Medical management of fibrocystic complex

1. Oral contraceptives are effective for severe breast pain in most young women. Start with a pill that contains lowamounts of estrogen and relatively high amounts of progesterone (Loestrin, LoOvral, Ortho-Cept).

2. If oral contraceptives do not provide relief, medroxyprogesterone 5-10 mg/day from days 15-25 of each cycle is added.

3. A professionally fitted support bra often provides significant relief.

4. A low fat diet, vitamins (E and B complex), evening primrose oil, and stopping smoking may provide relief.

5. NSAIDs and bromocriptine have been used.

References: See page 195.

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