Breast cysts can occur at any age, but they are most common in women aged 35-50. After menopause, the risk of developing new cysts is lower. However, some women still develop breast cysts or have existing ones that persist after menopause.
Possible causes of breast cysts after menopause include:
- Hormonal imbalances - Estrogen and progesterone levels drop significantly during menopause. However, some women still have circulating hormones after menopause that stimulate breast tissue growth and contribute to cyst formation.
- Existing cysts - Cysts present before menopause may persist. These are often benign and do not require treatment unless they grow, become painful, or show suspicious changes.
- Obesity and high-fat diet - Excess body fat leads to more estrogen production, which can cause breast cysts. Consuming high-fat foods also increases estrogen.
- Hormone replacement therapy (HRT) - Postmenopausal hormone therapy that contains estrogen and progestin may contribute to breast cysts in some women.
- Prior breast injury - Past injuries to the breasts can damage glandular tissue and milk ducts, leading to scar tissue formation and cysts.
Other risk factors for postmenopausal breast cysts:
- Family history of breast cysts
- Never having children
- Early onset of periods or late menopause
- Thyroid disorders
- Chronic illnesses like kidney disease or liver disease
Symptoms of breast cysts
Breast cysts often cause no symptoms. Some women notice:
- A small, smooth, firm lump in the breast
- Breast swelling, tenderness, or pain before their period
- Sudden nipple discharge
Diagnosing breast cysts after menopause
If a suspicious breast lump is found after menopause, diagnostic tests are recommended:
- Clinical breast exam - A doctor checks for lumps or abnormalities through touch and observation.
- Imaging - An ultrasound, mammogram, or breast MRI takes detailed pictures of cysts inside the breast tissue.
- Breast cyst aspiration - Draining fluid from a cyst with a needle confirms diagnosis and provides relief. The fluid is also examined for cancer cells.
- Biopsy - Removal of breast tissue for lab testing checks for cancer if imaging findings are unclear.
Treatment and outlook for postmenopausal cysts
- Most postmenopausal breast cysts are benign and do not require intervention unless they are painful, inflamed, or show worrisome changes over time. These cysts can be monitored by a doctor.
- Symptomatic cysts causing discomfort may be drained to provide relief. They often reaccumulate fluid over time.
- Hormone therapy, diet changes, weight loss, and nutritional supplements may be recommended to address hormonal imbalances contributing to recurrent cysts.
- In rare cases, a persisting breast cyst after menopause raises concern for cancer. Surgical removal and biopsy are required if cancer is suspected.
The prognosis for benign breast cysts after menopause is generally very good. Working closely with your doctor for proper monitoring and treatment helps ensure optimal breast health.
Those experiencing painful, worsening, or suspicious breast cysts after menopause should contact
New Beginnings HRT Clinic. Our compassionate staff and board-certified medical providers specialize in treating hormonal issues through customized care plans, lifestyle counseling, pharmaceutical-grade supplements, and advanced testing.
We offer virtual consultations and personalized treatment protocols to meet your unique needs. Contact us today to discuss your breast health.
