A 36-year-old client who has a diagnosis of fibrocystic breast changes calls the nurse in the clinic reporting symptoms. Which information is likely to change the treatment plan?

The lumps are smaller and less painful after starting oral contraceptives.

Firm and movable lumps are in the upper outer breast quadrants.

An area on the breast is hot, pink, and tender to the touch.

The lumps get more painful before the client's menstrual period.