Mastosis: the causes

We do not know all the precise causes of the mastoses. But one thing is certain, she is very influenced by certain hormones.

Polycystic mastosis is a so-called hormone-dependent pathology. It is favored by certain female hormones: a "climate of hyperoestrogenesis" relative, that is to say, an imbalance in favor of estrogen compared to progesterone. These hormones act on the mammary glands contained in the breasts.

Therefore, mastosis is particularly common at the time of premenopause (progesterone levels decreasing before that of estrogen).

When menopause is established, the drying up of oestrogenic secretions gradually leads to the regression of the mastosis. And the woman is usually less bothered by this problem.

In young women with mastodynia, gynecologists are especially careful to find the "good" contraceptive pill, one that avoids congestive phenomena and changes in breast volume. There is no ideal choice: some patients are improved by a mini-dose pill, others with a normodosed pill but who have a better hormonal balance.

These mastoses can be associated with other types of lesions in the breast: with epithelial hyperplasia; or proliferative mastopathy.

Hormonal production of women before and after menopause:

© iStock

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