My last couple of mammograms have shown increased breast density. I had a total abdominal hysterectomy 1.5 years ago and have been on HRT since. This past month, my right breast has become very tender and painful. My doctor told me that I have fibrocystic breast changes and he has taken me off the HRT to see if that will help. I have a strong history of breast cancer in my family (mother, 3 of her sisters and my father's brother). All are in remission. Should I be more concerned about this then my doctor is telling me?
Dear RBSub, The relationship between breast density and breast cancer risk continues to be evaluated. We do not know for sure if increased breast density itself translates into increased breast cancer risk. One of the theories is that whatever is contributing to the increasing density of the breasts is what could be the risk. For example, hormone replacement therapy in postmenopausal women may increase density, and potentially increase risk.
As we age the ratio of breast tissue to fat tissue changes. Particularly after menopause when estrogen levels lower, there is much less breast tissue in comparison to fat.