Fibroadenoma in menopause: what to know

A fibroadenoma is a solid, usually smooth and mobile breast lump made from glandular and connective tissue. Hormonal changes around menopause may affect its size or tenderness, and some lumps become less noticeable over time. A lump that feels familiar may still deserve review if it changes, because several breast conditions can feel alike on examination.

Assessment may include a breast examination and imaging. An ultrasound can show whether a lump is solid or fluid-filled and how it is positioned. A biopsy may be recommended when the examination or imaging does not give a clear answer; it examines a small tissue sample rather than relying on feel alone.

Arrange an appointment for any new lump, or for a known lump that becomes larger, firmer, fixed, or newly uncomfortable. Note when you first noticed it, whether it changes, and any medicines or hormone treatment you use. Bring previous breast imaging if available so the clinician can compare findings over time.

Depending on the findings, monitoring may be reasonable, while a biopsy or breast lump excision may be discussed if the diagnosis remains uncertain, the lump grows, or symptoms persist. Do not squeeze or repeatedly check the area, since this can increase soreness.

Seek prompt medical review for a rapidly enlarging lump, skin dimpling, a newly pulled-in nipple, bloody or spontaneous nipple discharge, an armpit lump, or redness and warmth with fever. These signs do not identify one diagnosis, but they should not be watched without assessment.

Ask what the examination and imaging show, whether comparison with older scans is useful, and why a biopsy is or is not advised. You can also ask what changes should trigger an earlier appointment and whether monitoring or removal best fits your symptoms and findings.