.

Mastopathy pills

Purpose of prescribing pills for mastopathy:

  • restoration of normal hormonal balance in the body;
  • elimination of pain, inflammation and formations in the gland;
  • prevention of cancer development.

Hormonal remedies

Hormonal treatment is the main one for mastopathy in women, since the main culprit of the pathology is an imbalance of hormones in the body. As a rule, with a disease of the mammary glands, a reduced level of progesterone is diagnosed along with increased levels of estrogen and prolactin.

The goal of hormone therapy is to bring your hormone levels back to normal. The drugs can be taken strictly according to the doctor's prescription, otherwise the condition can worsen and cause further development of the pathology. Currently, a lot of effective drugs are used in the form of tablets, which contain analogues of natural hormones in their composition and are contraceptives in parallel.

Tablets

When prescribing hormonal therapy, the age of the woman is necessarily taken into account:

  • 18-35 years - prescribe estrogens and progestins, usually in the form of contraceptives;
  • 35-50 years - drugs with large doses of progestins and estrogens are indicated;
  • 50-55 years - first of all, progestins are prescribed, the next course is antiestrogens and androgens;
  • over 55 years - only tablets containing antiestrogen are shown.

Consider the commonly prescribed hormonal pills for mastopathy:

When mastopathy is detected in women of reproductive age, birth control pills are prescribed, which lead to the normal menstrual cycle and reduce pain.

These are drugs such as:

  • Marvelon;
  • Femodene;
  • Mercilon and others.

Non-hormonal drugs for mastopathy

Hormonal therapy can be supplemented with non-hormonal drugs, which are also effective in eliminating the symptoms of mastopathy.

These include the following drug names:

Also, effective non-hormonal drugs for mastopathy include:

  • Mammoleptin;
  • Novomin;
  • Mastiol;
  • Klamin;
  • Fitolon.

A huge list of effective means makes it possible to choose a competent therapy for any patient.

Antibiotics

Antibacterial drugs for mastopathy are necessary if there is an inflammatory process in the body in parallel.

Most often prescribed:

  • Amoxicillin and its analogues. Dosage - 500 mg three times a day. The duration of the treatment course is determined by the doctor. Suitable for pregnant and lactating women.
  • Cefuroxime. An effective drug of the cephalosporin group.

Other antibiotics may be prescribed at the discretion of the attending physician. This takes into account the results of tests, the general condition of the body, individual intolerance, allergic reactions.

On the video about the treatment of mastopathy:

What is given additionally?

Therapy for mastopathy, as a rule, is complex, and therefore, in addition to hormonal, non-hormonal, antibacterial agents, the following are prescribed:

  • vitamin complexes;
  • preparations containing potassium, iodine, zinc.

If the development of mastopathy occurred against the background of stress, then the woman is prescribed sedatives.

The initial stage of fibrocystic mastopathy is successfully treated conservatively, that is, with the help of tablets. Properly prescribed complex therapy, which includes hormonal and non-hormonal agents, antibiotics, vitamins and minerals, can eliminate pain and formations in the tissues of the mammary glands, improve well-being and completely get rid of an unpleasant disease.

Every woman is familiar with such a nasty disease as mastopathy. It is worth noting that mastopathy in women can occur for various reasons. The most common reason is hormonal changes. To begin the treatment of mastopathy, it is necessary to undergo a comprehensive examination.

First, the doctor conducts a thorough examination of the breast. Performs palpation and detects the presence of seals in the mammary gland. In addition, the doctor prescribes:

  1. mammography.
  2. If necessary, a puncture of the nodular formation is performed.
  3. Cytological examination.

Please note that diagnosis for such a disease should be carried out in the first half of the menstrual cycle. If you examine the mammary glands in the second phase, there is a possibility of misdiagnosis.

What does the doctor pay attention to when examining the breast? First of all, the appearance is evaluated, the doctor looks at the asymmetry of each breast. After that, palpation is carried out directly in a standing position. An ultrasound of the breast can detect the presence of cysts. Most often, ultrasound is performed, and not mammography.

Before prescribing a cure for mastopathy, the doctor must conduct an additional diagnostic complex that will help confirm the diagnosis. Tests are prescribed: a detailed analysis of blood and urine. Only after a thorough diagnosis, the doctor can choose the necessary drugs for the treatment of mastopathy.

Main therapeutic course

Two groups of drugs can be prescribed as treatment. The first group is the use of hormonal drugs. The second group is non-hormonal agents. Drugs for mastopathy from the hormonal series are prescribed according to the scheme. Therefore, it is not recommended to use the remedies described below on your own in order to avoid side effects and complications of the disease.

Hormonal preparations of the first group

As a treatment for mastopathy, antiestrogens can be prescribed. The main goal of all drugs from this group is to reduce estrogen levels. Most often, mastopathy is treated with Tamoxifen. With the help of this remedy, the pain syndrome is quickly removed, in addition, the menstrual cycle in a woman is corrected. If you choose the right dosage of Tamoxifen, and drink the necessary course, you can reduce the development of the oncological process.

According to numerous patient reviews, it was noted that after taking Tamoxifen, nausea and dizziness occurred. This is one of the symptoms of a side effect. If such symptoms continue for 2 days, the doctor should change the drug.

In this case, another remedy for mastopathy is prescribed, most often Feraston. This remedy has fewer side effects, so it is easier to tolerate. The result can be seen in a month. But, doctors recommend taking Feraston tablets for 3-5 months to consolidate the result of treatment.

Oral contraceptives

It should be noted right away that this method of treatment is prescribed at the age of up to 30 years. The main goal of treatment is to restore the menstrual cycle, as well as reduce the main signs of mastopathy.

The drug Silest has proven itself well. The drug belongs to the group of combined oral contraceptives. The main component that is part of Silesta is ethinylestradiol and norgestimate. The medicine helps to quickly suppress gonadotropin, so ovulation goes well.

With mastopathy of the mammary glands, Femoden can be prescribed. It is prescribed very rarely, as it has a low-dose monophasic substance in the composition. However, Femoden helps to reduce pain in the chest area, and also reduces the abundance of menstruation.

Popular drugs from the androgen group

As practice shows, an effective remedy for such an ailment is Dinazol. With the help of the drug, the synthesis of gonadotropic hormone is inhibited. Despite such a positive result in treatment, the remedy has a lot of contraindications. Therefore, it is prescribed under the strict supervision of the attending physician.

In order to cause a rapid inhibition of the gonadotropic function of the pituitary gland, prescribe drugs from the gestagen series. You can be treated with drugs from the list:

  1. Norkolut;
  2. Prerotten;
  3. Orgametril;
  4. Progestogel.

Such drugs for mastopathy have one mechanism of action. The main goal of treatment will be aimed at stimulating not only estrogen, but also progesterone. Many are tormented by the question of how to treat mastopathy in women not from this list of hormonal drugs? In addition to hormonal drugs, non-hormonal therapy is also actively used in the treatment.

Non-hormonal treatment of mastopathy

You will not be able to cure mastopathy forever with the help of the following remedies, it is only possible to eliminate the main signs of the disease. To achieve a positive result, non-hormonal drugs are prescribed in complex treatment. The most effective way is to use Klamin. The tool has a wide spectrum of action, so it helps to cope with the disease. But, you need to know that Klamin has a slight laxative effect, and also has an enterosorbent effect.

A medicinal collection of Eleutherococcus tincture or Rhodiola liquid extract is also prescribed. The course of treatment lasts for 4 months. After that, the woman needs to take a break of two months and continue treatment. In addition, mastopathy is treated with vitamin complex preparations. Such a complex will help to quickly strengthen the immune system, and also reduces the risk of a side effect at the time of using the main medication. Assign vitamins from the group E, A and B.

Sedative drugs for mastopathy affect the nervous system. Therefore, they help a woman to quickly cope with this disease. A simple tincture of Motherwort is prescribed. If a woman has an allergic reaction to the tincture, then Valerian infusion or tablets are prescribed.

Complementary Therapies

The treatment of mastopathy includes medicines from the homeopathic group. They help relieve swelling from the mammary gland, narrow the ducts, and also reduce the formation of a connective tissue component. List of funds:

  1. Mastodinon;
  2. Remens;
  3. Cyclodynon.

It is worth noting that to eliminate the above symptoms, Mastodinone is more effective. It has a wide spectrum of action, thereby helping to quickly cope with mastopathy. This is a fairly new drug, which, in addition to its main spectrum, also has a dopaminergic effect.

Now you know the main medicines for the treatment of mastopathy. For prevention, doctors recommend timely medical examinations. In addition, the prevention of mastopathy includes:

  1. Timely birth of a child. Please note that women over 26 are considered old-bearing.
  2. Have an active sex life with one sexual partner. Protect yourself when changing partners.
  3. Avoid stressful situations.
  4. Choosing the right underwear, in particular a bra.
  5. Perform self-massage of the mammary glands.

If you follow these simple rules, you can prevent the development of mastopathy.

With the development of sclero-cystic mastosis, it is important to choose a complex of drugs to suppress the process of proliferation of mammary gland tissues. Medicines for mastopathy are used to treat problem areas and orally: with an integrated approach, the result of therapy is more active.

Hormonal agents, vitamins, herbal formulations, homeopathic tablets and drops, adaptogens, and other types of drugs are prescribed by a mammologist based on the results of the examination. Women will need information about safe and effective names for eliminating unpleasant symptoms in the chest area.

Causes, symptoms and types of mastopathy

Violation of the structure of the mammary glands, the formation of seals, nodular formations - a consequence. Problems with neurohumoral regulation leads to hyperplasia of breast tissue of various nature. With mastopathy, one breast or both glands are affected. The pathological process is often benign, but under the influence of provoking factors, cell malignancy is possible. Formations in the chest are multiple or single.

The risk of mastopathy is increased in the following cases:

  • frequent abortions;
  • influence of toxic substances and radiation;
  • endocrine diseases;
  • bruises and injuries of various kinds in the chest area;
  • hypothermia, being in a draft;
  • a long period of natural feeding (more than 2.5 years);
  • taking oral contraceptives for 5-10 years or more;
  • frequent stress, panic attacks, nervous overload;
  • "bouquet" of chronic pathologies.

Mastopathy symptoms:

  • compaction, soreness of the mammary glands before menstruation (the chest is "filled");
  • palpation of swollen glands causes discomfort;
  • with the development of mastopathy, breast engorgement disappears with the onset of the next menstruation;
  • palpation of the chest shows the presence of small or large seals and nodules;
  • the nipple is pubescent or tilted to the side, the mammary gland changes shape slightly;
  • swelling appears;
  • the development of the inflammatory process leads to an increase in temperature in the affected area, in advanced cases, numbers from 38 degrees and above appear on the thermometer;
  • with acute inflammation, progression of pathology, lack of competent therapy, unpleasant sensations capture the area of ​​​​the shoulders and neck from the affected side;
  • pressure on the nipple area leads to the release of a thick liquid. The color of the biomaterial is from translucent to greenish-brown, with purulent or blood impurities.

According to the nature of structural changes, several types of mastopathy are distinguished:

  • (more than half of the patients);
  • fibrous;
  • nodal;
  • lobular;
  • fatty;
  • ductal;
  • atypical.

General rules for the treatment of mastopathy

Important points:

  • first rule- drug therapy for dishormonal hyperplasia of the mammary glands should be comprehensive;
  • second rule- Discipline of the patient: long-term treatment (3-5 months or more), you must strictly follow all recommendations, do not stop taking the drugs at the first sign of improvement.

Tasks of therapy:

  • restore hormonal levels, normalize the balance, and androgens;
  • reduce breast soreness;
  • reduce the size of seals and nodules in the mammary glands;
  • prevent the degeneration of mastopathy into cancer.

If endocrine or gynecological pathologies are detected, sclero-cystic mastosis and the underlying disease should be treated in parallel. When choosing drugs, contraindications must be taken into account. It's important to know: if a malignant tumor process is suspected, some hormonal agents are not prescribed.

On a note! Refusal of self-medication is a prerequisite for successful therapy. Strengthening the immune system, improving the general condition, saturating the body with vitamins and minerals are important points in the treatment of mastopathy. In addition to taking medications, you need to change the rules of nutrition, reduce neuro-emotional stress, refuse contact with carcinogens, and reduce the likelihood of hypothermia.

Overview and characteristics of drugs

All types of drugs for the effective treatment of breast hyperplasia are divided into two large groups: hormonal and non-hormonal. At the initial and moderate stages of the disease, herbal remedies and homeopathic formulations are sufficient, with a severe form of disorders, hormone-based preparations are needed.

Medicines for mastopathy - which are better? This question is often asked by women when detecting fibrocystic, diffuse and other forms of pathology. In modern mammology, physicians practice an integrated approach to the treatment of sclero-cystic mastosis.

Non-hormonal drugs for the treatment of mastopathy:

  • homeopathic formulations. Drops and tablets are the most famous and sought-after drug in this category. Compositions Cyclodinon and Remens eliminate discomfort in the chest, reduce the secretion of prolactin;
  • vitamins. In the treatment of fibrocystic form of mastopathy, a woman should receive AEVIT, B vitamins, folic acid;
  • adaptogens. Combined drugs with a complex effect: strengthen the immune system, have a positive effect on metabolic processes and liver function, compensate for iodine deficiency. Pronounced antioxidant effect. Extract based on Rhodiola rosea, Echinacea or Eleutherococcus, vegetable;
  • enzymes and compositions for combating chronic constipation, internal intoxication of the body with decay products during congestion. Wobenzym, Duphalac;
  • sedatives. With psycho-emotional overstrain, nervousness, stress, the hormonal background is disturbed. In the treatment of mastopathy, valerian (tincture and tablets), Novopassit, Bifren, Glitsesed, motherwort tincture, soothing collection, mint tea, lemon balm decoction are used;
  • supplements with natural ingredients: extracts of seaweed and medicinal herbs, essential oils. Effective names:, Mastofit-Evalar;
  • compositions to normalize the level of iodine and potassium. A positive result is shown by drugs: Klamin,;
  • hepatoprotectors. Improper functioning of the liver with and unbalanced nutrition adversely affects metabolic processes. The development of endocrine pathologies in case of damage to the pancreas is closely related to hormonal imbalance. To stabilize the liver, a woman should drink a course of hepatoprotectors. Preparations on a plant basis and with a combined composition have a positive effect on the functioning of the body, prevent stagnation, restore the structure of hepatocytes, and reduce intoxication. Karsil, Gepabene, milk thistle extract, Essentiale, Legalon;
  • diuretics. Light diuretics of plant origin reduce swelling of the hands and feet, prevent the accumulation of fluid in the tissues, lymph stagnation. Herbal teas, herbal teas, rosehip decoction are useful.

Hormonal preparations:

  • gestagen group. They suppress excessive production of estrogens, reduce the gonadotropic function of the pituitary gland. The course reception is effective, the interval in the course of therapy is obligatory. High efficiency of treatment. Pregnin, Norkolut, Orgametril;
  • androgens. The drug Danazol blocks the excessive secretion of estrogen, reduces the likelihood of macrocyst formation. Additional contraceptive measures are needed to prevent unwanted pregnancy;
  • drugs that suppress the secretion of prolactin. Reducing nodes, reducing pain, normalizing the cycle. Bromocriptine-based hormonal formulations: Lactodel, Serocriptine, Danoval,;
  • tablets and gels based on progesterone. A positive result already in the first weeks of use, the minimum dosage, safety for the body. Progestogel, Livial, ;
  • oral contraceptives based on various active ingredients. Regulation of the cycle, restoring the balance of estrogens and androgens, reducing the concentration of prolactin, reducing chest pain, reducing swelling. In most cases, drugs are prescribed up to 35 years. Mercilon, Femodene, Marvelon, Silest.

The course of treatment of mastopathy is designed for several months. To eliminate negative symptoms, normalize hormonal balance, it is important to receive a complex of drugs. You should not buy hormonal drugs without the appointment of a mammologist: in the initial and moderate stages of the disease, a positive result can be achieved with the help of herbal formulations and non-hormonal names.

Video - an overview of drugs for the treatment of fibrocystic mastopathy of the mammary glands:

The course of treatment of mastopathy is prescribed by a mammologist, depending on the degree of damage, based on the results of ultrasound of the mammary glands and laboratory data. Complex therapy is carried out using a number of drugs and methods. There is no single algorithm for treating mastopathy in women.

Causes of mastopathy

Mastopathy is a fibrocystic disease that is accompanied by tissue changes. It occurs as a result of a violation of the normal ratio of hormones.

The cause of the onset of the disease is a neurohumoral factor. "Neuro" means that disorders of the psycho-emotional state work as a trigger for the disease: neurosis, psychosis. "Humoral" shows that the underlying causes lie in the work of biologically active substances (in this case, hormones).

Manifestations

As a rule, the symptoms of mastopathy are cyclic in nature and appear to a greater extent before menstruation. Among them:

  • pain;
  • discharge from the nipples (clear to brown or greenish);
  • seals (perceptible on palpation);
  • an increase in axillary lymph nodes is possible;
  • sleep disturbance;
  • irritability, aggression.

Hormone therapy in the treatment of mastopathy

Based on the study of the hormonal status, women are prescribed treatment with drugs against mastopathy - progestogens, androgens, antiestrogen and drugs that inhibit the production of prolactin.

Gestagens

Pathogenetically the most effective is treatment with the use of progesterone preparations. They have a positive effect on diffuse hyperplastic processes in the tissues of the mammary glands. Under their action, proliferative activity in the epithelium slows down, the density of the glandular and fibrous components decreases. A side effect of the use of such drugs is a violation of the menstrual cycle.

Recently, the most popular drugs prescribed for mastopathy are oral gestagens in Duphaston and Utrozhestan tablets. These are analogues of natural progesterone, safe for health during long-term treatment.

Antiestrogens

Hyperestrogenism is one of the causes of mastopathy. Antiestrogen has been successfully used as an effective remedy. The most effective for these purposes are Fareston and Tamoxifen, which even treats some forms of breast cancer.

Androgens

Taking drugs in the form of androgens (male sex hormones) is prescribed for women over 45. The complex preparation "Testobromlecid" contains methyltestosterone, bromisoval and lecithin, which have a good effect on the central nervous system.

Prolactin inhibitors

To suppress the production of prolactin, Bromocreptin is usually prescribed. This drug for mastopathy and nodes normalizes the cycle, helps to reduce pain and reduce the size of the nodes in the breast tissues. They also recommend drugs such as Norprolac and Cabergoline, which have fewer side effects.

Combined oral contraceptives

These agents are used in the treatment of young women, usually under 35 years of age. The mechanism of their action is based on the blockade of ovulation. This allows you to stabilize the cyclic fluctuations of sex hormones and leads to the reverse process of development of mastopathy. This group includes "Danazol", "Jess", "Microlut". As a rule, the first course is prescribed for 3 months.

Non-hormonal therapy

The purpose of the use of non-hormonal drugs is to improve microcirculation in the tissues of the mammary glands, eliminate venous congestion, and reduce pain symptoms. Non-hormonal drugs for mastopathy effectively eliminate the signs of the disease.

Drugs affecting the central nervous system

The use of antipsychotics, tranquilizers, sedatives is justified by the need to relieve nervous tension that provokes the growth of cysts (motherwort, valerian).

Preparations containing iodine

For the treatment of mastopathy, doctors often prescribe iodine-containing drugs: Mamoklam and Klamin. The drugs normalize the balance of sex and thyroid hormones, reduce precancerous processes in the mammary gland.

Homeopathic remedies and herbal medicine

Medicines of this group have an anti-inflammatory analgesic effect on the body, reduce swelling in the mammary glands. These include homeopathic remedies "Mastodinon" and "Mastopol", phytopreparation "Mammoleptin".

Liver support drugs

The liver plays an important role in hormonal metabolism. Changes in the mammary glands are associated with hyperestrogenization caused by impaired liver function. Therefore, this body must be supported with antioxidants, vitamins, microelements, adaptogens, choleretic agents, immunomodulators. The most effective drugs for this are hepatoprotectors (Liver Caps, Silymarin, Amino 1500, Nirocil, etc.).

enzyme therapy

Metabolic enzymes are good for detoxifying the body and producing energy. Enzymes (enzymes) have anti-edematous, anti-inflammatory, analgesic effects. This group includes drugs "Biozim", "Wobenzym", Vitazim.

Diuretics

To relieve puffiness, rosehip tincture, herbal teas and other diuretics are effective.

vitamins

In the treatment of mastopathy, vitamins A, E, B have a positive effect, which increase the effectiveness of taking other drugs.

As a rule, the course of drug treatment until complete recovery is quite long. If within 2-3 months it does not give results, a biopsy is prescribed.

There are many means to combat the disease, but everyone decides for himself which drugs are better for mastopathy. We provide a table of drugs prescribed by mammologists when making a diagnosis of mastopathy.

false ginseng root, red deer antler root

purified indole-3-carbinol

hormonal agent - progesterone

tablets

tablets, drops

medicinal product

medicinal product

without recipe

without recipe

on prescription

on prescription

As a symptomatic remedy in the treatment of breast diseases and menstrual disorders

Cyclic mastalgia, including against the background of benign breast hyperplasia

intolerance;
hypothyroidism;
multinodular goiter;
furunculosis, chronic pyoderma;
hemorrhagic diathesis

nodular forms of fibrocystic mastopathy;
tumors (tumor-like diseases) of the mammary gland of unclear etiology;
intolerance;
pregnancy (II and III trimesters);
mammary cancer

do not drink coffee, alcohol, smoke, as it contains ethanol (47 - 53% by volume)

contraindicated during pregnancy and lactation

specific smell of the active substance indole, prescription

it is necessary to exclude nodular forms of mastopathy before prescribing;
avoid direct sunlight after applying the cream

skin itching, redness of the skin and skin rashes;
from the gastrointestinal tract: heartburn, flatulence, diarrhea;
with prolonged use - the phenomenon of iodism.

shortening or lengthening of the menstrual cycle, epigastric pain, weight loss

"hot" flushes of blood, metrorrhagia; decreased libido, erythema at the gel application site, swelling of the lips and neck, fever, headache, nausea

1 tablet 2 times/day, 3 months

5 capsules 3 times / day 30-60 minutes after meals, 2 months

1 capsule 2 times/day before meals, 6 months

1 application (2.5 g of gel) containing 0.025 g of progesterone is applied to the skin of the mammary glands with a dosing applicator until completely absorbed 1-2 times daily or in the 2nd phase (from the 16th to the 25th day) of the menstrual cycle .

conveniently:
take regardless of the menstrual cycle,
from mealtime

over-the-counter

Name of the drug

mamoclam

Mastodinon

Mammoleptin

Indinol Forte

Progestogel

Active substance

klam (organic iodine)

agnus castus diluted 1:10 (homeopathy)

Release form

Registration status

medicinal product

homeopathic remedy

medicinal product

Vacation from pharmacies

without recipe

Indications for use

Mastalgia, diffuse mastopathy, localized mastopathy

Mastalgia, diffuse fibrocystic mastopathy.

Mastodynia, diffuse fibrocystic mastopathy

Contraindications for use

hypersensitivity;
children's age up to 12 years;
not used in the treatment of breast cancer

hypersensitivity;
pregnancy and breastfeeding period;
age up to 18 years

hypersensitivity;
age up to 18 years;
pregnancy and lactation

Restrictions

do not use with preparations containing iodine

Side effect

weight gain, pruritic exanthema, acne, headache, temporary psychomotor agitation, confusion and hallucinations

allergic reactions;
in rare cases - short-term pressing pain in the epigastric region;
heartburn, belching, dry mouth.

Application scheme

1 tablet 2 times/day, 3 months or
30 drops 2 times/day, 3 months

Ease of use

uncomfortable: take after meals, 3 times a day

conveniently:
take morning and evening

not convenient:
you have to wait until it dries
the need to count the days of the cycle

Advantages

short course 3 months

over-the-counter

course of admission 6 months

no age limit